$500.00
We have taken video from the live 15-hour lecture and lab course including Power Point slides, demonstration, lab, and audience question and answer sessions. This home study course is available by online/digital which allows for viewing in the comfort of your home or office. You will have 21 days to complete the home study from the time you receive online access.
This advanced lecture and lab course is designed to assist clinicians with those complex patients that are struggling to restore reciprocal function of their pelvis. The clinician will gain an appreciation for the influences of an asymmetrical pelvis and how this imbalance contributes to pelvis dysfunction. We will explore in detail the function of the pelvic inlet and outlet as it relates to anatomy, respiration, and asymmetry in a multiple polyarticular chain system. Participants will be able to restore pelvic and respiratory neutrality through a PRI treatment approach while keeping individual activities of daily living in mind.
Education Level: Advanced
Session 1: Introduction to the Pelvic Diaphragm and Thoracic Diaphragm as Related to Gait, Left Anterior Interior Chain (AIC) Pattern, Left AIC Pelvic Inlet and Pelvic Outlet Position, Opposition Muscles of the Left AIC Pelvic Inlet and Outlet
121 minutes
Session 2: Posterior Exterior Chain (PEC) Pattern, PEC Pelvic Inlet and Outlet Position, Patho PEC Pelvic Inlet and Outlet Position
67 minutes
Session 3: Pelvis Restoration Tests (ADT, SRT, PADT), Left AIC Repositioning Techniques, PEC and Patho PEC Repositioning Techniques
47 minutes
Session 4 Lab: Pelvis Restoration Tests (ADT, SRT, PADT), Repositioning Techniques
62 minutes
Session 4: Pelvis Restoration Tests (PART, Functional Squat Test, Hruska Abduction Lift Test), Pelvis Restoration Functional Relationships
59 minutes
Session 5 Lab: Respiratory Influence in the Left IAC, PEC and Patho PEC Patterns, Apical Expansion Test, Posterior Outlet Mediastinum Expansion Test
62 minutes
Session 5: Pelvis Restoration Tests (PART, Functional Squat Test, Hruska Abduction Lift Test, Apical Expansion Test, Posterior Outlet Mediastinum Expansion Test
75 minutes
Session 6: Left AIC Pattern Treatment Considerations
97 minutes
Session 7: Left AIC Pattern Treatment Considerations (Continued), The Squat & Respiration, Iliosacral Instability, Left AIC Pattern Case Study
89 minutes
Session 8: PEC Pattern Treatment Considerations, PEC Pattern Case Study, Pubalgia, Patho PEC Pattern Treatment Considerations
101 minutes
Anatomy & Physiology
Respiration
Treatment Considerations & Interdisciplinary Integration
Muscular Skeletal Asymmetry and Influence on the Pelvic Floor
Muscular Influence on Pelvic Floor Function
Pelvic Floor Mid Zone
Muscular Structures of the Pelvic Floor
Pelvic Inlet: diaphragm, rectus femoris, sartorius, internal obliques, transverse abdominis, iliacus
Pelvic Outlet: hamstrings, IC adductor magus, gluteus maximus, piriformis, coccygeus, pubococcygeus, obturator, iliococcygeus, puborectalis, urogenital diaphragm
Anterior Interior Chain (AIC)
Muscles: Diaphragm, Psoas, Iliacus, TFL, Vastus Lateralis, Biceps Femoris
Opposition Muscles: Hamstrings, Gluteals, Internal Obliques
There are two anterior interior polyarticular muscular chains in the body that have a significant influence on respiration, rotation of the trunk, ribcage, spine and lower extremities. They are composed of muscles that attach to the costal cartilage and bone of rib 7 through twelve to the lateral patella, head of the fibula and lateral condyle of the tibia. These two tracts of muscles, one on the left side of the interior thoraco-abdominal-pelvic cavity and one on the right, are composed of the diaphragm and the psoas muscle. With the iliacus, tensor fasciae latae, biceps femoris and vastus lateralis muscles this chain provides the support and anchor for abdominal counter force, trunk rotation and flexion movement.
Posterior Exterior Chain (PEC)
Muscles: Latissimus Dorsum, Quadratus Lumborum, Posterior Intercostals, Serratus Posterior, Iliocostalis Lumborum
Opposition Muscles: Abdominal Obliques
Position
Mechanics Without Hip Shift
Mechanics With Hip Shift
Left AIC: Inability reflects:Lack of right anterior left posterior inlet, lack of left anterior and right posterior outlet, hyperactivity of left anterior and right posterior inlet, or hyperactivity of right anterior and left posterior outlet
PEC: Inability reflects: Lack of bilateral posterior inlet and bilateral anterior outlet, or hyperactivity of bilateral anterior inlet and bilateral posterior outlet.
*ability to touch toes with + Adduction Drop Test & + PADT = Pathological PEC
The patient lies on their side with the top and lower hips and knees flexed to 90 degrees.
