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Written By: Dan Houglum

Impingement and Instability is my favorite course to attend and teach. It’s a bridge between the PRI Primary courses and the rest of the PRI Secondary and Tertiary courses. We discuss the application of the science of PRI in a clinical manner. My goal in teaching the course is to help you leave a better clinician.

We had a great group of attendees for the most recent version of I & I. This course is continually evolving and changing based on feedback we get, as well as the questions we get during the course. We had a great mix of very experienced clinicians, several PRI certified attendees, and several other who are relatively new to the science of PRI. It is a wonderful challenge to present the material that can be absorbed by someone who has taken the Primary courses, and go deep enough into the clinical weeds to satisfy those who have attended many PRI courses and have been using PRI clinically for many years.

This course is laid out to specifically address the thing that the body responds to the most: pressure. We go through the wealth of research behind the science of PRI, as well as lay out how and why the brain learns new movement strategies. We take the concepts from the PRI Primary courses and expand on them by linking them to pressure management. We spend a lot of time going through ground-based pressure management, as well as how to manage all of the human’s floors.

It was a pleasure to spend time with Loc Rao, PRC, Cody Gilliss, PRC, Alan Lee, PRC, and Jarrett Kolich, PRT. These are all great people, and I was honored to have them attend. Their questions were exceptional and helped drive the course. I really appreciate Rhiannon Dickison, DC, Elizabeth Markous, PT, Tara O’Brien PT, Daniel Loub, CSCS, and Nikki Smith, PTA. Their questions were vital to help us understand and re-state concepts for all of us. Thank you for slowing me down and helping all of us learn.

This course was re-written several years ago to better align with the neurological concepts of the rest of the PRI secondary and Tertiary courses, in addition to the Postural Respiration course. If you have taken the three Primary courses and want to learn how to apply PRI concepts at a more advanced level, then this course is for you. It is a gateway to the PRI Cervical Revolution, Cranial Resolution, Forward Locomotor Movement, and Voice Box Resonation courses. I hope to see you at Impingement and Instability later this year!

OrthoNebraska is adding a practicing Postural Restoration (PRI) Physical Therapist to our Therapy team! The Therapy team environment is fast paced and well organized in taking care of the needs of our orthopaedic community. Our top priorities are focusing on patient safety as well as patient satisfaction. Teamwork is paramount as we are dedicated to Always True in promoting trust, respect, understanding and engagement with all team members. If this sounds like the type of team and environment you want to be a part of apply today! 

orthonebraska.com/careers

Position          Full-Time

Shift               Days

FTE / Hours   1.0 / 40 

Schedule        Mon – Fri  

Location:        Elkhorn, Omaha and Council Bluffs 

Department/Position Details/Duties:

Deliver high quality clinical care and customer service

Establish goals and treatment plans in collaboration with the patient, family members and healthcare team.

Provide treatment services in order to restore, maintain or improve patient functions.

Promote and advance the hospital’s vision to be the BEST through department initiatives and community outreach.

Develop and enhance the vision of the department with an emphasis on growth and program development.

Promote collaboration with referring physicians.

Offer clinical instruction to physical therapy and physical therapy assistant students.

Must be able and willing to collaborate with others as demonstrated by good listening skills, honest and respectful communication, and engaging in the process of reaching consensus when making decisions.

Displays flexibility and adaptability in order to provide patient education regarding their specific physical therapy treatment needs.

Ability to problem solve with patients, team and other departments within OrthoNebraska.

Position Requirements:

Education:

Graduate of an APTA approved program for physical therapy

Fully licensed to practice physical therapy in the state of Nebraska.

Basic Life Support (BLS) required within 60 days of hire.

Advanced clinical certification is a benefit

Postural Restoration Certification preferred

Experience:

Experience in orthopaedics required.

Physical:

This position is classified as Medium Work in the Dictionary of Occupational Titles, requiring the exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.  Physical Demand requirements are in excess of those for Light Work. 

