Myokinematic Restoration

An Integrated Approach to Treatment of Patterned Lumbo-Pelvic-Femoral Pathomechanics

Denver, Colorado

"By far the best practical course I've ever taken for hip and pelvis dysfunctions."

See more testimonials below!

Course Information

This advanced lecture and lab course explores the biomechanics of contralateral and ipsilateral myokinematic lumbo-pelvic-femoral dysfunction. Treatment emphasizes the restoration of pelvic-femoral alignment and recruitment of specific rotational muscles to reduce synergistic predictable patterns of pathomechanic asymmetry. Emphasis will be placed on restoration, recruitment, and retraining activities using internal and external rotators of the femur, pelvis, and lower trunk. Guidance will be provided on how to inhibit overactive musculature. This will enable the course participant to restore normal resting muscle position. Participants will be able to immediately apply PRI clinical assessment and management skills when treating diagnoses such as piriformis syndrome, ilio-sacral joint dysfunction, and low back strain.

Education Level: Advanced
Student Faculty Ratio 16:1

Instructional Methods: Lecture, demonstration & lab, clinical application, case studies, and Q&A

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

Live Stream courses will take place from 8am-5pm CT each day, and certificates of completion/CE credit will be awarded the following week after completion of the course evaluation survey and short post-test. For more information on whether your state/organization is approved for CE approval, please click on the "Accreditation" tab below. Live Stream courses will be engaging, interactive and include demonstration of objective testing and/or non-manual techniques, in addition to course attendees being able to ask questions throughout the course. All that’s needed on your end is reliable internet access, a webcam, microphone and speaker (or a smart phone can be used if you do not have a computer or laptop with this capability). The course manual will be shipped directly to you 1-2 weeks before the course. *International registrants will receive access to a digital version of the course manual. In addition, participants will receive access to the recording of the live stream course for 14 days to review the material, and re-watch any material that may have been missed due to connection issues. Those who attend in-person during a live streamed course will also receive access to the recording for 14 days. Extensions beyond this 14 day review are not available. ***Please note: In order to receive access to the recording for review, you must participate in person on the Live Stream course with your camera on for at least half of the course (8 hours). If you sign up for the course and do not participate in at least 8 hours of the live stream, you will not receive the recording and you will not be refunded. Also, once course manuals have been shipped (or emailed to international attendees), there will be no refunds for cancellations.***

Date	Hosted By	Faculty	Seats	Register
July 29-30, 2023	Lindebergs Academy Munich , Germany	Dan Houglum	24 Open	Register
August 11-12, 2023	Postural Restoration Institute (FRIDAY & SATURDAY) Lincoln , Nebraska	Craig Depperschmidt	17 Open	Register
August 11-12, 2023	Live Stream (FRIDAY & SATURDAY)	Craig Depperschmidt	98 Open	Register
September 9-10, 2023	REVO Training Center Missoula , Montana	Jason Miller	17 Open	Register
September 16-17, 2023	Arise Center for Athletic Development Jupiter , Florida	Craig Depperschmidt	31 Open	Register
October 7-8, 2023	Active Edge Physical Therapy Tualatin , Oregon	Craig Depperschmidt	19 Open	Register
October 14-15, 2023	Alliance Fitness Center Reading , Pennsylvania	Jason Miller	25 Open	Register
November 17-18, 2023	Postural Restoration Institute (FRIDAY & SATURDAY) Lincoln , Nebraska	Dan Houglum, Kasey Ratliff & Jennifer Poulin	20 Open	Register

Outline biomechanical principles of lower half musculoskeletal dysfunction as they relate to rotational patterns of the femur, pelvis, and lumbar spine, as well as occupational influence.
Describe how musculoskeletal dysfunction relates to articular chain asymmetry and patterns of synergistic compensatory activity.
Recognize how to apply examination and assessment skills to neuromuscular dyssynchrony and postural asymmetries that affect stability and function of the lower half.
Identify how to restore synchronous activity across the lumbo-pelvic-femoral complex and improve neuromuscular motor control of the muscles that stabilize these joints.
Outline how to design an interventional plan that includes various activities of daily living positions to decrease asymmetrical musculoskeletal demands.

Day One

7:30am - 8:00am	Registration and Light Breakfast
8:00am - 9:00am	Left Anterior Interior Chain (AIC) Pattern and Pelvic Joint Dynamics
9:00am - 10:00am	Lumbo-Pelvic-Femoral Capsuloligamentous Issues
10:00am - 10:15am	Break
10:15am - 12:00pm	Femoral Internal and External Rotators
12:00pm - 1:00pm	Lunch (on your own)
1:00pm - 2:00pm	Myokinematic Influences on the Pelvis and Femur
2:00pm - 3:00pm	Examination Tests and Assessment: Adduction Drop Test Extension Drop Test Straight Leg Raise Femoral-Acetabular (FA) Rotation Trunk Rotation
3:00pm - 3:15pm	Break
3:15pm - 4:15pm	Examination Tests and Assessment (Demonstration/Lab)
4:15pm - 5:00pm	Repositioning Through Integrated Isolation (Demonstration/Lab)

Day Two

7:45am - 8:00am	Sign-In and Light Breakfast
8:00am - 9:00am	Myokinematic Functional Relationships
9:00am - 10:00am	Examination Tests and Assessment Hruska Adduction Lift Test Hruska Abduction Lift Test
10:00am - 10:15am	Break
10:15am - 11:00am	Examination Tests and Assessment (Demonstration/Lab)
11:00am - 12:00pm	Treatment Considerations and Myokinematic Hierarchy
12:00pm - 1:00pm	Lunch (on your own)
1:00pm - 2:00pm	Myokinematic Hierarchy Non-Pathological Left AIC Pathological Left AIC
2:00pm - 3:00pm	Left AIC Myokinematic Hierarchy (Demonstration/Lab)
3:00pm - 3:15pm	Break
3:15pm - 4:00pm	Left AIC Related Pathomechanics: Piriformis Syndrome, Ilio-Sacral Joint Dysfunction, Low Back Strain
4:00pm - 5:00pm	Myokinematic Restoration Inhibition Programs

