Welcome to the Postural Restoration Community! This is where you will read the latest industry news, hear about upcoming events, find helpful deadline reminders, and view a plethora of additional resources regarding our techniques and curriculum. The great part about it is--not only can you can view the entries we post, you can also post about the things that matter to you. Did you find an interesting article about a technique you learned in one of your courses? Do you have a patient case study you want to share with other professionals? Simply click "Submit an Entry" and follow the easy steps towards getting your information published in the PRI Community!

Blog Posts in 2009

If any of you have read the book, The Last Lecture, by Randy Pausch you probably remember the section on “handwritten thank you notes”.  This note was sent to us by a course attendee of the four day Interdisciplinary Integration course.  It’s notes like these that keep us moving…

I would like to commend you on the presentation of such a wonderful course, Interdisciplinary Integration!  With each PRI course that I attend, I leave knowing that I have made such a great career choice!  I cannot even imagine what life would be like after graduation if I would not have been introduced to your work in Postural Restoration!  Thank you so much for continuing to share your knowledge.  The organization of the course and welcoming environment, in addition to the overwhelming knowledge of the presentors, made for a very educational and enjoyable four days!  Thanks!

Posted April 22, 2009 at 1:22PM
Categories: Courses

This is the most recent published article written by Kyndy Boyle, PT, PhD, OCS, PRC.  This case report is a great article that outlines the positive outcomes of Postural Restoration.  “After noting limited improvement, the intervention plan was revised for 13 additional weeks (10 visits) to include the following exercises to reposition and stabilize the pelvis: muscle activation of the left hamstrings, adductors, gluteus medius, abdominals, and right gluteus maximus; stretching the left posterior hip capsule; and muscle inhibition for the paraspinals.” To read the entire article, click here!

Posted April 21, 2009 at 1:24PM
Categories: Articles

May 8-9, 2009 is the date for the Sanford Sports Medicine Symposium.  Among several individuals speaking at this conference, two of our certified clinicians, Joan Hanson MPT, PRC and Jill Honermann MPT, PRC, will be presenting “Evaluation of the Lumbar Spine: The Postural Restoration Approach”.  We are so excited for them and anxious to hear the feedback!  To check out the brochure for this course, click here!

Posted April 17, 2009 at 1:28PM
Categories: Clinicians

If you have been to a PRI course before and are using PRI Non-Manual Techniques, you have probably noticed a common theme through each technique.  Almost every technique instructs the patient to “hold for 4-5 deep breaths in through the nose and out through the mouth and relax and repeat 4 more times”.  So…why 4-5 breaths in and out, why 5 times?  To read the rationale behind this, click here!

Posted April 16, 2009 at 1:31PM
Categories: Techniques

Cautious Considerations with Hip Flexor Training is the latest article published by one of our certified clinicians, Lisa Bartels!  This article highlights the importance of position when training the hip flexors.  “Hip flexor training does not necessarily need to be avoided, but it is beneficial to understand the negative influence this muscle group can have on the resting position of the pelvis and spine.  Athletes will be less prone to injury if training activities that inhibit the hip flexors are integrated into their workouts.”  To read this article, click here!

Posted April 15, 2009 at 1:33PM
Categories: Articles

You’ll find that we’ve recently added a few more course dates to our schedule for this year: Myokinematic Restoration June 6-7 Syracuse, NY (Speaker - Mike Cantrell) June 13-14 Omaha, NE (Speaker - James Anderson) June 27-28 Sioux Falls, SD (Speaker - James Anderson) Postural Respiration October 10-11 Omaha, NE (Speaker - James Anderson)

Posted April 14, 2009 at 1:35PM
Categories: Courses

Raulan Young, MPT, PRC recently wrote an article for the Southern Idaho Living magazine titled “Winter Fitness Made Easy in Southern Idaho”.  This is a great overview on the importance of triplanar activity.  Raulan does a great job educating the reader on different winter sporting activities and how each sport can benefit your posture!  To read the entire article, click here!

