About Us
The Postural Restoration Institute® (PRI) was established in 2000 to explore and explain the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles.
The Postural Restoration Institute® (PRI) is a continuing education institute that was established in 2000 to explore and explain the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles. We offer 12 post-graduate level courses, in addition to an annual PRI Interdisciplinary Studies Summit, and we welcome any licensed healthcare or certified fitness professional to attend our courses. Professional credentialing opportunities (PRC, PRT and PRP Japan) are available to qualified professionals.
The human body is not symmetrical. The neurological, circulatory, muscular and visual systems (just to name a few) are not the same on the left side of the body as they are on the right. The Postural Restoration Institute® was established in 2000, to help healthcare and fitness professionals recognize this underlying asymmetry of these systems in our body, and the postural imbalances and patterns associated with dominant, unconscious or conscious overuse, of one side of the body; our right side.
PRI credentialed providers offer a unique approach to physical medicine called Postural Restoration®. This approach addresses underlying biomechanics which can often lead to symptoms of pain and dysfunction. All mechanical influences on the body that restrict movement and contribute to improper joint and muscle position are considered, examined, and assessed. Non-manual and manual techniques are utilized to restore proper alignment of the body while proper respiratory dynamics are considered. Management encompasses prevention and lifetime integration for long-term successful outcomes.
PRI credentialed providers have completed multiple advanced PRI courses, demonstrated a thorough understanding of the primary concepts through completion of an in-depth application process, and successfully participated in both practical and analytical testing onsite in Lincoln, Nebraska.
We do not see patients here at the Postural Restoration Institute, however we can help you Find a Provider near you (see map below)!
This 16-page guide outlines several daily activities which are commonly performed in dominant or patterned positions, and demonstrates alternate ways and instruction to perform them.
Learn how PRI can help with everyday tasks such as breathing, eating, office work, sleeping, speaking, standing, and walking.
PRI has been featured in numerous magazine articles, newsletters and peer reviewed journals.
If you are an athlete, PRI can help you maximize your performance. We have general athletic performance tips as well as tips for specific sports.
Learn more about foundational concepts related to PRI with our collection of free webinars with founder, Ron Hruska.
The PRI podcast features professionals from various Healthcare and Fitness settings, discussing the use of the science of Postural Restoration® and how it is implemented within these fields.
Postural Restoration Certified™ (PRC) professionals are Physical Therapists, Physical Therapist Assistants, Chiropractors and Occupational Therapists who have completed the Postural Restoration Certified™ credentialing program.
Postural Restoration Trained™ (PRT) professionals are Athletic Trainers and Strength & Conditioning Coaches who have completed the Postural Restoration Trained™ credentialing program.
Postural Restoration Provider™ (PRP) professionals are healthcare and movement professionals in Japan, who have completed the Postural Restoration Provider™ credentialing program, offered through PRI Japan. The professional backgrounds of these healthcare and movement professionals are notably different than the individuals going through the available PRC and PRT Credentialing pathways here in the U.S. and the Postural Restoration Provider™ (PRP) Japan Credential is available to various healthcare and fitness professionals in Japan, who are appropriately applying the science of Postural Restoration®.
A Postural Restoration Center™ is a place of business where at least one individual is PRI Credentialed (PRC or PRT) and all other individuals on staff who are eligible for credentialing (which includes PTs, OTs, PTAs, Chiropractors, Athletic Trainers, Athletic Therapists, Strength & Conditioning Coaches with CSCS or SCCC credential, CSPS, and Exercise Physiologists), have completed two or more PRI-sponsored courses.
*To ensure that credentialed providers are keeping up with the progressive science and growth of Postural Restoration®, those listed on this page have taken a course or completed credentialing within the past 5 years. You can view the PRI® courses that each provider has completed by clicking on their individual page.
**If you are unable to find a PRI® credentialed provider in your area, please contact us to see if there is anyone who has taken PRI® courses near you.
Our Community
Join us for Brain vs. Body Part 2!
Interdisciplinary Studies Summit
April 23-24th
Live or Live Stream
Early Registration ends this Friday at midnight!
