Pelvis Restoration Home Study

An Integrated Approach to the Treatment of Patterned Pubo-Sacral Pathomechanics

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Course Format

$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 the 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

Identify musculature of the pelvic inlet and outlet.
Explain how the respiratory diaphragm integrates with pelvic diaphragm function and rehabilitation.
Recognize pelvic asymmetry and understand the relationship of pelvic asymmetry and pelvis function required for rest, upright work, and pleasure related activity.
Identify the recommended treatment algorithm for each PRI pattern pertaining to the pelvis.
Outline how to design a postural isolation and inhibition program that includes the integration of appropriate pubo-sacral dynamics to restore normal reciprocal pelvic inlet and outlet function.

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

Avery AF, O’Sullivan PB, McCallum M J. Evidence of pelvic floor muscle dysfunction in subjects with chronic sacro-iliac joint pain syndrome. Scientific Conference of the IFOMT, Perth, pp.35-38, 2000.
Bendová P, Růzicka P, Peterová V, et al. MRI-based registration of pelvic alignment affected by altered pelvic floor muscle characteristics. Clin Biomech 2007;22:980–7.
Bo K, Sherburn M, Allen T. Transabdominal ultrasound measurement of pelvic floor muscle activity when activated directly via a transversus abdominal muscle contraction. Arch Phys Med Rehabil: 2001:82.
Broski SM, Murthy NS, et al. The adductor magnus “mini hamstring”: MRI appearance and potential pitfalls. Skeletal Radiol. 2016;45:213-219.
DeLancey J. Structural support of the urethra as it relates to stress incontinence: The hammock hypothesis. Am J Obstet Gynecol 1994; 170: 1713-23.
Gruss LT, Schmitt D. The evolution of the human pelvis: changing adaptations to bipedalism, obstetrics and thermoregulation. Phil. Trans. R. Soc. B 2015; 370:20140063. http://dx.doi.org/10.1098/rstb.2014.0063
Hulme J. Pelvic pain and low back pain. Phoenix Publishing. Missoula, 2002:
Hulme J. Beyond kegels: Fabulous four exercises and more to prevent and treat incontinence. 2nd ed. Phoenix Publishing. Missoula, 2002.
Hodges PW. Is there a role for transversus abdominis in lumbo-pelvic stability? Manual Therapy. 1999: 4(2): 74-86.
Lee D. The pelvic girdle: An approach to the examination and treatment of the lumbo-pelvic-hip region. Churchhill Livingston, 1999.
Netter FH. Atlas of human anatomy. New Jersey, CIBA-GEIGY Corporation, 1992.
Neumann P. Pelvic floor and abdominal muscle interaction: EMG activity and IAP. Int Urogynecol J. 2002: 13: 125-132.
Nygaard I, Thompson F, et al. Urinary incontinence in elite nulliparous athletes. Obstetrics and Gynecology: 1994: 84: 2
Nygard I. Does prolonged high impact activity contribute to later urinary incontinence? A retrospective cohort study of female olympians. Obstetrics and Gynecology: 1997:90:5.
Obey MT, Broski SM, et al. Anatomy of the adductor magnus origin: Implications for proximal hamstring injuries. The Orthopaedic Journal of Sports Medicine. 2016;4(1). Accessed online January 2016 ahead of publishing.
Pool-Gou dzwaard A, Dijke G, et al. Contribution of pelvic floor muscle to stiffness of the pelvic ring. Clinical Biomechanics 19 (2004) 564-571.
Sapsford R. The pelvic floor – A clinical model for function and rehabilitation. Physiotherapy December 2001; 87: 620-629.
Sapsford R, Hodges P, Richardson C. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 2001: 20: 31-42.
Shafik A. The histomorphologic structure of the levator ani muscle and its functional significance. Int. Urogynecol J 2002: 13: 116-124.
Sultan A. Pudendal nerve damage during labour: prospective study before and after childbirth. British Journal of Obstetrics and Gynaecology. January 1994, Vol 101:22-28.
Wallace K, Herman H. Female pelvic floor function, dysfunction and treatment level 1. Prometheus Group, Minneapolis 2008.
Wijma J, et al. Perineal ultrasonography in women with stress urinary incontinence and controls: The role of the pelvic floor muscles. Gynecolocig and Obstetric Investigation, 32, 176-179.
Willett GM, Keim SA, et al. An anatomic investigation of the ober test. Am J Sports Med. Published online January 11, 2016.