Adductors

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Athletic Pubalgia/Osteitis Pubis

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Hamstring Length & Flexibility

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Hamstring Strains

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Obstetrics & Gynecology

Boyle K. Managing a female patient with left low back pain and sacroiliac joint pain with therapeutic exercise: a case report. Physiotherapy Canada, Volume 63, Number 2.
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Hamstring Strength

Kaminski, Wabbersen, Murphy. Concentric vs enhanced eccentric hamstring strength. Journal of Athletic Training. 1998;33(3): 216-221.
Molczyk et al. Reliability of testing the knee extensors and flexors in healthy adult women using a cybex II isokinetic dynamometer. JOSPT. July1991;14(1): 37-41.
Worrell, Perrin, Gansneder, Gieck. Comparison of isokinetic strength & flexibility measures between hamstrings injured & noninjured athletes. JOSPT. Mar 1991;13(3): 118-125.

Hamstrings & ACL

DeMont R, Lephart S. Repetition drives neuromuscular recovery after ACL Injury. Biomechanics. Apr 1998: 31-37.
Husted RS, Bencke J, et al. A comparison of hamstring muscle activity during different screening tests for non-cotact ACL injury. 2016, http://dx.doi.org/10.1016/j.knee.2016.02.004.
Maitland M, Ajemian S, Suter E. Quadriceps femoris and hamstring muscle function in a person with an unstable knee. Physical Therapy. Jan 1999;79(1): 66-75.
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Solomonow M, Baratta R, Zhou BH, Shoji H, Bose W, Beck C, D’Ambrosia R. The synergistic action of the ACL & thigh muscles in maintaining joint stability. Am Journal of Sports Med. 1987;15(3): 207-213.
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Hamstrings & Athletes

Canale S, Cantler E, Sisk D, Freeman B. A chronicle of injuries of an American inter-collegiate football team. Am Journal of Sports Med. 1981;9(6): 384-389.
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Jonhagen S, Nemeth G, Eriksson E. Hamstring injuries in sprinters; the role of concentric & eccentric hamstring muscle strength & flexibility. The Am Journal of Sports Med. 1994;22(2): 262-266.
McMaster W, Walter M. Injuries in soccer. Am Journal of Sports Med. 1978;6(6): 354-357.
Ross M, Dahlke B. On the run: assessment of hamstring function following injury. Phys Ther Products. May/June 2000:13-16.

Hamstrings & SLR Testing

Bohannon. Cinematographic analysis of the passive straight-leg-raising test for hamstring muscle length. Physical Therapy. Sept 1982;62(9): 1269-1274.
Bohannon. Effect of repeated eight-minute muscle loading on the angle of straight -leg raising. Physical Therapy. Apr 1984;64(4): 491-497.
Bohannon R, Gajdosik R, Leveau. Contribution of pelvic and lower limb motion to increases in the angle of passive straight leg raising. Physical Therapy. Apr 1985;65(4): 474-476.
Hsieh, Walker, Gillis. Straight Leg-Raising Test. Physical Therapy. Sept 1983;63(9): 1429-1433.

Hamstrings Related to Back & Hip

Soumik Basu, Priti Pradip Kakade et al. Influence of abdominal and hamstring muscle activation exercises over iliotibial band stretching on a positive Ober's test in subjects with low back pain. Global Journal for Research Analysis. May 2017 Volume 6 Issue-5
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Hip Impingement

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Cibulka M. Sacroiliac joint dysfunction as a reason for the development of acetabular retroversion: a new theory. Physiotherapy Theory and Practice. 2013; Early Online:1-5.
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Finnoff JT, Bond JR, et al. Variability of the ischiofemoral space relative to femur position: an ultrasound study. Physical Medicine and Rehabilition. 2015;7: 930-937.
Henebry A, Gaskill T. The effect of pelvic tilt on radiographic markers of acetabular coverage. AJSM Online PreView. August 27, 2103.
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Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther. 2006;86(1):110-121.
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Orthopedic

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Neurology

Chong D. Stop pushing. Advance Dec 2006;32-34.
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Hebert LJ, Gravel D, Arsenault AB, Tremblay G. Patellofemoral pain syndrome; the possible role of an inadequate neuromuscular mechanism. Clinical Biomechanics 9(2): 93-97.
Reisman D, Scholz JP. Aspects of joint coordination are preserved during pointing in persons with post-stroke hemiparesis. Brain 2003;(126):2510-2527.
Travell and Simons. Myofascial pain and dysfunction, the trigger point manual, the lower extremities. 1992. Williams and Wilkins Volume 2, page 259.
Voight ML, Wieder DL. Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction; an electromyographic study. The American Journal of Sports Medicine. 1991; 19(2).
Witvrouw E, Sneyers C, Lysens R, Victor J, Bellemans J. Reflex response times of vastus medialis oblique and vastus lateralis in normal subjects and in subjects with patellofemoral pain syndrome. JOSPT. Sept 1996; 24(3): 160-165.