Mar 25
Join us for Brain vs. Body Part 2!
Interdisciplinary Studies Summit
April 23-24th
Live or Live Stream
Early Registration ends this Friday at midnight!
We are now an Approved Provider by the NASM and AFAA for all three Primary Courses available In-Person or Online, as a self paced Home Study or Live Stream!
Mar 24
We are now an Approved Provider by the NASM and AFAA for all three Primary Courses available In-Person or Online, as a self paced Home Study or Live Stream!
Bethesda, MD, is in my backyard, so what a treat for this instructor to bring the science of Postural Respiration to my fellow colleagues and friends in the DC area.
In his article, “The Diaphragm – More than an Inspired Design”, Matt Wallden reminds us “There is arguably no other muscle in the human body that is so central, literally and figuratively, to our physical, biochemical and emotional health as the diaphragm.”
This course expands on that statement, describing how polyarticular chains of muscle create positionally restricted diaphragms, rib cages, and, thus, air flow patterns because of the lack of daily movement variety due to the habitual postures we put ourselves in. We become restricted in the posterior aspect of our rib cage, particularly on the left, and the apical and lateral aspect, particularly on the right. We adapt to this tension by belly breathing or using our necks to pull air in, which are ineffectual strategies when one needs more oxygen. The result? The many maladies that we treat, including shortness of breath, thoracic outlet syndrome, headaches, neck pain, and shoulder impingement. Attendees mastered the PRI tests, which reflect these restrictions. They gained an appreciation for the immediate impact of PRI’s non-manual and manual techniques by performing test-intervention-retest on their lab partners.
A heartfelt “thank you” goes out to Marcie Schwartz founder of Pure Symmetry Physical Therapy for hosting. The environment was first class!
-Louise
Mar 19
Bethesda, MD, is in my backyard, so what a treat for this instructor to bring the science of Postural Respiration to my fellow colleagues and friends in the DC area.
In his article, “The Diaphragm – More than an Inspired Design”, Matt Wallden reminds us “There is arguably no other muscle in the human body that is so central, literally and figuratively, to our physical, biochemical and emotional health as the diaphragm.”
This course expands on that statement, describing how polyarticular chains of muscle create positionally restricted diaphragms, rib cages, and, thus, air flow patterns because of the lack of daily movement variety due to the habitual postures we put ourselves in. We become restricted in the posterior aspect of our rib cage, particularly on the left, and the apical and lateral aspect, particularly on the right. We adapt to this tension by belly breathing or using our necks to pull air in, which are ineffectual strategies when one needs more oxygen. The result? The many maladies that we treat, including shortness of breath, thoracic outlet syndrome, headaches, neck pain, and shoulder impingement. Attendees mastered the PRI tests, which reflect these restrictions. They gained an appreciation for the immediate impact of PRI’s non-manual and manual techniques by performing test-intervention-retest on their lab partners.
A heartfelt “thank you” goes out to Marcie Schwartz founder of Pure Symmetry Physical Therapy for hosting. The environment was first class!
-Louise
Thank you UMH Sparrow for hosting Pelvis Restoration in Lansing, Michigan. I had an amazing time. This class was engaged!!!
Erin—thank for sharing outcomes with pelvis floor changes with PRI and your patients and the importance of footwear integration.
Abby—thank you for sharing the changes you experienced and carryover after our Saturday afternoon lab.
Sarika—thank you for letting me utilized you for demonstration and outcomes for the class with treating patterns and PRI Re-positioning techniques.
Georgia—thank you for letting me demonstrate the power of frontal plane integration with respiration.
Tara—thank you for being an example of frontal plane integration on the right side for the swing phase of gait.
Ritesh—thank you for being an example of a patho PEC with need of internal pressure regulation.
Sarah, Abby, Anne, Wyatt, Maddie x 2, Ally, Amanda, Sara, Liz, Karri, Kathleen, Emma, Kalyani, and Sara for your questions and intrigue.
You all gave me energy over the weekend. Here’s to integration of Pelvis Restoration for forward movement and function!!
