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As a doctor of chiropractic, PRI has added a new dimension to my practice that is making a huge difference with patient outcomes and my professional satisfaction.  Here are links to my first two articles in Dynamic Chiropractic on “Unlocking the Secrets of the Pelvis”.Part 1 , “Unlocking the Secrets of the Pelvis” Part 2 and  “Breathe Well and Breath Often” Part 3 which refers to “Big D”, the Zone of Apposition and Blowing up a Balloon. PRI is an essential tool for your treatment toolbox!

PRC therapist Jason Masek came across a great article last week, "The Effect of Pelvic Tilt on Radiographic Markers of Acetabular Coverage", published in the American Journal of Sports Medicine in August 2013. This article discusses the importance of considering pelvic alignment when reading radiographs of the pelvis and hip. According to the article, "it is reported that small changes of pelvic inclination are capable of altering the radiographic appearance of acetabular retroversion and could result in misguided surgical decompression."

In conclusion, "the present study illustrates that alternations in pelvic tilt are capable of significantly influencing numerous measures of acetabular coverage and may affect surgical decision making. Clinically. these data underscore the imporatnce of recognizing that a variation in pelvic alignment will influence the interpretation of anteroposterior pelvic radiographs in the setting of young adult hip disorders. However, these data, combined with the known variability in pelvic tilt among patients, challenge traditional imaging standardization practices and bring into question the optimal position for pelvic imaging in the young adult hip."

The article is unfortunately not available free online, but can be accessed for a fee here.

While there was only one course held this past weekend, it looks like it was a great one (check out these pictures)! I keep getting great feedback from course attendees about the newest PRI Affiliate course, PRI Integration for the Home Health Clinician. Here is what James Anderson had to say about the weekend!

Woodbury, MN (PRI Integration for the Home Health Clinician) – “I was in Minneapolis, Minnesota and I didn’t get snowed-in, so that in itself makes it a good trip. But when you throw in the fantastic group of PRI enthusiasts that attended this course and a topic like “Respiration and Alternating Reciprocal Motion”, it was definitely a great weekend.  A big thank you to Robin at Woodwinds Hospital for hosting and to Carrie Langer for being such a great assistant. PRI has definitely grown and evolved since Carrie and I sat together in the first class of PRC applicants back in 2004.

The group did a great job appreciating that this Home Integration course is more of a hybrid of Impingement and Instability and Advanced Integration material than it is an oversimplified PRI course for geriatrics in the home. The amount of clinical application ideas was a pleasant surprise to everyone in attendance and they could see ways to use the new ideas in multiple settings. It’s neat when you can present to an experienced group of PRC caliber clinicians and see light bulbs come on because of the integrated way the material has been put together. This is why I love writing and teaching PRI!” – James Anderson

Congratulations to Jason Robey and Kyndy Boyle on the publication of their recent article, “The Role of Prism Glass and Postural Restoration in Managing a Collegiate Baseball Player with Bilateral Sacroiliac Joint Dysfunction: A Case Report” in the International Journal of Sports Physical Therapy!

Click here to read this article. You can access this article in the PRI Library!

Portland, ME (Pelvis Restoration) – "This past weekend in Maine, we had over half the class attending their first PRI Course!  It was exciting time to introduce so many to the science of PRI.  Pelvis Restoration covers a lot of material in two days and I feel there were a lot of forward thinking practitioners in the room.  The course attendees truly understood how the body integrates and importance of obtaining left stance and right swing position for stability on the left side.  Thank you to Michael Mullin and OA Centers for Orthopaedics for hosting us this weekend." – Lori Thomsen

PRC Therapist Emily Soiney has shared with us her thoughts on integrating Postural Restoration® and Yoga. Click on the link to check out her paper on “Considerations for Integrating Postural Resoration and Yoga: General Overview and Recommendations.”  This is part one of a serires that Emily planes to write on Yoga Integration with Postural Restoration®.

If you have questions, you can email Emily!