Patellar Tracking/Knee Impairments

Biomechanics. By the numbers: patellofemoral pain. Biomechanics, July 2005.
Boling MC, Padua DA et al. A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the joint undertaking to monitor and prevent ACL injury (JUMP-ACL) cohort. Am J Sports Med. 2009;37:2108-2116.
Denton J, Willson J, Ballantyne B, Davis I. The addition of the protonics brace system to a rehabilitation protocol to address patellofemoral joint syndrome. J Orthop Sports Phys Ther. April 2005;35(4):210-219.
Dolak K et al. Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy. August 2011; Vol 41(8):560-700.
Grelsamer R. The argument for in vitro testing of the patella. Biomechanics. Mar 1997: 29-33.
Jette DU, Jette AM. Physical therapy and health outcomes in patients with knee impairments. Physical Therapy. Nov 1996;76(11): 1178-1187.
Lee TQ, Morris G, Csintalan RP. The influence of tibial and femoral rotation on patellofemoral contact area and pressure. J Orthop Sports Phys Ther. 2003;33:686-693.
Mangine R, Bilbo J, Mangine M. Knee rehabilitation – examining external supports for patella pathology. Biomechanics/Phys Ther. May 1997: 7-9.
Meira, E and Brumitt J. Influence of hip on patients with patellofemoral pain syndrome: a systematic review. Sports Health Vol 3(5):455-465.
Metgud S, Chougule A, Heggannavar A. Effects of hemibridge with ball and balloon exercise as an adjunct to conventional therapy in knee osteoarthritis patients: a randomized control trial. Asian J Med Health Res. 2017;2(6)
Piva S, Goodnite E, and Childs J. Strength around the hip and flexibility of soft tissues in individuals with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2005;35(12):793-801.
Powers C. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther. 2010;40:42-51.
Powers C. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther. 2003;33:639-646.
Powers C, Landel R, Perry J. Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain. Physical Therapy. Sept 1996;76(9): 946-955.
Powers C, Perry J, Hsu A, Hislop H. Are patellofemoral pain and quadriceps femoris muscle torque associated with locomotor function? Physical Therapy. Oct 1997;77(10): 1063-1075.
Prins MR, van der Wurff P. Females with patellofemoral pain syndrome have weak hip muscles: a systematic review. Aust J Physiother. 2009;55:9-15.
Rathleff MS, Rathleff CR et al. Is hip strength a risk factor for patellofemoral pain? A systematic review and meta-analysis. Br J Sports Med. 2014;48:1088.
Salsich GB, Perman WH. Paterllofemoral joint contact area is influence by tibiofemoral rotation alignment in individuals who have patellofemoral pain. J Orthop Sports Phys Ther. 2007;37:521-528.
Tiberio D. Kinetic chain. Biomechanics/Phys Ther. May 1997: 15-16.
Van Can J, Pineux C et al. Hip muscle strength and endurance in females with patellofemoral pain: a systematic review with meta-analysis. Int J Sports Phys Ther. 2014;9:564-582.

Posture

Bagwell J, et al. Sagittal plane pelvis motion influences transverse plane motion of the femur: Kinematic coupling at the hip joint. Gait & Posture, 2016;43:120-124.
Boyle K, Demske J. Management of a female with chronic sciatica and low back pain: A Case Report. Physiotherapy Theory and Practice, 25(1):44-54,2009.
Chaudhari A, McKenzie C, et al. Lumbopelvic control and days missed because of injury in professional baseball pitchers. Am J Sports Med. Published online August 26, 2014.
Hodges PW, Cresswell AG, Daggfeldt K, Thorstensson A. Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement. Gait Posture. 2000;11:92-101.
Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine. 1996;21:2640-2650.
Hodges PW, Richardson, CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett. 1999;265:91-94.
Inglis JT, Horak FB, Shupert CL, Jones-Rycewicz C. The importance of somatosensory information in triggering and scaling automatic postural responses in humans. Exp Brain Res 1994;(101):159-164.
Jackson LR, Purvis J, Brown T. The effects of postural and anatomical alignment on speed, power and athletic performance in male collegiate athletes: a randomized controlled trial. IJSPT. August 2019;14(4):623-636.
Karimi N, Fathizadeh M, et al. Efficacy of pelvic repositioning exercises on pain, hip and shoulder range of motion and disability of the patients with chronic non-specific low back pain: a single blinded randomized controlled trial. Journal of Rehabilitation Sciences and Research. 2021;8(3):106-114.
Spence H. Case study report: postural restoration: an effective physical therapy approach to patient treatment. Techniques in Regional Anesthesia and Pain Management, 2008; 12: 102-104.
Tenney HR, Boyle KL, and DeBord A. Influence of hamstring and abdominal muscle activation on a positive ober's test in people with lumbopelvic pain. Physiotherapy Canada. 2013;65(1)4-11.
Zink JG and Lawson, WB. An osteopathic structural examination and functional interpretation of the soma. Osteopathic Annals, 1979; 7(12): 433-440.

Anatomy

Terms

Lower Half Exam Tests

Adduction Drop Test

The patient lies on his or her side with the lower leg and hip flexed (90 degrees). Stand behind the patient and passively flex, abduct and extend the hip to neutral while maintaining 90 degrees of knee flexion. Passively stabilize the pelvis from falling backward and allowing femoral internal rotation to occur. Make sure the top innominate is positioned directly over the bottom innominate so the frontal plane starting position does not give any false positives (top innominate too cephaled) or false negatives (top innominate too caudal).

A positive test is indicated by a restriction from the anterior-inferior acetabular labral rim, transverse ligament, and piriformis muscle or impact of the posterior inferior femoral neck on posterior inferior rim of acetabulum that does not allow the femur to adduct; possibly secondary to an anteriorly rotated, forward hemipelvis. Usually seen on the left especially if left Extension Drop Test is positive in a Left AIC oriented patient.