Respiration

Abe T, Kusuhara N, et al. Differential respiratory activity of four abdominal muscles in humans. J Appl. Physiol. 80(4): 1379-1389, 1996.
Bordoni B, Marelli F, et al. The five diaphragms in patients following cardiac surgery in sternotomy: An observational study. Int J Complement Alt Med. 2017; 7(6):00245.
Bordoni B, Zanier E. Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary HealthCare. 2013:6 281–291.
Bradley H, Esformes J. Breathing pattern disorders and functional movement. The International Journal of Sports Physical Therapy, Feb 2014, 28-38.
Chaitow L. Breathing pattern disorders, motor control and low back pain. J Osteopathic Medicine, 2004; 7(1): 34-41.
Clifton Smith T, Rowley J. Breathing pattern disorders and physiotherapy: inspiration for our profession. Physical Therapy Reviews. 2011;16(1):75-86.
Gordon KE, Reed O. The role of the pelvic floor in respiration: A multidisciplinary approach. J Voice. 2018 Nov; Epub ahead of print.
Hodges PW. Looking beyond the pelvic floor: An integrated clinical approach to the assessment and exercise management of continence and low back or pelvic pain. Combined Sections Meeting Las Vegas, NV February, 2009.
Hodges PW, Sapsford R, Pengel LHM. Postural and respiratory functions of the pelvic floor muscles. Neurourol. Urodynma. 26:362-371, 2007.
Johnson K. An integrated approach for treating the OB patient: Treating the five diaphragms of the body, part 1. AAO Journal. Winter 1991.
Lee DG, et al. Stability, continence and breathing: The role of fascia following pregnancy and delivery. Journal of Bodywork & Movement Therapies. 2008 Oct;12(4):333-48.
Park H, Han D. The effect of the correlation between the contraction of the pelvic floor muscles and diaphragmatic motion during breathing. J Phys Ther Sci. 2015 Jul; 27(7): 2113–2115.
Peper E, Cohen T. Inhale to breathe away pelvic floor pain and enjoy intercourse. Biofeedback. 2017; 45(1):21-24.
Perri M, Halford E. Pain and faulty breathing: A pilot study. J Bodywork and Movement Therapies 8: (4): 297-306, 2004.
Santos R, Bulbena A, et al. Association between joint hypermobility syndrome and panic disorder. Am J Psychiatry 1998: 155: 1578-1583.
Shimozawa Y, Kurihara T, et al. Point prevalence of the biomechanical dimension of dysfunctional breathing patterns among competitive athletes. J Strength Cond Res. 2022 May 24. doi: 10.1519/JSC.0000000000004253.
Talasz H, Kofler M, et al. Breathing with the pelvic floor? Correlation of pelvic floor muscle function with expiratory flows in healthy young nulliparous women. Int Urogynecol J. 2010; 21:475-481.
Talasz H, Kremser C, et al. Phase-locked parallel movement of diaphragm and pelvic floor during breathing and coughing – a dynamic MRI investigation in healthy females. Int Urogynecol J. 2011; 22:61-68.
Zone of Apposition References – Postural Respiration PRI Course Manual. Available online www.posturalrestoration.com.