Cheers,
Lori
Mar 16
Thank you UMH Sparrow for hosting Pelvis Restoration in Lansing, Michigan. I had an amazing time. This class was engaged!!!
Erin—thank for sharing outcomes with pelvis floor changes with PRI and your patients and the importance of footwear integration.
Abby—thank you for sharing the changes you experienced and carryover after our Saturday afternoon lab.
Sarika—thank you for letting me utilized you for demonstration and outcomes for the class with treating patterns and PRI Re-positioning techniques.
Georgia—thank you for letting me demonstrate the power of frontal plane integration with respiration.
Tara—thank you for being an example of frontal plane integration on the right side for the swing phase of gait.
Ritesh—thank you for being an example of a patho PEC with need of internal pressure regulation.
Sarah, Abby, Anne, Wyatt, Maddie x 2, Ally, Amanda, Sara, Liz, Karri, Kathleen, Emma, Kalyani, and Sara for your questions and intrigue.
You all gave me energy over the weekend. Here’s to integration of Pelvis Restoration for forward movement and function!!
Cheers,
Lori
I was happy to bring some North Carolina sunshine to Lincoln, Nebraska in February a few weeks ago for an unseasonably warm offering of the Human Evolution course via live stream. We had a wonderfully interactive experience as we allowed any of the interested participants from 6 countries and 13 US states to unmute at will to ask questions or to comment. It was almost like you were right there in the room with me!
Topics of conversation included participants’ comments about their own developmental experiences, those of their children, and of course of their patients. We emphasized the critical importance of crawling- at any age, how our brains process visual and auditory space when we walk behind an object that we impart motion to, and how something as simple as a stairwell can offer such rich sensory motor stimuli for pattern re-programming, to name a few.
A few participants commented about how a developmentally informed therapeutic approach to movement was immediately having an impact on how they were thinking about their patients. They appreciated the many avatars used in over 120 videos of direct patient care that helped to demonstrate concepts and therapeutic improvements. Further, considerations about our daily processing of specific sensory information cross referenced with our ability for alternating reciprocal movement when we are horizontal (rolling for bed mobility, and crawling), to the transitions of becoming upright, followed by more sophisticated movements while upright (pushing something, standing on one leg and negotiating stairs forward and backwards) can be powerful tools for non-manual technique selection, especially for patients and clients who are more complicated.
@lisamanginopt.ndt.prc
Mar 11
I was happy to bring some North Carolina sunshine to Lincoln, Nebraska in February a few weeks ago for an unseasonably warm offering of the Human Evolution course via live stream. We had a wonderfully interactive experience as we allowed any of the interested participants from 6 countries and 13 US states to unmute at will to ask questions or to comment. It was almost like you were right there in the room with me!
Topics of conversation included participants’ comments about their own developmental experiences, those of their children, and of course of their patients. We emphasized the critical importance of crawling- at any age, how our brains process visual and auditory space when we walk behind an object that we impart motion to, and how something as simple as a stairwell can offer such rich sensory motor stimuli for pattern re-programming, to name a few.
A few participants commented about how a developmentally informed therapeutic approach to movement was immediately having an impact on how they were thinking about their patients. They appreciated the many avatars used in over 120 videos of direct patient care that helped to demonstrate concepts and therapeutic improvements. Further, considerations about our daily processing of specific sensory information cross referenced with our ability for alternating reciprocal movement when we are horizontal (rolling for bed mobility, and crawling), to the transitions of becoming upright, followed by more sophisticated movements while upright (pushing something, standing on one leg and negotiating stairs forward and backwards) can be powerful tools for non-manual technique selection, especially for patients and clients who are more complicated.