Adduction Drop Test

Extension Drop Test

The patient is positioned in supine with both thighs on the table. Both hips and knees are flexed to the chest. Passively lower one leg over the edge of the table while helping the patient hold the untested knee close enough to the chest to maintain the low back against the table. Do not allow hip abduction to occur past zero degrees on the tested extremity while passively dropping the FA joint into extension.

A positive test is indicated when the tested lower extremity (usually the left) is restricted in hip extension because of the forward orientation of the tested side compared to the other. If both femurs do not approach the edge of the mat or table the patient is tested on, the innominates are rotated forward bilaterally and the psoas muscles are on slack. Placing the femur in “neutral” is actually placing the patient’s femur in external rotation. This tightens the TFL and VL and restricts hip extension.

There is also a rotary component to this issue, especially seen with limitation in hip extension on one side. Since the forward, anteriorly rotated pelvis accompanies sacral rotation to the contralateral side (right rotation on a right oblique axis or left rotation on a left oblique axis) the iliofemoral ligament will also limit extension when the femur is externally rotated by the therapist, through testing with the femur in a “neutral” position.

The femur in this case will not approach the patient support surface without femoral internal rotation and or through luxation (i.e., “click”) of anterior superior femoral head moving forward under the superior anterior condyloid labral rim of acetabulum.

Extension Drop Test

Lower Trunk Rotation Test

The patient is positioned supine with knees maximally flexed and together, and feet flat on the table. Passively rotate the legs to the trunk’s resting state with one hand, while stabilizing the trunk with the other hand (placing it on the anterior lower ribs and sternum). A yardstick may be used to measure the distance from the mat to the upper-most point of the superior knee, while maintaining the opposite posterior thorax contact with the mat. Repeat the test in the other direction.

A positive test is indicated when the legs do not rotate in one direction as compared to the other. For example, the legs are restricted in rotation to the left (i.e., the legs do not rotate to the left as they do to the right as measured through the use of an upright ruler). This means that trunk rotation is limited more to the right secondary to probable left hip anterior rotation and sacral-lumbar orientation of the spine to the right. Therefore, postural restoration should be initiated at the left lower extremity to address left mechanical instability and maintain proper restored pelvi-femoral neuromechanics.

Lower Trunk Rotation Test

Hruska Adduction Lift Test

This test is used as a Myokinematic measurement with each grade reflecting muscle position, strength, and neuromuscular ability. The test is named for the leg, which is placed on the examiner’s shoulder. (Patient is lying on their right side with left ankle placed on examiner’s shoulder – “Left” Hruska Adduction Lift Test.)

Position
Patient sidelying – back rounded
Uppermost lower extremity resting on therapists shoulder (neutral hip, extended knee)
Lower leg in flexed position
Maintain pelvis in a neutral position (do not allow upper pelvis to rotate forward or backward)

Mechanics
Step 1: ask patient to raise ankle of flexed lower leg to upper knee
Step 2: have patient raise flexed lower knee while keeping ankle to the knee
Step 3: patient will then raise lower hip while maintaining the above positions
Discontinue test at the step patient is unable to perform

Grading Criteria

LEVEL 0
Inability to raise lower ankle off mat or table.
Obturator weakness of flexed extremity.

Level 0

LEVEL 1
Ability to raise lower ankle to upper knee.
Inability reflects either weakness of FA external rotators or AF stability of active extremity.

Level 1

LEVEL 2
Ability to raise lower knee and ankle.
Inability reflects instability of AF and weakness of adductor magnus and obturators or an anterior tilted and forwardly rotated pelvis with accompanying FA IR weakness secondary to long position of ischiochondylar adductor and short position of gluteus minimus, medius and TFL.

Level 3

LEVEL 3
Ability to maintain above position while lifting lower hip off table slightly.
Inability reflects weakness of FA stabilizers on extended extremity including the short head of the biceps femoris and adductor magnus and possibly bilateral AF stabilizers including muscles of the pelvic diaphragm and lower gluteus maximus.

Level 3

LEVEL 4
Ability to raise hip completely off mat or table to level of patients shoulder and examiner’s shoulder.
Inability reflects lack of core lumbopelvic femoral strength and more than likely the internal obliques on side of extended leg and external obliques on side of flexed leg.

Level 4

LEVEL 5
Ability to raise hip above level of the patients shoulder and equal to examiners shoulder.
Inability reflects patient’s strength and neuromotor proprioceptive skills to shift hips.

Level 5

Hruska Abduction Lift Test

This test is used as a Myokinematic measurement with each grade reflecting muscle position, strength, kinesthetic awareness, and neuromuscular ability. The test is named for the leg, which is placed on the wall (Patient is lying on their left side with right foot placed on the wall – “Right” Hruska Abduction Lift Test).

Position
Patient sidelying with upper leg extended and aligned with hip and shoulder.
Adjust position of knees to wall, so that top knee is above the level of the ipsilateral shoulder.
Lower leg is flexed with lower toes positioned on the wall directly under the top foot and placed on 4 to 6” bolster.
Top palm should be placed flat on surface in front of chest and upper hand under head.

Mechanics (Discontinue test at the step the patient is unable to perform)
Step 1: ask patient to press bottom toes into wall to stabilize pelvis
Step 2: instruct patient to press bottom hip into the surface to engage lower abs and lower adductors
Step 3: ask patient to turn and raise bottom knee up or inwardly using lower ischiocondylar adductor and anterior gluteus medius, without moving top hip backwards.
Step 4: turn top heel up or top toes down without lowering bottom knee or moving top hip forward.
Step 5: attempt to raise top leg off wall while trunk and hips are stabilized in previous positions.

Grading Criteria:

LEVEL 0
Inability to position top leg in alignment with top shoulder and hip and with top knee above top shoulder without experiencing top hip impingement, sacral iliac pain or low back pain.
Malaligned pelvis and poor integration of adductors, abductors and FA rotators in frontal plane.