Treatment Considerations & Interdisciplinary Integration

Basu S, Kakade PP, 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
Bo K. Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? International Urogynecological Association: 2004: 15 76-84.
Bordoni B, Zanier E. The continuity of the body: Hypothesis of treatment of the five diaphragms. The Journal of Alternative and Complementary Medicine. 2015; 21(4):237-242.
Boyle K. Clinical application of the right sidelying respiratory left adductor pull back exercise. IJSPT 2013;8(3):349-358.
Deindl FM, Vodusek DB, et al. Pelvic floor activity patterns: Comparison of nulliparous continent and parous urinary stress incontinent women: A kinesiological EMG study. British Journal of Urology (1994) 73, 413-417.
Fernandes J, Chougule A. Effects of hemibridge with ball and balloon exercise on forced expiratory volume and pain in patients with chronic low back pain: an experimental study. International Journal of Medical Research & Health Sciences, 2017, 6(8): 47-52.
Hodges PW, Heijnen I, et al. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiology (2001), 537.3, 999-1008.
Isbit J. Nature knows best. 2008.
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.
Kage V, Naidu S. Effect of iliotibial band stretching versus hamstrings and abdominal muscle activation on a positive Ober’s test in subjects with lumbopelvic pain: a randomized clinical trial. International Journal of Therapies and Rehabilitation Research. IJTRR 2015, 4:4.
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.
King PM, Myers CA, et al. Musculoskeletal factors in chronic pelvic pain. J Psychosom Obstet Gyneacol. 12 (1991), Suppl., 87-98.
Nygard I, Glowacki C, Sallzma C. Relationship between foot flexibility and urinary incontinence in varsity athletes. Obstet Gynecol. 1996 Jun;87(6):1049-51.
Oleksy L, Mika A, et al. The influence of pelvis reposition exercises on pelvic floor muscles asymmetry. Medicine (2019);98:2.
O’Sullivan PB, Beales DJ. Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: A case series. Manual Therapy 12 (2007) 209-218.
Pool-Goudzwaard AL, et al. Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2005 Nov-Dec;16(6):468-74. Epub 2005 Apr 1.
Santa Mina D, Au D, et al. A pilot randomized trial of conventional versus advanced pelvic floor exercises to treat urinary incontinence after radical prostatectomy: A study protocol. BMC Urology. (2015)15:94.
Sapsford RR, Hodges PW, Richardson CA, et al. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurouro Urodyn 2001: 20: 31-42.
Smith M, Coppieters MW, Hodges PW. Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurology and Urodynamics 26:377-385 (2007).
Smith M, Hodges P. Incontinence and breathing disorders are associated with development of back pain. 10th World Congress on Pain; Sidney, Australia, 2005.
Smith MD, Russell A, et al. The relationship between incontinence, breathing disorders, gastrointestinal symptoms, and back pain in women. Clin J Pain. 2013.
Tenney HR, Boyle KL, 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.
Thompson J, O’Sullivan P, et al. Difference in muscle activation patterns during pelvic floor muscle contraction and valsalva maneuver. Neurology and Urodynamics 25: 148-155 (2006).

Muscular Skeletal Asymmetry and Influence on the Pelvic Floor

Boyle K. Managing a female patient with left low back pain and sacroiliac joint pain with therapeutic exercise: a case report. Physiotherapy Canada. 2009;63(2):154-163.
Handrich K, et al. Asymmetry of the pelvic ring evaluated by CT-based 3D statistical modeling. Journal of Anatomy. 2020 May; 238:1225-1232.
Lee LJ, Chang AT, Coppieters MW, Hodges PW. Changes in sitting posture induce multiplanar changes in chest wall shape and motion with breathing. Respiratory Physiology & Neurobiology 170 (2010) 236-245.
Nguyen JK, Lind LR, et al. Lumbosacral spine and pelvic inlet changes associated with pelvic organ prolapse. Obstet Gynecol. 2000 Mar;95(3):332-6.
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.
Smith M, Russell A, Hodges P. Do incontinence, breathing difficulties, and gastrointestinal symptoms increase the risk for future back pain? The Journal of Pain. Aug 2009;10(8):876-886.