@lisamanginopt.ndt.prc
Last weekend I travelled up to VA Beach to teach Myokinematics of the Hip and Pelvis to an enthusiastic group of rehab and fitness professionals. My PRI friend Jule Blandin hosted the course this weekend. I had never been to her facility, so I thoroughly enjoyed meeting her staff and seeing her clinic. I got to hang out with some course attendees that I had taught before in NYC and Baltimore! Thanks to Ally, James and Carla for coming back to learn more from me! Plus a very special “SHOUT OUT”. to Dottie for helping me keep the energy up and the crowd under control! They say everything’s bigger in Texas and no doubt her voice was BIG! The weekend began with discussions of the Left AIC pattern, how it affects the position of the pelvis. We explored various compensatory patterns we may see our patients and clients develop and adapt into as they move forward in the gait cycle. We discussed ligaments and muscles all morning. By the time the afternoon rolled around we were busy working through positional testing and repositioning activities. This group was loving it. There were several newbies to PRI in our class as well as some seasoned professionals seeking to improve their treatment efficiencies.
Sunday began with Q and A and many patient related questions were discussed. I love teaching the Hruska Adduction lift test and this weekend was no different. After the didactic presentation we worked on practicing the positional tests from Saturday and integrated functional testing and ligamentous muscle importance. Wow did we have some overlengthened hamstrings in this group! Day two went by way too quickly but we made it through to the finish as we all enjoyed a little All four belly lift walk to inhibit before hitting the road home!
A big thank-you to @thriveproactivehealth for taking such good care of me, opening her clinic home to all of us to learn and her awesome staff for supporting the course attendees.
Mar 9
Last weekend I travelled up to VA Beach to teach Myokinematics of the Hip and Pelvis to an enthusiastic group of rehab and fitness professionals. My PRI friend Jule Blandin hosted the course this weekend. I had never been to her facility, so I thoroughly enjoyed meeting her staff and seeing her clinic. I got to hang out with some course attendees that I had taught before in NYC and Baltimore! Thanks to Ally, James and Carla for coming back to learn more from me! Plus a very special “SHOUT OUT”. to Dottie for helping me keep the energy up and the crowd under control! They say everything’s bigger in Texas and no doubt her voice was BIG! The weekend began with discussions of the Left AIC pattern, how it affects the position of the pelvis. We explored various compensatory patterns we may see our patients and clients develop and adapt into as they move forward in the gait cycle. We discussed ligaments and muscles all morning. By the time the afternoon rolled around we were busy working through positional testing and repositioning activities. This group was loving it. There were several newbies to PRI in our class as well as some seasoned professionals seeking to improve their treatment efficiencies.
Sunday began with Q and A and many patient related questions were discussed. I love teaching the Hruska Adduction lift test and this weekend was no different. After the didactic presentation we worked on practicing the positional tests from Saturday and integrated functional testing and ligamentous muscle importance. Wow did we have some overlengthened hamstrings in this group! Day two went by way too quickly but we made it through to the finish as we all enjoyed a little All four belly lift walk to inhibit before hitting the road home!
A big thank-you to @thriveproactivehealth for taking such good care of me, opening her clinic home to all of us to learn and her awesome staff for supporting the course attendees.
Silicon Valley has been at the core of the tech industry for a long time. A fitting local to hold Pelvis Restoration, the primary course that best elucidates true core function and control. When technology works smoothly, the unseen complexity and work hours behind it can go unrecognized. The same can be said for the respiratory and pelvic diaphragms as they work “behind the scenes” compared to more superficial and easily identifiable “core” muscles. When the “roof and floor” of our core are appropriately positioned and synchronized there is a beautiful dynamic interplay between their postural, respiratory, and pressure control functions.
The class and I delved into the programming and circuitry behind pelvic position, asymmetrical pattern influence, and the role we can have as “programmers” to promote harmony across two sides of a pelvis, pelvic diaphragm, and respiratory diaphragm. The asymmetrical design of our human operating system was explored in great depth on day one. Day two was all about writing code to address the asymmetrical design and be sure our connectivity is enhanced in left stance with the ultimate goal of alternating between our right and left “systems”.
A big thank you to our host group at Competitive Edge Physical Therapy @competitiveedgept who created a great learning environment both physically and through their engagement. Thank you as well to Competitive Edge team member Tim Dempsey, PRT, CSCS, CPT, PES, DNSET. @coach_timdempsey While Tim readily admits he’s not a tech guy in the traditional sense, his expertise in lab and thoughtful commentary made it evident he’s a true tech genius when it comes to human function and PRI application.