We are looking to hire a PRI-minded Physical Therapist in Austin, TX. 1:1 treatments and must have a desire to grow, new grads considered on a case-by-case basis, athletic background preferred.

Please apply here: https://www.mindbody-physiotherapy.com/careers

Job Title: Performance Physical Therapist

Job Summary:

Seeking a highly skilled and compassionate Physical Therapist to join Mind Body Physiotherapy. In this role, you will provide expert care to patients with general orthopedic conditions. Your proficiency in assessing, diagnosing, and treating will be instrumental in helping patients regain balance, reduce pain, and improve their overall quality of life.

Responsibilities:

  • Conduct comprehensive evaluations of patients including thorough assessments of medical history, symptoms, range of motion, balance, and functional limitations.
  • Develop personalized treatment plans based on individual patient needs, utilizing evidence-based interventions and techniques.
  • Implement therapeutic exercises, manual therapy, and modalities to address pain management, restore joint mobility, and improve muscle strength and coordination.
  • Educate patients about their conditions, treatment options, and self-management strategies to promote long-term recovery and prevent future complications.
  • Collaborate with a multidisciplinary team, including orthopedic doctors, dentists, orthodontists, neurologists, and other healthcare professionals, to provide comprehensive care and optimize treatment outcomes.
  • Regularly monitor and reassess patients’ progress, adjusting treatment plans accordingly and documenting findings accurately.
  • Stay updated with the latest research, advancements, and best practices incorporating new knowledge into clinical practice.
  • Participate in continuing education opportunities, professional conferences to enhance clinical skills, and workshops to educate other providers about the physical therapy profession, and stay abreast of emerging trends.
  • Adhere to ethical and legal standards in patient care, ensuring privacy, confidentiality, and informed consent.

Qualifications:

  • Doctorate in Physical Therapy from an accredited program.
  • Valid Texas state licensure or eligibility to obtain licensure as a Physical Therapist.
  • Interest in Temporomandibular Joint Disorders (TMJD), Vestibular Therapy, Pelvic Health, or a background with Runners is a plus but not required. In-house training will be provided.
  • Strong experience in fitness and exercise programming
  • Proven experience in evaluating, diagnosing, and treating patients with general orthopedic conditions.
  • In-depth knowledge of the anatomy, physiology, and biomechanics of the temporomandibular joint and the vestibular system and its disorders.
  • Familiarity with various treatment modalities, including therapeutic exercises, manual therapy techniques, pain management strategies, and functional dry needling.
  • Strong interpersonal and communication skills to establish strong relationships with patients
  • Ability to collaborate effectively with a multidisciplinary team.
  • Compassion, patience, and the ability to provide empathetic care to individuals experiencing pain, functional limitations, dizziness, and imbalance.
  • Must be detail-oriented and willing to learn.
  • Commitment to ongoing professional development and staying updated with the latest advancements.

Compensation:

$73,300 base yearly

25-30 patients/week

Bonus structure – make up to $85,300 yearly

1:1 patient care without overlap

Flexible schedule

PTO

Emphasis on work-life balance

Join the Mind Body Physio team and significantly impact the lives of patients seeking to improve their quality of life and return to doing the things they love while maintaining work-life balance. New grads will be considered on a case-by-case basis.

Are a dedicated and skilled Physical Therapist ready to change the face of healthcare? We invite you to apply.

Job Type:

Full-time

Salary: $73,300.00 – $85,300.00 per year

Benefits:

  • Continuing education credits
  • Flexible schedule
  • Health insurance
  • Opportunities for advancement
  • Paid time off

What a great weekend in Albuquerque, NM. Albuquerque is really my home away from home. My wife is from Albuquerque and we have spent winter holidays with family down in the great state of New Mexico. Family, sunny skies, and amazing cycling have given Albuquerque a special place in my heart. It was so nice to grow my PRI family this past weekend in Albuquerque with such a great class.