Muscular Influence on Pelvic Floor Function

Deindl FM, Vodusek DB, et al. Pelvic floor activity patterns: Comparison of nulliparous continent and parous urinary stress incontinent women. A kinesiological EMG study. British Journal of Urology (1994); 73:413-417.
Depledge J, et al. Management of symphysis pubis dysfunction during pregnancy using exercise and pelvic support belts. Physical Therapy. 2005;85(12):1290-1300.
Hodges P, Smith M, et al. Breathing with the pelvic floor: Coordinated activity of the pelvic floor muscles during inspiratory and expiratory efforts. The University of Queensland. Available at https://www.ics.org/Abstracts/Publish/46/000390.pdf
Hodges PW, Heijnen I, GAndevia S. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiology (2001), 537.3, 999-1008.
Junginger B, Baessler K, Sapsford R. Effect of abdominal and pelvic floor tasks on muscle activity, abdominal pressure and bladder neck. Int Urogynecol J (2010) 21:69-77.
Radziminska A et al. The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging. 2018; 13:957-965.

Pelvic Floor Mid Zone

O’Sullivan PB, Beales DJ. Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: A case series. Manual Therapy 12 (2007) 209-218.
Thompson J, O’Sullivan P, et al. Difference in muscle activation patterns during pelvic floor muscle contraction and valsalva maneuver. Neurology and Urodynamics 25: 148-155 (2006).
Urquhart DM., Hodges PW, Allen TJ, Story IH. Abdominal Muscle Recruitment A Range of Voluntary Exercises. Manual Therapy 10 (2005) 144-153.

Pelvic Floor Restoration Tests

Standing Reach Test

Position

Patient stands upright with knees fully extended and arms at side of trunk.
Ask patient to align feet with each other so they are parallel.
Make sure clothing is unrestricted.
Keep shoes on.

Mechanics Without Hip Shift

Ask patient to reach down toward floor as arms move forward and hips move back.
Instruct patient to keep back rounded in attempting to touch toes with fingertips.
Encourage the patient to exhale as they reach toward the toes.
Measure distance from fingers to floor in inches.

Mechanics With Hip Shift

Ask patient to reach down toward floor as right fingers overlap left fingers, arms move forward and as hips move back.
Instruct patient to keep back rounded in attempting to touch left toes with both left and right fingertips, while shifting left hip back.
Encourage the patient to exhale when reaching toward the toes with knees fully extended.
Measure distance directly in front of left toes from fingers to the floor in inches.
Repeat procedure on other side by asking patient to reach down toward floor and right toes, accordingly.

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

Pelvic Ascension Drop Test (PADT)

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.

Passive Abduction Raise Test (PART)

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.

Functional Squat Test

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

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.

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 Texas Board of PT Examiners for 13 CCUs. Approved April 16, 2024 – April 16, 2026. Approval #78212TX.
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 Louisiana Physical Therapy Board for 13 clinical hours. Approved for the 2024 calendar year.
Approved by the Louisiana Physical Therapy Board for 13 clinical hours. Approved for the 2025 calendar year.
Approved by the Maryland State Board of Physical Therapy Examiners for 1.3 CEU’s. Approval valid April 12, 2021 – April 12, 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 13 CE Hours. Approval #205-9088. Approval valid January 1, 2024 – January 1, 2025.
Approved by the Minnesota Board of Physical Therapy for Category 1 continuing education credit for 13 hours. Approved #9510. Approval valid January 1, 2024 – December 31, 2024.
Approved by the Wisconsin Physical Therapy Association for 13 contact hours. Approval valid January 1, 2024 – January 1, 2025. CEUL128360. Approval #19444.
Approved by the Ohio Physical Therapy Association for 13 contact hours. Approval valid September 13, 2023 – September 13, 2024. Approval #23S2680.
Approved by the Ohio Physical Therapy Association for 13 contact hours. Approval valid September 13, 2024 – September 13, 2025. Approval #24S2366.

