Interdisciplinary Integration

12th Annual Interdisciplinary Integration Symposium
Extrapyramidal Disorders: An Interdisciplinary Approach in the Management of Involuntary Movement

Live Course

Lincoln, Nebraska

"This course far exceeded my expectations! Timely cutting edge integrated multi system information that I feel I will be able to use Monday morning and great subject matter that I look forward to diving into at a later date. Well done!"

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Course Information

Have you ever thought how lucky most of us are to have a system that modulates our motor activity without having to directly innervate our motor neurons? Our extrapyramidal system and tracts are very phylogenetically old. It is a system of neural networking that causes involuntary reflexes and movement and modulations of movement (coordination) by circumventing the medulla and targeting neurons in the spinal cord that are responsible for reflexes, locomotion, complex movements, and postural control. We are so coordinated when this modulation and regulation is non-impeded, and so plantar extended and hyper-reflexive when it is.  

Extrapyramidal symptoms are most commonly caused by typical antipsychotic drugs that antagonize dopamine D2 receptors. Recent research relates symptoms to brain damage. However, there are many patients with extrapyramidal symptoms that include dystonia, akathisia (motor restlessness), Parkinsonism, bradykinesia, tremor, Tourette syndrome, and tardive dyskinesia that are not related to drug use or trauma. This 12th Annual Interdisciplinary Symposium will include speakers who have extensively worked with patients who have these symptoms and are presently engaged in both national and regional treatment and intervention.  

One of the most debilitating neuromotor disorders affecting the nigrostriatal pathway in the midbrain is Parkinson’s disease. I have worked with many patients who have been diagnosed with Parkinson’s disease and many who have not, but are experiencing symptoms. I believe there are so many similarities, patterns, likenesses, and familiar characteristics of these wonderful people who struggle day in and day out in parallel ways. And after spending time with others who assess, intervene and counsel these people, I feel we all have so much more to offer them. This symposium should offer insight on what these extrapyramidal systems, basal ganglias, and subthalamuses want, need and strive for. – Ron Hruska


Ron Hruska, MPA, PT

Jennifer Smart, DPT, PRC

Kristy Rose Follmar, ACSM, CPT, EIM 

Elizabeth Stegemoller, PhD

Larry Zarzecki

Dr. Jeff Hindin, DDS

Neal Hallinan, CSCS, LMT, PRT

Educational Level: Advanced

Cost: $525 (Early registration rate: At least 4 weeks before the course)
         $575 (Late registration rate: Within 4 weeks of the course)


Date Hosted By Faculty Seats Register
April 22-23, 2021 Postural Restoration Institute Lincoln , Nebraska Ron Hruska 39 Open

Course Registration

Please register early. Registration is limited to 120 seats.

Cancellation and Refund Policy

Tuition is refundable less $50 if cancelled 14 days before the course date. Tuition is not refundable for registrations or cancellations within 14 days of the course. However, you may have someone attend in your place or attend on another date. If you choose to attend on another date, a $50 fee applies to transfer your registration. If you are a no show and we have no communication with you before the course you will forfeit your course tuition. PRI reserves the right to cancel a course and will refund the tuition fee only.

Past Symposium Topics:

  • Airway Oscillation: An Interdisciplinary Approach to the Production of Voice, Airflow, and Resonance Frequency Breathing (2019)

  • Postural Restriction: An Interdisciplinary Approach to Alignment of Functional Patterns (2018)

  • Postural Destabilization: An Interdisciplinary Approach to Remodel Dynamic Perception and Behavior (2017)

  • Sound Effects on Posture: An Interdisciplinary Approach to Enhance Sensory Processing (2016)

  • Extension Powered People: Managing Self-Efficacy Through Integration (2015)

  • Gas & Gravity (2014)

  • Athletic Performance (2013)

  • Airway & the Anterior Neck (2012)

  • Vision and Vestibular Integration (2011)

  • Foot Integration, Dental Integration, Vision Vestibular Integration, Rest Integration (2010)

  • Podiatric Integration, Dental Integration, Vision Vestibular Integration, Pelvis Floor Dysfunction (2009)

Course Tuition

Early Registration Fee: $525
(4 or more weeks prior to course)

Late Registration Fee: $575
(within 4 weeks of course)

*Please register early. Registration is limited to 120 seats.