It was another busy weekend with 3 PRI courses held across the country this past weekend! Here’s what our faculty had to share:

Des Moines, IA (Myokinematic Restoration) – "Wow! What a great course this weekend in the Heartland! I had the privilege of teaching another group of clinicians new to the Science of PRI. It was so great to see heads nodding and connections being made as these therapists made a paradigm shift over to the world of PRI. Host site coordinator, Tate Van Houten provided excellent mentorship throughout the weekend. Thanks to Tate and his staff for making me feel so welcomed. I even got my first taste of a “Corn Nut” when in Iowa…" – Jen Poulin

New York, NY (Myokinematic Restoration) – "What a treat to be able to travel to New York City to teach the first PRI course in the city! Not only did I have a great time teaching this course, but I also got to visit my grandson, Maxwell! A big thank you to Tom at Finish Line Physical Therapy for getting PRI to New York City, and for being such a wonderful host site. Also, thank you to Karen Taylor Soiles for lab assisting. I have no doubt that PRI will continue to grow in NYC and I look forward to returning to teach Postural Respiration in March!" – Ron Hruska

A course attendee sent me this recent article this morning, “Scapular Positioning Assessment: Is Side-to-Side Comparison Clinically Acceptable?” which was published in Manual Therapy. While this information is probably not earth shattering to those clinicians who have attended PRI courses, it is exciting to see research articles discuss asymmetry in normal, healthy subjects.

If you are interested in learning more on what contributes to scapular asymmetry, I would recommend our Postural Respiration course…..which is all about the diaphragm, thorax and rib's patterned positional influence on the scapula.

Wow! Where has the time gone? It is already October, which means Postural Restoration Trained (PRT) applications are due in just under two weeks! Two copies of your application must be postmarked by October 15th. If you prefer to send your application electronically, please email me!

PRT testing will take place in Lincoln, NE on January 13-14th, 2014 following the Impingement & Instability course.

If you have any questions about the PRT credentialing process, click on the FAQ section of this page, or email me.

It was a busy weekend with three PRI courses being held in the Midwest. Here’s what our faculty had to say after their weekend!

Bismarck, ND (Pelvis Restoration) – "We had a great weekend in North Dakota. I feel the class had an improved understanding with how the pelvic and respiratory diaphragms integrate for reciprocal alternating function. The “snowball” analogy had many of the course participants having a “light bulb” moment or appreciating if the pelvis can’t rotate left the trunk can’t rotate right or if the trunk can’t rotate right the pelvis can’t rotate left. This can’t happened without integration and integration can’t happen without triplanar motion. Thank you St. Alexus for hosting a wonderful weekend!" – Lori Thomsen

Ann Arbor, MI (Myokinematic Restoration) – "What a great weekend in Ann Arbor Michigan! Patrick Hoban, owner of Probility and his staff were excellent hosts. The majority of the attendees were taking their first course. I enjoyed sharing PRI’s “Paradigm shift” and it brought back several emotions I felt when I first listened to Ron over 12 years ago. What I remembered is that the science of PRI is exciting, yet un-nerving when you first learn about common patterns of the human body. I assured the class with time and practice, they too will see the Left AIC in their patients! I had to change my analogy from the Yellow VW to the Ford 150 truck for my new friends living so close to the Motor City!" – Jen Poulin

Ella Lillian Rappl! Ella was born on Friday, September 20th. She weighed 7 pounds, 7 ounces and was 20 1/2 inches long.

Bobbie and  family (including big sister Addalyn and big brother Owen) are doing great! We look forward to Bobbie's return in late December or early January, and in the meantime we will enjoy their occasional visits and photos!

Over the past couple weeks, a few PT's from across the country have emailed me this story from the New York Times Health and Science Blog.The title of the story “Think Like a Doctor: The Gymnast’s Big Belly Solved” has caught the attention of several viewers. The final diagnosis involves a faulty diaphragm and pelvic floor. If you find this case interesting, you might be interested in attending our Pelvis Restoration course!

Also, a reminder…..if you find an interesting article or news story and would like to share it with other PRI colleagues, you can now submit an entry with the link to the article on the Community page of our new website!