The patient is then instructed to actively bring the top leg back to neutral while maintaining 90 degrees of knee flexion, and to touch their knee to the mat. This represents a negative test.
A positive test is indicated by the inability of the active leg’s pelvic floor to ascend secondary to the left outlet’s inability to abduct.
The patient lies on his or her side with their bottom knee and hip flexed at 70-90°. Their top knee and hip will remain straight (0-degrees). Passively stabilize the patient’s innominate with one hand as the other hand passively moves their leg into abduction. Standing behind the patient usually provides more examiner biomechanical comfort in lifting the leg. Patients with tight right intercostal walls and short and strong right adductors will demonstrate limited passive abduction when compared to the other side. Usually the examiner will feel lateral buttressing of the femoral head on the lateral superior acetabulum as the femur is abducted. When right thoracic abduction or sidebending occurs, discontinue the test.
A positive test is indicated by a restriction on one or both sides that does not allow sufficient abduction secondary to lack of outlet adduction. Usually seen on the right side especially if Left Adduction Drop Test is positive in a Left AIC oriented patient or a patient has a right Hruska Adduction Lift Test of less than a 3.
LEVEL 1: Ability to initiate a squat by slightly bending knees while trunk remains in flexion. Inability reflects lack of posterior pelvic rotation and hyperactive back extensors.
LEVEL 2: Ability to begin squatting, moving bottom back and knees forward while trunk remains in flexion. Inability reflects lack of femoral adduction, hyperactive hip flexors, and overactive FA ER’s.
LEVEL 3: Ability to squat bringing bottom below knee level while keeping heels down and trunk flexed. Inability reflects tight intercostals and hyperactive anterior / posterior tibialis.
LEVEL 4: Ability to squat keeping heels down, trunk flexed and bottom to heels. Inability reflects hyperactive quads and gastroc-soleus.
LEVEL 5: Ability to maximally squat keeping heels down and trunk flexed while keeping center of gravity through heels. Inability reflects lack of maximal AF IR and synchronized mechanics of diaphragm and pelvic floor respiration.
Adduction Drop Test
See Myokinematic Restoration Review Guide
Hruska Adduction Lift Test
See Myokinematic Restoration Review Guide
Hruska Abduction Lift Test
See Myokinematic Restoration Review Guide
These references are attached below as PDF files. After clicking on them, you may have to “Allow Add On” if it pops up an error message at the top of the internet browser. You also may need to download a free version of PDF software, allowing you to view the articles below. Please contact us if you continue to have difficulty accessing the articles below.
Sahinkanat T, Arıkan DC, et al. Effects of lumbar lordosis and pelvic inlet orientation on the outcome of the transobturator tape sling operation in women. Arch Gynecol Obstet. 2011.
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 university 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.
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 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.
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.
Occupational Therapists and OT Assistants
PRI is no longer recognized as an Approved Provider through the American Occupational Therapy Association (AOTA). Many states do not require any sort of pre-approval process. And of the ones that do, most state licensure boards allow self-submission of CE programs. Please check with your state licensure board to determine if you will be able to submit PRI courses for CE hours.
Athletic Trainers
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 13 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 6 CEU’s.
Other Healthcare and Fitness Professionals
PRI Welcomes any interested healthcare or fitness professional to attend our courses. Attendees are responsible for following their state statues regulating their professional practice as they integrate interdisciplinary PRI concepts.
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.
Course
You will receive an email within 24 hours after purchasing the home study with instructions to login and begin your home study online. (*Please note that you must order before 3pm CST on Friday to receive your online access information before the weekend. If you order the home study after 3pm on Friday, you will receive your online access information on Monday). You will receive all materials online including the videos and course manual (which you will be able to download and print). You will also complete the post-test and course evaluation form online. You will need high speed internet in order to watch the videos (the videos are NOT downloadable). Once you have been emailed your online access information, you will have 21 days to complete the course online before your access to the course materials will expire.
You will receive a Certificate of Completion by email if post-examination test is passed (miss 8 or fewer) and course evaluation summary is completed.
Online/Digital Format – Each registrant will receive online access to the approximately 15 hours of course video content, as well as access to download and print the entire course manual (printing the manual is recommended). The post-test and course evaluation form will also be completed online. You will have 21 days to complete the course material, before your online access expires.
Special Needs Requests
If you have a disability and require accommodation in order to fully participate in this course, please contact us prior to purchasing any online home study course so that arrangements can be made.
Cancellation and Refund Policy
To cancel your registration, please call as soon as possible for a full refund. Cancellations and refunds will not be accepted once the course registrant has set up their online username/password.
Those who have earned the designation of Postural Restoration Certified (PRC) or Postural Restoration Trained (PRT) are eligible for a 50% discount. Students are eligible for a 25% discount.
If you have taken the live course in the past 12 months you are eligible for 50% off the regular price.
If you have any questions, we are here to help.
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