Everyone seemed excited and ready to learn about patterns, positions, and posture. We learned how a left hamstring will help oppose the dominant neurological patterns and positions that have been our default as human beings. We learned how to engage a left IC adductor, a left anterior glute med, and a right glute max to balance out our “pickles” and provide a recipe for forward locomotion in a less dangerous and pathological way. Albuquerque is famous for balloons, so a PRI class in New Mexico would not be complete without utilization of PRI balloons to inhibit an AIC chain.

Anna helped us all appreciate some internal obliques and transverse abdominals to prevent us from being alligators. Jayson saved the day with an emergency trip to Office Depot for an essential projector cable. The “hamstring” of the projector! Caroline provided a pleasant southern twang narration while being a great example of a common left AIC presentation. The “Work Wives” up front were a joy to have in the front row and their excitement for the material was contagious. The “Sams” in the back contributed to fantastic dialogue and thought processes. I am excited for them for their PRI journey ahead. Hannah reminded us all of the importance of shifting left and right and why the patterns are not a bad thing. Patterns are our “friends” as long as we can alternate and reciprocate!

A big thanks to all who attended, especially the Presbyterian Healthplex “family” for being so welcoming, friendly, and allowing me to grow my New Mexico family of clinicians.

The ENT Institute just north of Atlanta was the location of the latest Cervical Revolution presented to a curious, question asking and enthusiastic group of PT’s, athletic training, fitness and soft tissue professionals.
One major emphasis of Cervical Revolution is on the brainstem specifically nerve and CSF flow at that highly neurologic articulation located at Atlas and the occipital bone.  When a neck is unable to maintain neutrality and oscillating function, especially at the craniocervical articulation or the occipital atlanto joints, a wide range of symptoms are likely to occur.  These symptoms can include hypotonia affected by the fusimotor system, neuralgia, inflammation, tinnitus, dizziness and hypertonia especially with stiffness of cervical musculature and headaches.

This is a short list of symptoms that can also mimic Chiari-like symptoms that can include all of the above with sleep apnea and sleep disorders.   One goal of this course is to identify and restore normal spinal coupling of the cervical region through testing and non-manual techniques for proper tri-planer function of the neck, cranium and occlusal system.  In this course, the neck is the primary driver of cranial strain patterns that can appear in a non-pathological or pathological presentation.  The cervical spine has a direct relationship with osteopathic descriptions of cranial position including temporal bone influence on the jaw.  The occlusal system also has a strong influence of not only the cranium and neck but the entire body. This is known as the stomatognathic system, and it has a significant influence on the entire axial skeleton.

The staff at The ENT Institute was so excited about attending this course since they see so many patients with the symptoms previously mentioned and can see the application of PRI into their daily practice.  It is always a pleasure for a faculty member to have so many intelligent questions and see so many “ah-ha” moments from students eager to learn a detailed, and at times, challenging to assimilate course!

Thank you very much to the staff at The ENT Institute including Allison, Jennifer, Niah, Miscelle, and Ann.  Thank you to Tassie for driving up from Warner Robbins, Mary Beth for all the great questions, Andy for your continuing journey, Danielle, Meghan, Roberta for your energy and last but not least, Kaitlin, for participating so well during lab.

Written By: Louise Kelley

We were honored this past weekend to present Cervical Revolution to attendees from multiple disciplines across the country and world wide.  Eleven countries were represented, reflecting the growing strong interest in Postural Restoration!

Cervical Revolution introduces to the attendee the immense impact that position and triplanar movement of the cervical spine and the occipital-atlas articulations have on the efficiency of movement patterns, such as walking and chewing, and on the patency of the foramen magnum, ensuring unimpeded flow of nerve tracts, blood, and cerebral spinal fluid and the health of the cranial nerves housed within the brain stem.

We introduce a new chain of muscles, the temporal-mandibular-cervical chain (TMCC) that, like the anterior chain and brachial chain, becomes overactive on one or both sides. Typically, activity of the right TMCC is in cahoots with the left AIC and right BC, further driving us to our right side for safety when upright against gravity.  Right TMCC overactivity is reflected in asymmetrical cervical test findings and asymmetrical faces and bites.