Level 0

LEVEL 1
Ability to push bottom hip into surface.
Inability reflects weakness in bottom internal oblique and transverse abdominis or bottom quadratus lumborum or top external obliques.

Level 1

LEVEL 2
Ability to raise or turn “in” bottom knee without moving top pelvis backwards.
Inability reflects poor strength or kinesthetic awareness of ischiocondylar adductor or anterior gluteus medius; or lax iliofemoral – pubofemoral ligament.

Level 2

LEVEL 3
Ability to rotate top extremity inward (FA IR) without moving top pelvis forward.
Inability reflects poor strength or kinesthetic awareness of ipsilateral gluteus minimus and anterior gluteus medius, or impingement of medial femoral head on anterior medial cotyloid labral rim secondary to forward, anteriorly rotated contralateral pelvis.

Level 3

LEVEL 4
Ability to raise top leg completely off the wall and hold without using lateral trunk muscle.
Inability reflects poor integration between contralateral hip adductors, and ipsilateral hip abductor (gluteus medius).

Level 4

LEVEL 5
Ability to move correctly abducted top lower extremity into extension without extending low back or flexing knee or rotating leg externally (FA ER).
Inability reflects inability to extend leg with gluteus maximus during concomitant abduction and FA stabilization provided by adductors (IR’s) and anterior gluteus medius and TFL.

Level 5

Recommended Reading

Licensed Physical Therapists and PT Assistants

Licensed Occupational Therapists and OT Assistants (Classification Codes)

Certified Athletic Trainers

Certified Strength & Conditioning Coaches

Certified Personal Trainers

Licensed Massage Therapists

Other Healthcare and Fitness Professionals
PRI welcomes any licensed healthcare or certified fitness professional to attend our courses. You may be asked to submit your license to practice as a healthcare professional or qualified fitness or strength coach certification (though an organization that is recognized in the United States) to attend PRI courses. Students studying to become a healthcare or fitness professional at an accredited universtity are encouraged to enroll, and may be asked to provide enrollment status and program/degree information. If you have questions about whether you are eligible to complete PRI courses, please contact us. Attendees are responsible for following their state statutes regulating their professional practice. A certificate will be awarded to attendees upon completion of this course or any of the other PRI courses.

International Attendees

Due to known copyright infringement and illegal pirating and distribution of PRI course material in locations across Asia, we are no longer allowing course attendance for PRI home study and live stream courses from several countries in Asia.

Accessible Learning Environments
All participants in Postural Restoration Institute™ (PRI) continuing education courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Participants have the right to request accommodations and the responsibility to provide disability documentation that supports those requests. PRI has the right to establish eligibility guidelines in accordance with both law and policy regarding disability and provide those accommodations that appropriately provide equal access to the programs and activities it sponsors.

A Certificate of Completion for 15 contact hours is awarded to attendees upon the successful completion of this course. Before attending a course, please verify CEU acceptance with your profession’s regulating body.

Physical Therapists and PT Assistants

In the states where PRI is sponsoring courses and where approval through state American Physical Therapy Association (APTA) or licensing agencies is required, PRI will apply for approval for CEUs for Physical Therapists and Physical Therapist Assistants.

The following states accept other state approval and thus would honor this course as an approved course:
Alabama, Arizona, Colorado, Connecticut, Washington DC, Delaware, Georgia, Hawaii, Idaho, Indiana, Iowa, Kentucky, Maine, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont, Virginia, Washington, Wyoming.
Approved by the Arkansas State Board of Physical Therapy for 15 hours. Date of Approval 6/21/18. Approval does not expire, provided the course does not change.
Approved by the Texas Board of Physical Therapy Examiners for 15 CCUs for PTs and PTAs. Approval #74645TX. Approval valid June 12, 2021 - June 12, 2023.
Approved by the California Physical Therapy Association for 1.5 CEUs. CPTA#22-268. Approval valid September 17, 2022 - September 17, 2023. *Approval valid only for courses offered in the state of California & Live Streams. If you attend this course outside the state of California, you will need to submit an individual CEU approval application with the CPTA.
Approved by the Maryland State Board of Physical Therapy Examiners for 1.5 CEU's. Approval valid June 14, 2021 - June 14, 2025.
Approved by the New York State Education Department, Office of the Professions. Approval valid February 18, 2022 - February 17, 2025.
Approved by the Illinois Physical Therapy Association for 15 CE Hours. Approval #205-8781. Approval valid January 1, 2023 - January 1, 2024.
Approved by the Minnesota Board of Physical Therapy for 15 hours. Course Approval #7524. Approval valdi January 1, 2023 - December 31, 2023. *Approved for in-person courses only.*
Approved by the Minnesota Board of Physical Therapy for 15 hours. Course Approval #8225. Approval valid January 1, 2023-December 31, 2023. *Approved for live stream courses only.*
Approved by the Florida Physical Therapy Association for 15 CE hours for PTs and PTAs. Approval valid January 1, 2023 – December 31, 2023. CE tracking #20-1025952. FPTA approval #CE23-1025952.

Chiropractors

In the states where PRI is sponsoring courses and where approval through state licensing agencies is required, PRI will look into applying for CEUs for Chiropractors (upon request). Requests must be made at least 90 days prior to the course date.

Approved by the Minnesota Board of Chiropractic Examiners for 15 regular units of instruction for 2023 course dates.
Approved by the New York State Education Department, Office of the Professions. Approval valid February 18, 2022 - February 17, 2025.