@jmillermtpt
Mar 4
Silicon Valley has been at the core of the tech industry for a long time. A fitting local to hold Pelvis Restoration, the primary course that best elucidates true core function and control. When technology works smoothly, the unseen complexity and work hours behind it can go unrecognized. The same can be said for the respiratory and pelvic diaphragms as they work “behind the scenes” compared to more superficial and easily identifiable “core” muscles. When the “roof and floor” of our core are appropriately positioned and synchronized there is a beautiful dynamic interplay between their postural, respiratory, and pressure control functions.
The class and I delved into the programming and circuitry behind pelvic position, asymmetrical pattern influence, and the role we can have as “programmers” to promote harmony across two sides of a pelvis, pelvic diaphragm, and respiratory diaphragm. The asymmetrical design of our human operating system was explored in great depth on day one. Day two was all about writing code to address the asymmetrical design and be sure our connectivity is enhanced in left stance with the ultimate goal of alternating between our right and left “systems”.
A big thank you to our host group at Competitive Edge Physical Therapy @competitiveedgept who created a great learning environment both physically and through their engagement. Thank you as well to Competitive Edge team member Tim Dempsey, PRT, CSCS, CPT, PES, DNSET. @coach_timdempsey While Tim readily admits he’s not a tech guy in the traditional sense, his expertise in lab and thoughtful commentary made it evident he’s a true tech genius when it comes to human function and PRI application.
@jmillermtpt
Join us for “Re-Orientation of the Biotensegral Body Through the Right Hemisphere” April 23-34th!
Presented by Colby Mamigonian, CSCS, CPT, PRT
Available in person or online!
Mar 3
Join us for “Re-Orientation of the Biotensegral Body Through the Right Hemisphere” April 23-34th!
Presented by Colby Mamigonian, CSCS, CPT, PRT
Available in person or online!
For new attendees day one of Postural Respiration, or any PRI course, opens the door to a new way of thinking about patient assessment and treatment that is exciting and to a degree a little daunting as asymmetrical anatomy and patterns of breathing and movement are described in an observationally and evidence based manner. A central tenet in PRI is that we are all, universally, anatomically asymmetrical. The two sides of the body may look from the outside the same while inside we are different, left versus right, and this affects how we move, breathe, and function as a human being in our own unique way.
Asymmetries are a gift for movement and what this class really got was that an over-reliance on one side of the body needs to be recognized and managed or end-range dependence results while pain and pathology may follow. In fact. most of the patients that present to our offices share a similarity that an end-range reliance to one side of their body expressed in many unique and varying degrees will result in pain and/or pathology.
This course explores the relationship of the abdominal wall and the diaphragm, ribcage, pelvis and the form and function of the thorax or how we deliver air pressure sense into our thorax. One of the most unique topics in this course is that breathing and management of airflow may develop a pathologic pattern affecting every physiologic system in the human bod and defined as SuperiorT-4 syndrome. Superior T-4 is a result of an overuse of accessory muscles of respiration, especially muscles in the neck, that disrupts airflow into a chest wall that limits the ability for quiet breathing, movement, and dynamic posture.
I want to thank the students who travelled from Washington, California, and distant parts of Oregon. I especially want to thank Dan Arnold, PT and First Call Home Health for being the "anchor contact" and hosting these two days. I want to thank Minh Nguyen, OT, PRC, a veteran PRI practitioner, for lab assisting and adding his time and energy to facilitate everyone`s learning experience. And thank you to all of the students with your questions and enthusiasm for a rich and rewarding experience of Postural Respiration.
Feb 26
For new attendees day one of Postural Respiration, or any PRI course, opens the door to a new way of thinking about patient assessment and treatment that is exciting and to a degree a little daunting as asymmetrical anatomy and patterns of breathing and movement are described in an observationally and evidence based manner. A central tenet in PRI is that we are all, universally, anatomically asymmetrical. The two sides of the body may look from the outside the same while inside we are different, left versus right, and this affects how we move, breathe, and function as a human being in our own unique way.