Posted April 10, 2009 at 1:39PM
Categories: Articles

Michal Niedzielski and Gregory Parfianowicz recently returned from their trip to Poland.  On March 20th through the 23rd Michal and Gregory taught Myokinematic Restoration in both Warszawa and Olsztyn.  This year marked a new chapter for PRI as this was the first time PRI has been presented in Poland.  Michal and Gregory put in months of preparation for this course and we are honored to have both of them represent PRI!  Here are some photos from their trip…


PRI in Poland PRI in Poland
PRI in Poland PRI in Poland
PRI in Poland PRI in Poland
PRI in Poland PRI in Poland


PRI in Poland PRI in Poland
PRI in Poland PRI in Poland
PRI in Poland PRI in Poland

Posted April 8, 2009 at 1:45PM
Categories: Courses

The 2009 shoe guide that is!  Before the Interdisciplinary Integration course we met with The Lincoln Running Company to hear all about the newest shoes on the market.  After much conversation and a little debating, PRI and Dr. Paul Coffin came up with recommendations for the best shoes out there. Guess what shoe still tops the list…Asics Foundation!  To see the entire list, click here!

Posted April 6, 2009 at 2:32PM
Categories: Products

If patient can’t maintain re-positioning…


  • Are they diaphragmatically breathing?
  • Quality of respiration?
  • Symmetry of respiration?
  • Decreased diaphragmatic motion, increased descent of pelvic floor, altered breathing patterns associated with pelvic pain.
  • Diaphragmatic and TA muscle activity reduced with hypercapnea.
  • Pelvic floor depression associated with breath holding/Valsalva maneuver.


  • Can they isolate IO / TA?
  • Symmetrical or Asymmetical?


  • Palpate approximately 2 cm medial and inferior to ASIS.
  • Slowly & gently draw in your abdominals away from your fingers.
  • Sub maximal contraction.
  • Change positions (supine, side lying).
  • Monitor for substitutions.
  • Is IO / TA activity sustained with breathing?


  • Can they maintain IO / TA contraction with upright static & dynamic control?

Walking Seated Ball Pregnancy Squat

Pelvic Floor

  • Can they isolate their pelvic floor muscles?
  • Can they actively contract and relax the pelvic floor?
  • Do they feel an up & in contraction?
  • Are they substituting (glute squeeze, breath holding, adductor squeeze, bearing down)?
  • Is there symmetry?
  • Is there appropriate motor planning?
  • Voluntary contraction of the abdominal muscles stimulates pelvic floor contraction.
  • TA and IO recruited during all pelvic floor muscle contractions.
  • Relaxed abdominals resulted in only 25% of maximum pelvic floor contraction.
  • Women with stress incontinence have increased OE activity (increased OE increases IAP).
  • Back pain more common in women with incontinence , increased probability of LBP if have symptoms of incontinence.
  • Pelvic floor muscles are part of preprogrammed response to postural adjustment.
  • Decreased pelvic floor strength, endurance and thickness noted in women with incontinence.
  • Increased pelvic floor activity with postural perturbations noted with women with incontinence.
  • Pelvic floor tonic activity at rest, with cough automatic phasic response, in women incontinence unsustained tonic pattern with asymmetrical recruitment.
  • Timing deficit of muscle recruitment lost with women with incontinence.
  • Higher resting tone of pelvic floor with dysfunction, need to teach down training.
  • High resting tone does not always mean a strong pelvic floor.
  • The pelvic floor needs to relearn how to function within a neutral pelvis.
  • Feel the pelvic floor contract and relax.
  • Reported cure rate of pelvic for urinary incontinence ranges between 44-69%.
  • 30% of contractions are performed incorrectly; 50% of contraction are strong enough to increase urethral pressure.
  • Pelvic floor muscle activity alone does not predict UI, activity related to UI needs to be considered.
  • Isolated contraction of pelvic floor produces greatest displacement of pelvic floor.

Hypermobility - But Still Have Symptoms

  • Is there global hypermobility?
  • There is a high correlation of pelvic dysfunction with a reduction in tissue collegan concentration.

Abdominal Binder


  • Has there been trauma?  Consider referral early on if patient not progressing appropriately.
  • Patient can reposition but they still have symptoms- are they able to relax their pelvic floor?
  • Is there psyco-social issues?

Referral To

  • If symptoms have not subsided consider referral to OB GYN/Urologists/Primary MD
  • PT with pelvic floor specific training (biofeedback, internal evaluation, condition specific integration)
  • Podiatry (correlation of foot flexibility and SUI)
  • Dentist
  • Neuro - Optometrist
Posted April 6, 2009 at 2:16PM
Categories: Courses
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