Occupational Therapists and OT Assistants

The American Occupational Therapy Association (AOTA) recognizes PRI as an Approved Provider of continuing education. AOTA Provider #6596. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA or indicate AOTA approval of a certification or other professional recognition. This course awards 1.5 AOTA CEUs/15 Contact Hours.

Athletic Trainers & Athletic Therapists

Postural Restoration Institute (BOC AP# P2376) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 15 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Strength and Conditioning Coaches

This course is approved by the Collegiate Strength and Conditioning Coaches Association (CSCCa) for 7.5 CEU's.

Since continuing education courses are not required to have pre-approval through the National Strength and Conditioning Association (NSCA), this course is not currently approved through the NSCA. NSCA certificants interested in completing this course may contact the NSCA to inquire about CEU eligibility.

Massage Therapists

PRI is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Provider number 451877-12. *Approval applies to select live courses only. This live course is approved. **Approval not valid for New York licensed massage therapists.

PRI reserves the right to cancel and refund a course attendee’s registration if any concerns arise regarding the course attendee’s qualifications as a healthcare or fitness professional, copyright infringement, or any other illegal activity involving PRI copyrighted materials. International attendees may be required to review and sign a Copyright and Intellectual Property Recognition and Disclosure Contract prior to receiving access to course materials.

Craig was very organized and his understanding and translation of the information was excellent. | Alexandria, MN, May 2023
Craig was incredibly knowledgeable and was able to use some humor and memorable examples to solidify the difficult concepts and make them easier to understand. | Alexandria, MN, May 2023
The instructor was absolutely splendid! Amazing job & extremely engaging! | New York, NY, April 2023
The information was presented well and the instructor did an amazing job keeping the class engaged. | New York, NY, April 2023
Kasey did great, blended bits of jokes here and there without being distracting, and provided plenty of real world examples to help drive the theory home. It was great overall. | Live Stream, March 2023
This is my first course in PRI and for being new to the industry, I was encouraged as to how well Kasey was able to simplify very complex information and make it understandable. Was thankful for her patience, her expertise, willing fail to answer questions, and energy. Also thought practically the production and visual aids were very well done. | Live Stream, March 2023
Great presenters! Very knowledgeable and willing to answer questions. | Wheaton, IL, March 2023
This was one of the best courses I have taken with PRI. | Wheaton, IL, March 2023
Dan and Jason are excellent. Explained complex concepts in a language easy to understand. | Wheaton, IL, March 2023
It was an amazing course! There was a lot of new information presented, but it was presented in a very organized way and at a pace that allowed me to truly understand each concept before moving on to the next one. The course manual is also laid out in a very user-friendly manner and has been helpful to refer back to for me to review the information learned or to use the exercises. | Live Stream, November 2022
Really enjoyed Kasey and how passionate she is about the material. Awesome full circle moment for me from starting my PRI introduction as her PT technician. Was a good review and appreciated the ability to take from home. | Live Stream, November 2022
Loved this course! The best course I have taken, Life changing!! | Live Stream, November 2022
Craig and Dan were excellent instructors. They worked well together and their expertise using examples from the clinic was very complementary. |Oak Brook, IL, November 2022
Craig and Dan were able to break down the parts to make it easier to learn in a logical order. | Oak Brook, IL, November 2022
Excellent content and information was presented in a clear/concise manner. Will definitely be taking more courses from PRI and will be referring others as well! | Valencia, CA, September 2022
This was my first PRI course. The instructors were excellent. I would love to take any other course from them. | Valencia, CA, September 2022
Kasey was excellent, loved her presentation style and she made the concepts easy to digest, would definitely take any other courses she teaches. | Valencia, CA, September 2022
Both of the speakers were AWESOME and very knowledgeable, and knew how to relay the info to us in a way we could understand. I LOVED THIS COURSE!!! I will definitely take another course with PRI! | Virginia Beach, VA, August 2022
I was very impressed with the knowledge base of the instructors, and how much we were able to fit into two days! I will definitely be returning to take more PRI courses! |Boston, MA, June 2022
Wonderful course. Very well put together instruction and great explanation of decision making for the algorithm. |Boston, MA, June 2022
I have been burnt out and have been seeking continuing education to get me excited about the practice of physical therapy again. Not only did the course content do that, but the preceptors' active engagement and passion reinvigorated my love for patient care. We were beyond lucky to have a very low student to teacher ratio that I feel was very beneficial. Their enthusiasm for teaching and patient care was apparent. They were consistently engaged and embodied the mission of life long learning. The staff was eager to teach and were open to questions or concerns and ensured all of us understood the concepts to the fullest extent possible by utilizing different teaching styles. Jen was engaging and I can easily say was the best instructor I have had in a long time. Her passion and humor kept a heavy subject matter light and easy to understand. I am grateful for the opportunity to learn from her and the rest of the staff, I am looking forward to my next course! | Lincoln, NE & Live Stream, March 2022
Absolutely mind-blowing way to look at the human body and the way it functions within asymmetrical compensations. I was never taught to look at things this way in school. I always thought to myself that there was always something missing, in terms of patient's progressing, and I think I found it with this course! Look forward to seeing the results in my patients! | Live Stream, March 2021
Kasey was a fantastic speaker and very knowledgeable/relatable. | Live Stream, March 2021
Kasey is great. Very knowledgable and articulate. It was helpful watching her helping the onsite participants during lab. | Live Stream, March 2021
Excellent! Thank you so much. Dan was the most knowledgable teacher I have had yet. This is my 4th PRI course. | Missoula, MT, September 2019
Dan is one of the best presenters I've seen in 22 years! | Annapolis, MD, June 2019
It was an awesome course & it really gave me a lot to consider about how I've treated my past athletes & will treat them in the future. | Annapolis, MD, June 2019
So glad I finally got to take a PRI course! | New York, NY, November 2018
Thank you, I am feeling more inspired again. This is tapping into my brain and body in wonderful ways. | Covington, LA, August 2018
It was AWESOME! Renewed my passion for the ability to make a difference in athlete's lives. | Boston, MA, June 2017
I would highly recommend this course to other PTs and health professionals. I can't wait to sign up for another PRI course! | Denver, CO, May 2017
By far the best practical course I've ever taken for hip and pelvis dysfunctions. | Vancouver, Canada 2016
Fantastic course. I feel like I learned as much about biomechanics in one weekend than in my entire collegiate career. | Vancouver, Canada 2016
So glad I came! Learned great eval and treatment techniques that I can apply right away | Kearney, NE, July 2015
Outstanding - looking forward to taking other PRI courses. | Kearney, NE, July 2015
This course made a huge difference in helping me truly begin to understand & apply the concept. | Coppell, TX, February 2014
Great seminar. I'm excited to head back to work with new tools. | Coppell, TX, February 2014
Jen is an excellent teacher. She was very easy to follow and made sure we all understood something before moving on. | Coppell, TX, February 2014
Fabulous course – interesting and applicable. | Portland, Oregon, February 2013
Very informative and inspirational. | Portland, Oregon, February 2013
I am motivated to learn more! | Philadelphia, Pennsylvania, November 2012
Jen is an outstanding presenter who simplifies complex material without compressing the content. | Philadelphia, Pennsylvania, November 2012
Very informative and useful for current practice; looking forward to next course. | Philadelphia, Pennsylvania, November 2012