We spent extensive time discussing and coaching non-manual techniques (and one manual technique), some unique to this course and others borrowed from our primary courses, allowing us to appreciate their impact on the neck and cranium, not simply the pelvis and thorax.

We are grateful to those who asked questions and provided feedback following technique performance.  A special thank you to Ashley Kaploe, DDS, who offered her dental expertise to the occlusion discussions.  And thank you to our in-person lab avatars who greatly enhanced our understanding of tests and techniques: Kentaro Ishii, ATC, PRT; Ashley Kaploe; Emily Schulz, DPT; Kyle Shunkwiler, DC; and Shinri Suzukawa, PT, PRP.

It is my sincere wish that all attendees now have the confidence to begin assessing necks, faces, and smiles.  Your patients-clients will be the better for it!

The temporal bones mirror the ilia of the pelvis and should exhibit alternating internal and external rotation, depending on the leg you’re standing on.

 

Every three years we offer a summer PRT testing date, and this year it’s happening again on June 7-8th! The application deadline for consideration for testing in June is March 15th. 

To learn more about eligibility for PRT credentialing and to download the application, CLICK HERE!

What have other recent PRT credentialed providers shared about their experience with PRT credentialing

“The PRT credentialing process was an all around amazing experience and one of the best of my career.  First, going through the in-depth application process helps to challenge and grow your knowledge base and thought process while helping you to review and master so many details that go into the great science and practice of PRI.  You have no choice but to get better as you go through all of the steps.  Visiting the Institute and sitting for testing is an extremely rewarding experience that will test your thought process even farther.  Having the opportunity to work with and learn from brilliant people like Ron and Jen and other applicants is an experience that anybody should be excited and grateful to go through. If you love PRI, have been studying and practicing the science for awhile and want to take your understanding and ability to utilize principles and applications to the next level, then just do it and don’t look back!”
Nick Rosencutter, CSCS, LMT, NSCA-CPT, PRT

“Sitting for the PRT was the most fulfilling endeavor of my professional career. Having spent time in the private, collegiate, professional, and tactical settings, holding a graduate degree and 12 certifications through 11 organizations, and having participated in, contributed to, and organized both conferences and summits, this was unquestionably the most dense, challenging, and rewarding experience of my 14 years in the field. There is a lot of curiosity as to what the Postural Restoration Institute is and if the principles they espouse are applicable in the realm of performance. Put succinctly, the Postural Restoration Institute provides a universally applicable model of expression: a framework for how we navigate the world. Whether you want to better understand the myokinmatics of gait, bridge the gap between performance and rehabilitation, or begin exploring systemic integration, you will find direction in the Postural Restoration Institute’s paradigm. The opportunity to spend a weekend in a room with Ron, Jen, Dan, and the rest of the PRI family was well worth the cost of the application alone. For anyone considering the process, it is one I feel confident saying, you will not regret pursuing.” – Colin Kidwell, CSCS, PRT

“In a day and age where so many experiences are simply transactional, it is rare to have an educational experience where you feel “seen”. The PRT process was in many ways a therapeutic process in and of itself, just for that reason. The instructors were passionate, supportive, and welcoming. I cannot recommend this process enough. I walked away with a renewed passion for the science of PRI.” – Colby Mamigonian, CSCS, PRT

If you are considering applying for PRT Credentialing this year or if you have any questions, please email Jennifer Platt!

Earlier this month, at our annual Advanced Integration course, we presented the PRI Director’s Dedication Award to two very deserving individuals who have had such a positive impact on our Institute. The PRI Directors Dedication Award was established in 2012 to recognize individuals’ ongoing dedication to their advancement in PRI. Susan Henning and Joe Belding were the very first recipients of the PRI Director’s Dedication Award, back in 2012. And this year, we were so honored to present the PRI Directors Award to two of their colleagues, Lisa Mangino and Jean Massé. To date, we have presented this award to 20 individuals and an award recognition plaque, which is pictured above, is displayed at the Postural Restoration Institute® in Lincoln, Nebraska, recognizing each of the PRI Directors Dedication Award recipients.