Asymmetries are a gift for movement and what this class really got was that an over-reliance on one side of the body needs to be recognized and managed or end-range dependence results while pain and pathology may follow. In fact. most of the patients that present to our offices share a similarity that an end-range reliance to one side of their body expressed in many unique and varying degrees will result in pain and/or pathology.
This course explores the relationship of the abdominal wall and the diaphragm, ribcage, pelvis and the form and function of the thorax or how we deliver air pressure sense into our thorax. One of the most unique topics in this course is that breathing and management of airflow may develop a pathologic pattern affecting every physiologic system in the human bod and defined as SuperiorT-4 syndrome. Superior T-4 is a result of an overuse of accessory muscles of respiration, especially muscles in the neck, that disrupts airflow into a chest wall that limits the ability for quiet breathing, movement, and dynamic posture.
I want to thank the students who travelled from Washington, California, and distant parts of Oregon. I especially want to thank Dan Arnold, PT and First Call Home Health for being the "anchor contact" and hosting these two days. I want to thank Minh Nguyen, OT, PRC, a veteran PRI practitioner, for lab assisting and adding his time and energy to facilitate everyone`s learning experience. And thank you to all of the students with your questions and enthusiasm for a rich and rewarding experience of Postural Respiration.
Join us this April for “The Ripple Effects of Fear: How Clearing Somatic Fear with Cognomovement Improves Pregnancy, Birth Outcomes, Maternal Well-Being, and Child Development”
Presented by: Liz Larson, Cognomovement Co-Founder & Master NLP Practitioner
Join our annual Interdisciplinary Studies Summit in person or online!
Early Registration rate ends March 27th!
Feb 24
Join us this April for “The Ripple Effects of Fear: How Clearing Somatic Fear with Cognomovement Improves Pregnancy, Birth Outcomes, Maternal Well-Being, and Child Development”
Presented by: Liz Larson, Cognomovement Co-Founder & Master NLP Practitioner
Join our annual Interdisciplinary Studies Summit in person or online!
Early Registration rate ends March 27th!
“When you take a mundane movement and you add the imagery and you couple that with an emotion, and you’re reaching, and you’re feeling something and you couple that with music, the music is kind of the glue that encompasses everything”
Restoring Rhythms: Dance for Parkinson’s Disease
Join us for the Interdisciplinary Studies Summit this April 23-24th in person or online via live stream!
Feb 19
“When you take a mundane movement and you add the imagery and you couple that with an emotion, and you’re reaching, and you’re feeling something and you couple that with music, the music is kind of the glue that encompasses everything”
Restoring Rhythms: Dance for Parkinson’s Disease
Join us for the Interdisciplinary Studies Summit this April 23-24th in person or online via live stream!
Angles, Arches, Airway and Apnea…….just a few topics highlighted by Ryan Leary, DDS at this years Summit!
Join us for “From Shrinking Jaws to Expanding Airway Care: What PRI® Clinicians Should Know About Modern Dental Sleep Medicine and Otolaryngology” this April!
Interdisciplinary Studies Summit
April 23-24th, 2026
Live or Live Stream
Feb 11
Angles, Arches, Airway and Apnea…….just a few topics highlighted by Ryan Leary, DDS at this years Summit!
Join us for “From Shrinking Jaws to Expanding Airway Care: What PRI® Clinicians Should Know About Modern Dental Sleep Medicine and Otolaryngology” this April!
Interdisciplinary Studies Summit
April 23-24th, 2026
Live or Live Stream
Coherence* requires Co-Sense of the Left Periphery, Left Heel, Right Glute Max, or Right Arm.
Ron’s definition,
*Coherence: “The quality of forming a unified whole via brain and body lateralization”
Feb 10
Coherence* requires Co-Sense of the Left Periphery, Left Heel, Right Glute Max, or Right Arm.
Ron’s definition,
*Coherence: “The quality of forming a unified whole via brain and body lateralization”
“I think of neutrality now a little differently since diving into this Polyvagal theory a lot, as availability and choice and helping them choose what they want to do with their body once they are regulated”
Julie Blandin, PT, ATC, CSCS, PRC will be presenting “The Neuroenergetic Interplay of Mind and Body:
Rewiring Breathing Patterns, Belief Systems, and
Postural Mechanics” on Friday April 24th!
