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I liken teaching myokinematics of the hip and pelvis to putting on a comfy pair of slippers. I took my first myokin course back in 2001 the first time ron offered this material. The course has evolved over time as the institute learns more about our normal balanced asymmetry and how we compensate in three planes. Despite our deeper understanding of how the visual, occlusal position and proper shoes affect compensation patterns, clinicians still need to understand the fundamentals of a left AIC pattern as it relates to position and performance. An F (femur) moves on an A(acetabulum), yes, but an A also can move and stabilize an F. This is the foundation of this course. We then need to fully understand how our patients compensate for this normal pattern. Washington university dermatology did they or did they not over lengthen their anterior hip ligaments?

For me, this is the question of the 2 day course!

In worcester mass this weekend, I had an amazing group of clinicians. A large number were taking their first official PRI class. So fun! But, all of them knew of PRI or were working along side a co-worker using PRI in their practice. They were all in worcester to learn for themselves how to help their patients/ athletes.

Once we were all clear on the pattern and the position of AF whether it be in IR or ER, we learned the tests to determine their positions and compensations. On sunday afternoon, we just problem solved our way through the treatment progressions. The class was focused on utilizing functional tests and muscle algorithms to guide what came next. For years I used an analogy in my teaching that seeing a patient present in the clinic as a L AIC was like seeing yellow VW bugs driving past you on the road. But it is a new day and time for a new analogy, that I now refer to as "mustang sally". We had some fun after lunch taking our group shot with my mustang rental car that I’ve been upgraded to, 2 weekends in a row! New car for my husband chris, I think maybe! Since then, I see mustang’s everywhere I go, now that I am looking for them!

Hats off to the staff of central mass physical therapy! This is the third time I have taught at this host site. I was able to meet some new staff, make some new friends and see some familiar faces. Damion perry, yolanda pappas, borbala suranyi and gene lyons were all in my pelvis class last month in boston. Meredith stephens, MS, PT is also a faculty member for anatomy trains. We had some great gait discussions at lunch. I look forward to learning more from her in the future. Maureen watkins, PT is faculty at northeastern university in the PT department. Her non-patho hip helped me demonstrate how to develop hole control on the right side with a glut max and obturator in the transverse plane. I always enjoy teaching myokinematics. That’s a wrap for 2018. I will look forward to teaching this awesome course next year!

Landing in munich is like coming home for me. I have family here and I was afforded the opportunity to see my cousins and connect. My mother’s side comes from munich and bavaria and our roots are deep here. North american university my sister wrote of my father’s meeting with my mother in WWII in a series of novels the first of which is called: the reason of fools by dodie cantrell bickley (see the youtube trailer). After arriving in munich we settled-in and then had an opportunity to see the city and acclimate to germany and the time zone change. When I met with daniel mueller osteopath and eduard “eddie” erdeljac MD, DO1, I was greeted with warm smiles and bavarian hospitality. Lindebergs academy is like nothing you’ve seen and promises to be a hot bed of PRI in the coming years. This saturday I started with myokinematic restoration and by the time we finished on sunday, the class was full of excitement and gratitude for learning a new science and a new way to manage clients. Betsy baker-bold was a fantastic addition as a lab assistant and her input was incredibly valuable. I am always amazed as I travel around the world disseminating the PRI news along with my interpretation of ron hruska’s vision, how friendly and caring the souls are that I meet. We may be from varying backgrounds and walks of life but we are no different at all really. I’m grateful to be here and I will keep you posted on next weekend’s adventures with postural respiration!

Thank you to karen taylor soiles, PT, PRC, of collaborative physical therapy, who, together with the teal center for therapeutic bodywork, welcomed 34 clinicians curious about the science and application of postural respiration. Karen’s attention to detail, including the wide array of healthy snacks, kept our bodies nourished and brains alert and focused throughout the weekend.