Lisa Mangino and Jean Massé are physical therapists and colleagues, in Chapel Hill, NC. Lisa began her PRI journey 14 years ago, taking her first course (Myokinematic Restoration) in 2009 at the University of Duke, where she was employed. Not long after, in 2010, Jean Massé, who was influenced by co-workers and PRC therapists Susan Henning and Joe Belding at Advance Physical Therapy, completed her first PRI course. She went on to complete PRC credentialing in 2013.

Jean is a nationally recognized Board-Certified Orthopedic Clinical Specialist (OCS) through the American Physical Therapy Association, since 1999. She continues to be a regular speaker at the UNC Chapel Hill Department of Physical Therapy on the subject of scoliosis and chronic pain.

She and Lisa obtained the preliminary C1 and Advanced C2 Schroth scoliosis certification in 2013. They have been treating young and older people with scoliosis since.

Lisa completed PRC credentialing in 2014, the same year that she began working at Advance Physical Therapy in Chapel Hill, with Susan, Joe and Jean. And, they have all worked alongside each other for the past 10 years.

Lisa’s passion is working with children, and as a pediatric therapist at Advance Physical Therapy, and the University of Duke Medical Center, she has touched the lives of so many children and families in her career. Her dedication to treating the child with neurological impairments led her to pursue certification in Neuro-Developmental Treatment (NDT), in 2009. Lisa obtained national recognition with her certification as a Board-Certified Pediatric Clinical Specialist (PCS) by the American Physical Therapy Association, in 2010.

Over the years, Lisa and Jean have attended 10+ Advanced Integration courses. In 2017, they began teaching day 4 of the Advanced Integration course, on Curvature of the Spine, alongside colleague and mentor Susan Henning. And it was such an honor to have them here teaching day 4 of this course again this year!

In addition to their involvement with day 4 of the Advanced Integration course, they also co-authored Chapter 7 titled “Postural Restoration: A Tri-Planar Asymmetrical Framework for Understanding, Assessing, and Treating Scoliosis and Other Spinal Dysfunctions”, in the InTech open access book, “Innovations in Spinal Deformities and Postural Disorders”, back in 2017 with Susan Henning. And a couple years later, Lisa, Jean and Susan founded STRATER Scoliosis Institute, where they are dedicated to the education of physical therapy professionals for safe and effective treatment of scoliosis. Over the past 5 years, they have worked closely with PRI to receive permission to teach PRI copyrighted material in the STRATER level 1 and 2 courses. Katie Piraino, who is a PRC therapist, attended the STRATER level 2 course last month and emailed me shortly after. Her exact words were, “I just took the Strater Scoliosis 2 course. Only 15 participants, there should be 100’s they are so good!”

In addition to this dedication and involvement with education related to PRI and scoliosis, Lisa has spent hundreds, if not thousands of hours on course development over the past several years, including the former PRI Integration for Pediatrics affiliate course, and today’s Human Evolution course, which was taught for the first time in September 2022….and although it’s a relatively new course, it is already catching fire with PRINation.

In 2020, Lisa was also invited as an adjunct faculty member at High Point University, to teach a semester long selective course for Physical Therapy students titled, “Postural Restoration® – An Overview of Asymmetrical Human Movement”.

Congratulations to Lisa and Jean on such a deserving award!

We are excited to announce and congratulate the Postural Restoration Certified™ (PRC) Class of 2023! This was a special week for us as we conducted PRC credentialing for our 20th year! From the first class in 2004 to this most recent group of clinicians, we have had 250 clinicians complete PRC credententialing, spanning 38 states and 7 countries. You can search PRI credentialed providers on our Find a Provider map.

PRC credentialing is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRC application, and successfully participating in practical and analytical testing. Earlier this week, 7 clinicians earned the designation of Postural Restoration Certified (PRC) under the direction of Ron Hruska, Louise Kelley, Skip George, and Jennifer Platt.

The Postural Restoration Institute® established this certification process in 2004 as a way to recognize and identify those individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute. The PRC credentialing program is available to physical therapists, physical therapist assistants, occupational therapists, and chiropractors who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing.