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 13 regular units of instruction for 2024 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

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.

Thank you for another great lecture! | September 2024
Love love love the ever-increasing understanding of the body, the stream-lining of PRI info, the improving clarity- delivery of info/concepts, etc. Things that didn’t “click” before in other courses “clicked” this time!|July 2024
Absolutely loved this course. The instructor was wonderful and explained everything thoroughly. | May 2024
Overall a very, very great course. Thank you. | February 2024
Loved it, would recommend to anyone in the health field. | October 2023
I am overjoyed that I found PRI. Finally all my nagging questions about the patterns I’ve seen in practice have some answers! | May 2022
Fabulous! I love how it builds upon Myokin to solidify knowledge and application of working with PEC and Left AIC clients. | March 2022
One of the most powerful courses I’ve taken in my almost 10 years in the industry | February 2022
Thanks for a fun, challenging course! | December 2021
Absolutley Terrific! | October 2021
Loved it and complimented the other primary courses very well | July 2021
Love the contents and the speakers, love the clinical relevance. I found this course very extensive for it’s clinical applications. September 2020
Excellent home study! The speaker was very effective and broke the information down well. The repetition throughout the course was clutch. | June 2020
Great course! Almost prefer this to the live study, but I need to go to both to better integrate knowledge & skills. I like the discount for doing both & will likely do this! | March 2020
I loved the flow of this course. I’m not sure if it’s because I took the Myokin course 1st, but I like how this course transitioned. It was easier for me to follow along and understand, probably because this was my 2nd course, so like Ron said in the 1st course the “this terminology is easy..” lol. It wasn’t easy for me per say, but easier for me to follow along with due to taking the Myokin course first. | February 2020
Excellent job! I had Lori teach it in person the first time and now hearing it online from Jen has been great. I appreciate all of the knowledge these ladies have. | February 2020
I did the Myokinematic and Postural course a couple of years ago, and this one (pelvis) was by far the best structured course and helped me understand the other two courses even better. | January 2020
I encounter several patients with lumbo-pelvic dysfunctions and plan to create a plan of action with the materials learned in this course to discover the foundation of the problem and work towards correcting the dysfunction that ultimately causes patients pain. | January 2020
I work on a daily basis with professional soccer players. I am hoping to integrate the PRI tests into our pre-season testing. I have only taken this course so far, so it will probably not become part of the testing for Jan 2020, but will certainly be used in clinic and in the gym for most if not all of the players this year once I’ve had time to test them properly. | December 2019
I think PT is so below bar in too many places and I love that you are training people with such skill. I wish this material was PT 101 for students, so they graduated with this knowledge. | December 2019
Great material. I can’t wait for the rest of my staff to take this. | December 2019
I work with soldier athletes daily and I hope this knowledge will give me the tools and different outlooks on chronic injuries sustained by repetitive overuse injuries in the military. | November 2019
Excellent learning experience, it’s a non-traditional PT assessment and treatment. Valuable resource and tools looking at dysfunction as a whole body and not just one single joint. | November 2019
I really enjoyed it. It seemed quite technical to begin with but after the core principles were understood, it was fine. It’s given me more tools on how to help restore a client’s optimal function. | September 2019
A lot of my athletes and myself are strength and conditioning athletes and possess quite a clear PEC and underlying left AIC pattern. After taking the course I can quite clearly see this in my athletes. Most of what I teach takes some form of extension and the better athletes have a quite defined bulging abdomen which isn’t great for health in the long run. I will be integrating a lot more oblique work and resets after every session to bring them out of their sympathetic tone. | September 2019
I loved the way Jen taught about the swing vs stance readiness as the optimal AIC pattern and suboptimal AIC patterns. | September 2019
These home study courses really allow me to get as much value as I can out of the material. I can stop and review any concept that initially goes “over my head” until I finally get it. Then I can move on with confidence to the next topic to be discussed. I think they would also be the best preparation for taking a class in person in order to never feel lost. For me personally, they are a great option to learn what I consider difficult subject matter. | August 2019