Join us for this year`s Interdisciplinary Studies Summit in person or online!
Feb 6
“I think of neutrality now a little differently since diving into this Polyvagal theory a lot, as availability and choice and helping them choose what they want to do with their body once they are regulated”
Julie Blandin, PT, ATC, CSCS, PRC will be presenting “The Neuroenergetic Interplay of Mind and Body:
Rewiring Breathing Patterns, Belief Systems, and
Postural Mechanics” on Friday April 24th!
Join us for this year`s Interdisciplinary Studies Summit in person or online!
AI Vs. Reality
AI: “I increased her sensory awareness on the left by literally removing her right”
Ron: “everything on the Left is going down on a surface that’s coming up….what is allowing her to sense that? A concentric towel under her Left elbow and an eccentric band in her right hand”
Feb 5
AI Vs. Reality
AI: “I increased her sensory awareness on the left by literally removing her right”
Ron: “everything on the Left is going down on a surface that’s coming up….what is allowing her to sense that? A concentric towel under her Left elbow and an eccentric band in her right hand”
Frigid temps and a warm reception greeted this instructor for the latest Cervical Revolution, hosted at the PRI headquarters in Lincoln, NE. Attendees from around the world (Poland, Japan, China, South Korea, Australia, Hong Kong, Canada, and, of course, the US) tuned in to learn how the right temporal-mandibular-cervical chain (the TMCC), a neuromuscular chain encompassing our cranium, mandible, and neck, conspires with the chains below (left AIC, right BC) and the visual, vestibular, and occlusal systems above to orient us to our right and create adaptations that hold us there. These adaptations to the tissues of our neck and cranium and to our sensory systems provide the ingredients for our habitual forward locomotion and respiratory function and, over time, produce the symptoms for which our patients seek care.
The most critical adaptation involves the occipital-atlantal (OA) articulation, our neurobiological foundation responsible for foramen magnum position, brain stem centric freedom, cranial nerve performance, physiologic homeostasis, and the signaling to the brain that we’ve shifted to one side. Overactivity of our right TMCC interrupts this articulation’s ability to slide, glide, and roll on each side. We lose the instantaneous alternating left-to-right contact, and our brain becomes over-reliant on the right OA contact sense for upright function.
When trauma – concussion, whiplash, Lasik surgery – is layered on, the brain is placed further into threat mode and resorts to extension to reorient itself in space. These individuals may require additional exteroception in the form of orthotics – for their feet, teeth, and eyes – as they manage gravity and the demands of daily life.
- Louise Kelley
Feb 4
Frigid temps and a warm reception greeted this instructor for the latest Cervical Revolution, hosted at the PRI headquarters in Lincoln, NE. Attendees from around the world (Poland, Japan, China, South Korea, Australia, Hong Kong, Canada, and, of course, the US) tuned in to learn how the right temporal-mandibular-cervical chain (the TMCC), a neuromuscular chain encompassing our cranium, mandible, and neck, conspires with the chains below (left AIC, right BC) and the visual, vestibular, and occlusal systems above to orient us to our right and create adaptations that hold us there. These adaptations to the tissues of our neck and cranium and to our sensory systems provide the ingredients for our habitual forward locomotion and respiratory function and, over time, produce the symptoms for which our patients seek care.
The most critical adaptation involves the occipital-atlantal (OA) articulation, our neurobiological foundation responsible for foramen magnum position, brain stem centric freedom, cranial nerve performance, physiologic homeostasis, and the signaling to the brain that we’ve shifted to one side. Overactivity of our right TMCC interrupts this articulation’s ability to slide, glide, and roll on each side. We lose the instantaneous alternating left-to-right contact, and our brain becomes over-reliant on the right OA contact sense for upright function.
When trauma – concussion, whiplash, Lasik surgery – is layered on, the brain is placed further into threat mode and resorts to extension to reorient itself in space. These individuals may require additional exteroception in the form of orthotics – for their feet, teeth, and eyes – as they manage gravity and the demands of daily life.
- Louise Kelley
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