CLICK HERE to view the photo album.

Back Row (L to R): Skip George, Alan Lee, Timas Peteraitis, Justin Baird, Brandon Le Burkien
Front Row (L to R): Louise Kelley, Greer Mackie, Diana Lee, Steven Blair, Ron Hruska, Jennifer Platt

They say the third time is a charm! I think we’ve been planning to take the “old Peds course” and now the new, remastered “Human Evolution” course to Alpine PT in Seattle WA three times, and in October, we finally did it, barring surgery and COVID! From my perspective, it was well worth the wait. Christopher Murhpy, Jeremiah Ferguson, Eli Zygmuntowicz, and Eva Bilo were the most gracious hosts and hostess. It was so great to have met you after hearing so many good things about you and your clinic.

We took a journey through the development of a human, highlighting critical sensory motor milestones, reviewed the literature supporting why these human developmental principles are important and connected it all with a description and application of 7 specific developmental processes. With over 100 videos of clinicial application through the lifespan, we were “in the clinic” with 8 patient cases for all of Day #2, from 15 months old to 70 years old.

We had an important conversation about the overwhelming benefits of crawling on hands and knees, and how important this skill is to painfree, grounded, postural development and walking as we age. This skill (at any age, really) brings sensory attention to all of our bases of support (right and left, front and back), helps to use and to integrate primitive tonic neck reflexes, provides a sense of upper extremity self-referencing on the maturation of cephalic-caudal independence, allows us to feel a grounded sense of gravtiy in a primitive form of forward locomotor movement, AND to explore our worlds from a new visual persepctive for cognitive processing!  And that’s only one of the 10 milestones we recognized.

A couple of the attendees came up to me and said, “As you were talking, I was writing patients names down because this course applies to so many of them”. We might not be crawling for locomotion as adults, but as we are cleaning out a bottom cabinet, gardening on hands and knees, pushing a grocery cart in the grocery store, rolling over in bed, lowering ourselves to play with our pets or children, or walking upstairs (or downstairs backwards – WHAT?), we are using the skills that were hopefully laid down in the developmental years. If these skills were not wired developmentally, or if an injury or insult changed that developmental fortification, there’s a good chance one might be pursuing PT, which is why your patients might be in your clinic. This course was created to help us all better understand these cross-referenced connections for better patient outcomes.

I hope to see you in one of 2 live stream offerings in January or September of 2024, or maybe I’ll get to shake your hand in person in Malvern PA in April. Thanks again to the fine folks at Alpine PT, and to everyone who attended, nodded, questioned, and participated. Your presence was enriching to me and to the group’s learning. I appreciate you all!

Written By: Louise Kelley

Debbie Jung, PT, has been around PRI for a long time.  So, she jumped on her co-workers’ desire to understand and integrate the Postural Restoration approach into their practice.  Many thanks to Debbie, and to Russ Davies, Bob Fleischman, and Ryan Maxwell, all of Fluid Health and Fitness Orthopedic and Sports Medicine Center, for bringing the recent Postural Respiration course to Stillwater, MN.

Weekend discussions revolved around these key concepts:

– Movement of air into and out of an accommodating chest wall, a requirement for pressure regulation and how a person responds to gravity and navigates the space around them.

– Polyarticular chains of muscles: their purpose and propensity for over-activity.   How do they become overactive?  What movement conundrums and pathologies result from this over-activity?

– Dissecting the elements of proper air flow.  This can’t occur without the hemi-diaphragm zone of apposition, its state of rest which preserves the diaphragm’s dual roles of posture and respiration.  The oft-misunderstood “diaphragmatic” or “belly” breathing merely leads to hyperinflation and a whole host of physiologic and psychologic issues.

– Compression and decompression of the thorax, and how this creates loading and unloading of alternating sides of the body for optimal movement in any direction the owner of the thorax wishes to go.