This was amazing. I took this course in 2014 and wish I had taken the home study sooner! | August 2019
Jen was very articulate, engaging, and easy to follow during her presentation–which is an accomplishment considering what I find to be difficult subject matter. Well done. | August 2019
I appreciated the depth of the discussion on each treatment consideration for the L AIC, PEC, and Patho PEC patient. I especially appreciated Jen’s suggestions for modifying techniques when faced with certain challenges in the clinic. I started treating a difficult Patho PEC patient while I was still taking this course at home, and Jen’s little side commentary turned out to be exactly what this patient needed to be successful with the non-manual technique I was trying to prescribe. A nice little coincidence for sure, but I know that other clinicians treat the same kind of patient every day, and they would benefit from Jen’s shared experience. | August 2019
This was my 3rd of the three online courses. They have all been phenomenal and it was nice to have another teacher with a different perspective on the material. | July 2019
Very thorough. I was worried about taking this home study as when I took my first PRI course, I learned the most through the labs. This was nicely done. | July 2019
I think the treatment considerations and home programming is the biggest strength of this course. | July 2019
Great course! The instructor was fantastic. The coures is heavy duty and reason why I prefer online so I could slow it down and really grasp the information. I would have a difficult time if it were a live course. | June 2019
This home study course really reinforces what I’ve learned during the live course. | February 2019
Best PRI course I have taken yet, and I have taken them all :) | December 2018
I loved the course content and skills. I am sure that these will put me on another adventure clinically. | June 2018
Lori presented the material in a way that was easily understood and made sense. I like how the course was redesigned and Lori killed it! | March 2018
PRI helps me connect all the dots and see how all of my patients, and all humans really, follow the same movement narrative. I love PRI because I think it provides the most organized assessment and treatment approach to patients. I still use some of the standard orthopedic PT stuff I learned in school, but really my assessment and treatment paradigm for my patients follows the PRI assessment battery and treatment hierarchy. AND I SEE TONS OF SUCCESS. I never feel lost or hesitant anymore with new patients. I feel like from the second someone walks into the clinic I already know their narrative, I just need to see where in the story they are. After 30 years,these three courses recently have changed the way I practice. My depth of understanding how our body moves is far deeper. | March 2018
I have taken the Myokinematic Restoration course twice and Postural Respiration twice as well as the Instability and Impingement class. Pelvis Restoration was just what I needed to tie it all together. The format for repositioning, restoring, and respiration will help clients to understand & take information away to apply it to every day life. I work in an outpatient clinic with all ages and I can apply this to any of those that this applies to give them the complete program I want to offer. | August 2016
After the course I felt immediately prepared to design an effective program using the tests to guide my treatment, Lori did an awesome job teaching treatment progression and considerations. I especially appreciate Lori’s information on squatting and pelvic outlet influences on breathing, jumping, running, etc. | August 2015
I learned techniques to immediately apply to patients. This course helped with some questions I had after taking the Postural Respiration and Myokinematic Restoration classes. | May 201
Excellent. I loved Lori’s style of teaching. I am glad I ordered the home study course because it allowed me to replay parts that I didn’t understand initially. | December 2014
I loved this course! It picked up pieces I had missed and I have had immediate good results in places where my patients were stuck! | March 2014
This was my favorite course so far! Excellent instructor, powerful material. Can’t wait for Advanced Integration. This course has answered many of my questions! | August 2013
Excellent job tying the body together, the foundation for Postural Respiration and Myokinematic Restoration make more sense than ever. | May 2013
The pelvis model would be very beneficial for future attendees. | May 2013
Always well-organized and thorough. | May 2013

Attendees

Course

Registration Details

Registration Process

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.

Course Materials

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.

Discounts

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.