I feel this was great content, especially for the “I’ve done several things with limited result” patients. | Philadelphia, Pennsylvania, November 2012
Very in-depth. Best resource out! Thank you! | Philadelphia, Pennsylvania, November 2012
Was skeptical about the premise with effectiveness of TX approach. Was very happy to be taught how effective the techniques were and how applicable the system is. | Philadelphia, Pennsylvania, November 2012
Very valuable. Likely to take all courses | Philadelphia, Pennsylvania, November 2012
Sensational course – riveting stuff | Chapel Hill, North Carolina, October 2012
This is my 2nd course with PRI and have felt I learned a great deal and well worth the time and money. | Dallas, Texas, September 2012
Course was powerful, refreshing, informative. Great stuff! Will definitely take all 3 intro courses. | Dallas, Texas, September 2012
Great course! I learned a lot! | Dallas, Texas, September 2012
Excited to digest the material and start applying it! Thanks! | Dallas, Texas, September 2012
Mind blowing! I need time to digest it but I love it. | Dallas, Texas, September 2012
Great course! I lot of good and detailed info delivered in a way I could understand. Great speaker! | Dallas, Texas, September 2012
Great presentation and new way of thinking about treatment. | Ann Arbor, Michigan, September 2012
Very good. Feel fortunate to know about this information. | Ann Arbor, Michigan, September 2012
The course opened my eyes to a different technique for management of spine physical therapy or all my patients. | Ann Arbor, Michigan, September 2012
It has really opened my eyes and made me really excited to learn more and really help people. | Monterey, California, August 2012
Excellent course. I’m excited to attend more and continue learning PRI therapy. | Bemidji, Minnesota, May 2012
I enjoyed the course, found very useful and would like to learn more. | Bemidji, Minnesota, May 2012
Wonderful – feel I have just enough to be dangerous…need Postural Respiration course now! | Bemidji, Minnesota, May 2012
Great material, quick finds to problems and easy solutions! | Richmond, Virginia, May 2012
Heading in the right direction. Looking forward to other courses. | Richmond, Virginia, May 2012
It made sooooo much more sense the second time! | Richmond, Virginia, May 2012
Jen was awesome, energetic and interesting. | Richmond, Virginia, May 2012
Great course, hope I can implement it. | Seattle, Washington, April 2012
Love the concepts of PRI. Can’t wait to learn more. | Seattle, Washington, April 2012
Best course and presenter ever! Truly. | St. Louis, Missouri, March 2012
Good info, makes you think. | Albert Lea, Minnesota, February 2012
Excellent course, instructor and information, which can be applied clinically immediately. | Albert Lea, Minnesota, February 2012
Wonderful; learned a lot and excited to attend more and learn more. | Lincoln, Nebraska, February 2012
I am extremely excited to continue the PRI courses from here on out. This truly answers the questions as for what we are TRYING to accomplish in the clinic. Thanks Ron. | Lincoln, Nebraska, February 2012
Great speaker. Good information. Very helpful with lab course. | Lincoln, Nebraska, February 2012
I truly enjoyed it and appreciated the speaker’s approach and humility. | Lincoln, Nebraska, February 2012
Very great course. So glad I was able to attend. | Lincoln, Nebraska, February 2012
Very good speaker!! Taught from book, demo and experience. Good vocal skills to keep audience listening. | Lincoln, Nebraska, February 2012
Very good speaker. Keeps you on your toes and challenges you. | Sioux Falls, South Dakota, January 2012
It exceeded all expectations. | Salem, Oregon, January 2012
Look forward to more PRI courses with Jen. AWESOME JOB! | Minneapolis, Minnesota, October 2011
Jen was amazing. I am so impressed and her personality and knowledge. | Minneapolis, Minnesota, October 2011
Mind-blowing. I feel there’s a whole realm I can tie this into in my training but no idea where yet! | Minneapolis, Minnesota, October 2011
Excellent speaker and excellent knowledge-loved all the lab time. Thank you! Great job! | Minneapolis, Minnesota, October 2011
First I would like to personally thank you for coming to Alaska this past weekend to lecture on myokinematic restoration. Your course helped immediately relieve the frustration I have experienced for years regarding physical therapy protocols. My clinic has put into practice the skills we learned from your course from the very first patient of the day on Monday morning. We have not had a single patient leave the office without substantial improvement in their condition all week!
This course was great. Excellent explanation of biomechanics and function with great detail. | Southfield, Michigan, September 2011
Wow. A whole new way of approaching the hip/pelvis/back. | Southfield, Michigan, September 2011
I have said that when I get to heaven my reward for staying in PT will be to know what was really wrong with my patients. I just got a piece of heaven early. Thank you. | Rockford, Illinois, May 2011
Excellent. None better ever in 30 years of being a PT!! Thank you, thank you, thank you! I didn’t have to write all of this out. The course manual is my new PT Bible I have to look at my patients completely differently. | Missoula, Montana, February 2011
Best course I’ve been on. | Missoula, Montana, February 2011
Changed my life! I plan to use the course information and skills learned for everyone in my life, including my patients. Excellent. | Missoula, Montana, February 2011
I truly believe that this course will not only change my practice as a PT but also my own personal life. I look forward to the Postural Respiration course! | Hancock, Michigan, April 2010
Extremely knowledgeable and dynamic instructor! Course represents 180-degree shift from prior training and I’m looking forward to giving the techniques a try! | St. Petersburg, Florida, May 2009
Ron and Jason- Thank you for coming up and consulting with us at our facility. You guys are an integral part of our program. We look forward to continuing our relationship with you in the future. The Myokinematic course probably enhanced our program by at least 60%. We are on board with you guys and are truly appreciative! Thanks, The Xplosive Edge Staff | Omaha, Nebraska, November 2008
Excellent course! As a physical therapist, the concept of myokinematics is essential to providing long-term positive outcomes for our patients. This is what I’ve been missing. | Lincoln, Nebraska, October 2008
PRI offers the most astounding intervention techniques. It should be implemented into PT/PTA curriculum & any healthcare program. | Boone, North Carolina, May 2008
A life changing course for personal health and for the health of my patients. Thank you for finding and sharing the missing element for physical therapy. Hopefully this will eventually change the course of physical therapy everywhere. | Warner Robins, Georgia, October 2006
Excellent course. I am so glad I got to come and learn. Instructor made you think anatomically, biomechanically and clinically. | St. Petersburg, Florida, October 2005
The course was excellent, full of information that will be very helpful in my clinical setting. I am looking forward to continuing to learn more about this concept and subject matter. Thank you! | Herdon, Virginia, July 2005
This course makes more sense than traditional treatment and results are reached quickly. | Herdon, Virginia, July 2005
I attended a course in April in North Dakota. Since, then I have been increasingly using your techniques with increasing success. You have brought physics and science into the PT field in way that few others will ever come close to. I appreciate your work, effort, and passion in getting your information out to other PTs. I sincerely hope that your methods will continue to grow in popularity, as they will give someone (PTs hopefully) the tools to provide patients with solutions to problems that are currently poorly addressed elsewhere. Thanks. | Fargo, North Dakota, May 2005
Another exceptional course, easily the best I’ve attended ever. Ron’s work blows current schools of thought out of the water. How can PT’s be trained without learning this approach? | Lincoln, Nebraska, January 2005
This course definitely gave me a lot to think about and a lot of ideas to begin applying to baseball players. | Lincoln, Nebraska, January 2005
Amazing, proactive and stimulating. I have to rethink concepts that I have followed in over 20 years of practice. | Lincoln, Nebraska, December 2003
Best course I’ve been to over the past 17 years! | Lincoln, Nebraska, December 2003
Very interesting and helpful. Created an enthusiasm and excitement about treating patients. I can’t wait to apply this new way of thinking. | Reno, Nevada, May 2003
Most applicable and informative course that I have taken. Now I finally understand how to mechanically assess and treat the human body. I can’t wait to take the “Postural” course. | Reno, Nevada, May 2003