Attendees learned the how and why of non-manual techniques, unique to PRI, that establish new, healthier patterns of movement.  We also introduced manual rib cage techniques, which brought to life the concepts of patterned air flow presented in the first half of day one.  These techniques provided the attendee, both as a giver and a receiver, with a tactile sensory experience that added further depth and meaning to didactic concepts.  Manual techniques not in your scope of care?  No problem.  Many non-manual techniques mimic the effect of manual techniques.

This course provides a clear algorithm to guide treatment decisions, applied in lab, as attendees acted as their partner’s “patient” for the weekend.  We then discussed a real-life case study to further imprint the decision-making process and answer questions such as: When do you emphasize the left low trap and serratus versus right low trap and tricep? Do you add new techniques at every session?  When is my patient in need of manual techniques?

I am very appreciative of all of the questions, comments, and requests for review.  I am so thankful to those willing to come to the front of the class so others could learn:  Russ Davies, Jessica Fee, Matt Gram, Edward Leitze, Lindsey Scott, and Samantha Zawistowski.

It’s not every day you meet someone who owns both a health and fitness clinic and a Great Harvest Bakery.  Thank you, Bob Fleischman, who wears the two hats of clinician and culinarian, for treating us to fresh-baked scones and cookies throughout the weekend!

Thank you Sid Rivera, PT, PRC, for your clinical wisdom, guidance in lab, and  lunchtime companionship.  You are a wonderful resource for these Minnesota practitioners!

It was fun spending the weekend with all of you, hearing your ah-ha moments and expressions of confidence in techniques and desire to learn more.

 

In the middle of the hustling pace of mid-town Manhattan off of Madison Ave. is a health oasis called "Mocean" and is the location of last week’s Cervical Revolution. The facility is as modern and up-to-date of any I have ever seen and it was a pleasure to work with a wide range of professionals from physical therapy, chiropractic and strength and conditioning movement specialists.


Cervical Revolution is the course that is the gateway from the primary courses, especially Postural Respiration, to the cranium. Through the anterior neck flows airway, blood flow, food, sound and especially translational movement of the jaw and rotation of the cranium. There is lymph flow, CSF flow, nerve flow including autonomics, motor control and somatic sense inside the spinal column as well as outside of it. The ability to turn a neck is essential for upright human evolution and existence, and when rotational transverse plane is lost, a functional "de-evolution" results.

Since Cervical Revolution is a secondary course, having a primary course foundation is critical especially when the dominant pattern and position of the cervical spine and cranium is essentially "right stance".  In the primary courses it is much easier to see patterns and position in the pelvis and rib cage that dictates sacrum and sternum position. In this course, since it is harder to see obvious movement in the cranium or the position of cranial bones like the sphenoid and temporal bones via vectors of stress over time driven by atlas underneath an occipital bone, the basic concepts of atlas/occipital patterns and position were described in detail repetitively to provide a basic and sound foundation. Once  this  sound foundation of atlas under occipital bone, driving sphenoid position and temporal bone rhythm, directing mandible position is established, cranial torsion as a patho-mechanical presentation can be introduced with testing and treatment.

This course is also a gateway into the occlusal system and how position of jaw and bite influence not only the cranium and neck but the entire "stomatognathic" system as well. Atlas and occiput are the main neuro-articulation that are defined as the position of those two bones drives not only cranium and jaw but has an effect on the entire system.

This group of students was really sharp and had some of the best questions that helped inform and teach the entire group. There was plenty of time for lab and demonstration and the basics of this course were reinforced over the entire weekend.


Big shout out to Joe Giangrasso for being my tour guide and subway guru. Not only that, but it was Joe, Mike Zhao, Liz Cash who enthusiastically promoted the course and showed up with their "A" game of attention and participation. Thank you to Emily for coming out from Texas, Alex from Chicago but most especially Lenny from London and Wing Ho from Hong Kong! Wing Ho flew in the day before, flying coach, for 15 hours! Huge shout out to Aleena for being our lab assistant. She is a fire ball of energy and PRI knowledge and is a pleasure to know and have as support staff for any course. Thank you especially to Josh Park for hosting PRI at Mocean!