The need to position the left hemi diaphragm was introduced right off the bat to ensure that the right diaphragm autocracy stops ruling our autonomics! Other key concepts included the need to facilitate hamstrings and ios/tas to establish a left ZOA followed by reach activities to hold the ZOA and direct air into previously-restricted areas of the rib cage. A series of gait videos enabled us to view firsthand various pelvic and thorax movement strategies. Lack of arm swing on one or both sides were reflected in our PRI tests. They served as a reminder that arm swing is 50% of the gait cycle!

Thank you to kathryn bragg, PT, and laurie johnson, PT, seasoned clinicians tuned into nuances of performance of PRI non-manual techniques. The take-home from that discussion: so long as the reference centers are sensed by the patient, stated in the instructions as “you should feel…”, the exercise can be quite effective. Ultimately fine-tuning areas that are holding tension and tweaking alignment can help the process.

With jill tender, DPT, as our superior T4 model, we succeeded in unearthing a compensatory respiration strategy that responds to additional non-manual and manual techniques beyond what is needed to manage those who have not yet resorted to this compensation. Others who enriched our learning-through-demonstration were: amelia franklin, DPT, OCS; benjamin fuentes, PT; tara pickett, DPT, GCS; jacqueline richards, DPT; and karthik yadagiri, PT. I really enjoyed my weekend with this wonderful group of clinicians. They gained an appreciation for just how influential alternating, reciprocal rib cage movement is to efficient movement and to the overall health of human physiological systems….And collectively rejoiced in the resolution of wallet-gate.

We wrapped up the year for PRI integration for fitness and movement courses outside of philadelphia at maplezone sports institute/ the training room physical therapy in garnet valley, PA. We had a very awesome group that digested the principles of breathing, thoracic posture, and sensing position and the ground quite well. It really was a fun group to end the year with, so thank you to all that attended! And special thank you to the training room physical therapy staff and rob rabena at MSI for hosting!

This PRI course heavily teaches components of breathing, pillar strength and axial frame mobility and their three dimensional relationship for cueing and coaching thoracic posture with proper pelvic position. A good coach can value learning how to coach and cue the core differently based off the position the athlete or client is in, i.E. With a unilateral asymmetrical loaded movement pattern and a symmetrical loaded movement pattern and we look to highlight those relationships in this course.

This year we emphasized the parable of “parachutes and pancakes”. Teaching this parable throughout the year we’ve learned a few things on how people train and see (or don’t see) the diaphragm as an important core muscle. Washington university in st louis jobs our emphasis in teaching this parable is on helping attendees appreciate how training oblique abdominals and hamstrings to optimize respiratory postural balance is a key ingredient that should be incorporated in fitness and movement exercises. We know that when the ribs and thoracic cage are too stiff and rigid with ribs in external rotation, hyperextension, and hyperactivity the respiratory diaphragm can become tonic, flattened and underused, we could risk training the core in a compromised position and the “pancakes will become crepes” as the spinal mechanics becomes stressed which could further limit triplanar performance and lock up functional movement patterns, inhibiting gluts and other powerful muscles. On the flip side with people that might misuse abdominals or overdo flexion without unlocking the thoracic rings, we could create a different faulty pattern of forced thoracic folding when proper rib IR and thoracic retraction are not coordinated with a neutral pelvis. This could be a problem and would “fold pancakes into a pseudo folded parachute” which will bring about a different set of issues. Confusing?…. Well maybe, but bottom line here, if you followed that, you get the parable!

The core was designed to be mobile and dynamic. If you learn to value rib movement and recognize key axial structure landmarks you can tell when you are training pancakes verse parachutes. The more we can train parachutes in various positions, the more we can help our clients be resilient and durable. #trainparachutesnotpancakes

I’m looking forward to teaching this course in 2019. This year was such a blessing to learn from the attendees and help fill the gaps with new material as well as streamline how to teach the material. We’ve listened to feedback and continued to improve the course to share with the diverse crowds and specialty professionals working in various fitness and movement settings. A special thank you to james anderson, our affiliate course director, for all his hard work and dedication to make these affiliate courses a success. Hope to see many of you next year!