Course Registration

Registration is limited to ensure a low faculty to student ratio. Please register early. Courses will be canceled or rescheduled if fewer than 15 participants have registered by the early registration deadline of four weeks prior to the scheduled course date.

Special Needs Requests

If you have a disability and require accommodation in order to fully participate in this course, please contact us at least two weeks prior to the course date or prior to purchasing any online home study course so that arrangements can be made.

Course Completion

The course must be attended in full, and an online course evaluation summary and short post-test (with a passing score of 70% or higher) must be completed in order to receive a certificate of completion for 15 CE hours. Certificates of completion will be emailed after the online course evaluation summary and post-test have been completed If you arrive late, or leave early, your certificate of completion will be adjusted for the number of CE hours you were in attendance. *For live stream courses, if you have your camera turned off (or you are not visible on camera) at any time for greater than 15 minutes, this time will be deducted from your total hours on your certificate of completion.

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. *Please note: For Live Stream Courses, once course manuals have been shipped (or emailed to international attendees), there will be no refunds for cancellations.

Course Tuition

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

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

*50% off if you qualify for the Home Study Advantage

Please register early. Courses will be canceled or rescheduled if fewer than 15 participants have registered by the early registration deadline of four weeks prior to the scheduled course date.

Discounts

Those who have earned the designation of Postural Restoration Certified (PRC) or Postural Restoration Trained (PRT) are eligible for a 50% discount on the following courses: Myokinematic Restoration, Pelvis Restoration, Postural Respiration, Impingement & Instability, Cervical Revolution and Advanced Integration. Students are eligible for a 25% discount for these above listed courses as well, if they are currently enrolled as a full time student at the time of the course. You may be asked to submit your official course schedule to verify student status.

Supportive Products

(This is not the homestudy)

Myokinematic Restoration