Tertiary Courses


The following courses require prior attendance of one or more Primary and/or Secondary Courses. Please scroll down to view all courses.

Course Description

This advanced course on resolving cranial-based physiologic functional conflict that is associated with patterned asymmetrical postural function, will reveal the underlying research and evidence behind the PRI approach to assess and manage compensatory pathology of lateralization, hemispheric specialization and hemi-diaphragmatic dominance. Ultimately, our nervous systems fluctuate through biased and balanced, hemi-thoracic and hemi-cranial chamber interchange of pressure, air flow and fluid exchange. Neurologic unilateral unconscious behavior (when there is only one side of the cranium that is chambered driven), can only be resolved through autonomic acceptance of bilateral thoracic and cranial exchange or oscillation. The course is designed for the clinician who is having difficulty maintaining neutrality with appropriate PRI algorithmic concepts and techniques, because of possible hypothalamic (ANS) imbalanced regulation and over-regulated thalamic interaction with the central nervous system. Our cranial “state of mind and physiologic (ANS) position” relates to unconscious, preparatory and anticipatory function, reinforced by specific sensory and afferentation postural patterned components. By attending this course, the PRI minded student will have a greater understanding of the scientific reasoning and rationale underlying PRI principles.

*Prior attendance of Cervical Revolution is required. *Dentists may attend without prior attendance of Cervical Revolution.



This advanced course was designed to assist the dentist or the health care professional who is interested in occlusal pathomechanics and patterned behavior. Occlusal tooth contact competition and sense of over-referenced occlusal interference can induce muscle hyperactivity in the orofacial region, of the plantar flexors of the foot, and of the cervical muscles. These same muscles indirectly and directly regulate breathing patterns and compensation necessary for unilateral postural dominance. Specific cervical assessment tests, equilibration recommendations and PRI non-manual activities will demonstrate how optimizing appliance re-occlusion sensation for centric oral upright airway position, in the dental office, can minimize the above listed hyperactivity. 

Upright alternating shifting of body mass and mandibular lateral translation through specific posterior lateral occlusal sensory awareness will remind the course attendee that oscillatory alternating lateral excursion of the mandible is the most important activity generated by the sphenoid-directed occlusion for oro-pharyngeal, glossal, supra-hyoid, and infra-mandibular non-pathomechanic alignment and rest. Acquisition of cranial mass sense of shift, and accompanying non-cranial mass sense of shift through plantar cutaneous afferent awareness, will be demonstrated through the use of a mandibular appliance that generates posterior lateral periodontal receptor awareness.     

* Prior attendance of Cervical Revolution is required. *Dentists may attend without prior attendance of Cervical Revolution.


Vocal fold vibration, or oscillation, is the source for our sound, identity, pressure gradient (pulmonary, acoustic, and thoraco-abdominal) and communication (vocal expression). This course will outline vocalization and associated extrinsic postural voice muscle function considerations, when using PRI methodology, to enhance alignment and arrangement of muscle and soft tissue of the hypopharyngeal regions. Key functions of the voice box will be covered, and will include their role and their anatomical components. An overview on muscles that position the vocal folds in the midline, on how asymmetry of the neck and shoulders or restrictive respiratory dysfunction can disrupt normal vocal fold function, and on how vocal fold tension can influence upper quadrant tension, will be provided. Limited discussion regarding velopharyngeal dysfunction (VPD) or nasality, and hypokinetic dysarthria (HD) will be included. Management of laryngeal/vocal cord dysfunction (VCD) will include ‘blowing’, ‘sucking’, speech resonance and glottal control recommendations incorporating PRI philosophy and techniques. Case presentations will be reviewed.

*Prior attendance of Postural Respiration and Cervical Revolution are required. *Exceptions for Myologists, Speech Pathologists, Voice Coaches.


This course offers the attendee an opportunity to re-examine ‘gait’, ‘ambulate’, ‘walking’, ‘bipedalism’, and ‘locomotion’ by addressing the cortical coordination of the human limbs that are responsible for individual forward locomotor movement patterns. Neurological and physiological dominance is designed around introspective habituation and compensation, that reflects physical predominant hemispheric loading and cortical hemi-spatial flow. A comprehensive, and up to date, review of literature and research on cortical dominance and associated pre-existing dominance factors that define interlimb and intralimb interaction during forward movement of the body, is offered. Arm and leg control, and overall associated motor function of human swing, support and propulsion will be addressed through asymmetrical gravitational balance effort and anti-gravitational eccentric considerations. Both, arm and leg control, and function in human locomotion, will be dissected and described, as a novel introduction to integrated upper and lower extremity movement, and hemi-spatial awareness and hemi-chest activity will be outlined, for all phases of forward locomotor movement. Clinical recommendations for individual introspection of forward locomotor movement will be provided throughout the course. Eccentric control of functional cortical predominant patterned limitations on locomotor movement, along with multisystem guidelines for reweighting balance through limb use, will be provided through the use of PRI non-manual technique application.

*Prior attendance of Myokinematic Restoration, Postural Respiration, Pelvis Restoration, and Impingement & Instability is required.

Course Description

This workshop is designed to offer the attendee, who has taken the PRI primary courses the opportunity to further understand the intricacies of the PRI non-manual techniques. Each primary course has specific non-manual technique programs designed to isolate, inhibit and integrate muscle when repositioning and repatterning. Guidance will be offered for appropriate integrative cueing, technique instruction and modification, reference center identification, and progression/regression based on neuro-muscular demand of the techniques. This workshop will allow the attendee to engage in intensive discussion and application of several non-manual techniques, including a limited number of participant-selected techniques.

*Prior attendance of Myokinematic Restoration, Postural Respiration, and Pelvis Restoration is required.

Course Tuition

Early Registration Fee: $575
(4 or more weeks prior to course)

Late Registration Fee: $625
(within 4 weeks of course)

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.