Impingement and Instability

A Unique Approach to the Treatment of Common Impingement and Instability Through PRI Reference Center Integration

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Course Format

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

This advanced course has been designed to enhance the understanding of the contributing underlying impingement (compression) and instability (malalignment) considerations associated with typical impingement or instability syndromes. Participants will be able to relate and integrate calcaneal (ground) impingement with femoral instability, pelvis impingement and scapula instability or thoracic malalignment. Impingement and instability integration, for ground control and overhead activity, will be introduced using PRI reference centers and frontal plane oscillation. Scapula function will be presented to reduce femoral/tibia instability, and associated thoracic, calcaneal/talus, and pelvis impingement.

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

Educational Level: Advanced

Instructional Methods: Lecture, demonstration, clinical application, and Q&A

Live Stream courses will take place from 8am-5pm CT each day, and certificates of completion/CE credit will be awarded the following week after completion of the course evaluation survey and short post-test. For more information on whether your state/organization is approved for CE approval, please click on the “CE Approval” tab. Live Stream courses will be engaging, interactive and include demonstration of objective testing and/or non-manual techniques, in addition to course attendees being able to ask questions throughout the course. All that’s needed on your end is reliable internet access, a webcam, microphone and speaker (or a smart phone can be used if you do not have a computer or laptop with this capability) to utilize ZOOM for the live stream course. The ZOOM links for the live stream course will be included in the confirmation email. The course manual will be shipped directly to you 1-2 weeks before the course. *International registrants are discounted $30 since we do not ship manuals internationally, however you will be able to print the digital manual if you so choose. A digital version of the course manual will be added to your PRI account the week of the course. In addition, participants will receive access to the recording of the live stream course for 14 days to review the material, and re-watch any material that may have been missed due to connection issues. Those who attend in-person during a live streamed course will also receive access to the recording for 14 days. Extensions beyond this 14 day review are not available. ***Please note: In order to receive access to the recording for review, you must participate in person on the Live Stream course with your camera on for at least half of the course (7.5 hours). If you sign up for the course and do not participate in at least 7.5 hours of the live stream, you will not receive the recording and you will not be refunded. Also, once course manuals have been shipped (or the digital version has been added to your account), there will be no refunds for cancellations.***

Identify the key concepts of the Left AIC and Right BC patterns that influence the need for calcaneal and pelvis impingement, and femoral and scapula instability.
Recognize references that interfere with and influence patterns of gait.
Establish a plan of care, incorporating scapula function, to reduce thoracic impingement and femoral/tibia instability.
Outline grouped supination and pronation patterns of afferentation that compromises decompression (impingement) and control (instability) in the frontal plane.

Day One

7:30am – 8:00am	Registration and Light Breakfast
8:00am – 10:00am	An Overview of Human Impingement and Instability as Related to Concepts of PRI
10:00am – 10:15am	Break
10:15am – 12:00am	PRI Reference Centers Frontal Plane Persepctives on Compression
12:00pm – 1:00pm	Lunch (on your own)
1:00pm – 2:00pm	Interferences and Influences on Gait and Ground
2:00pm – 3:00pm	Calcaneal Impingement Right Calcaneal Eversion Upright Left Calcaneal-Vestibular Integration
3:00pm – 3:15pm	Break
3:15pm – 5:00pm	Left AIC and B PEC Foot Impingement and Patterned Issues

Day Two

7:45am – 8:00am	Sign-In and Light Breakfast
8:00am – 10:00am	Femoral Instability Forward Locomotor Movement Overview of Left AIC Pattern Influences on Transverse Plane Function of the Knee
10:00am – 10:15am	Break
10:15am – 11:00am	Pelvis Impingement
11:00am – 12:00pm	Left Pelvis Inlet Adduction Ground Stability Right Pelvis Outlet Adduction Ground Stability
12:00pm – 1:00pm	Lunch (on your own)
1:00pm – 2:00pm	Hip Impingement ASAF AMFA LSFA
2:00 – 3:00pm	Scapula Instability
3:00pm – 3:15pm	Break
3:15pm – 4:15pm	Right Scapula Function as Related to Ground-Sense (‘Ground-Push’) Scapula Thoracic Stabilization Related to Impingement & Instability
4:15pm – 5:00pm	Scapular Compressive Locomotor Movement Non-Manual Techniques

Calcaneal Impingement

Delahunt E. Neuromuscular contributions to functional instability of the ankle joint. Bodywork and Movement Therapies 2007;(11):203-213.
Dubin J. Biomechanics contribute to plantar fascitits treatment. Biomechanics March 2007;39-47.
Kirby KA. Rotational equilibrium across the subtalar joint axis. Journal of the American Podiatric Medical Association. Jan 1989; 79(1).
Lewis CL, Ferris DP. Walking with increased ankle pushoff decreases hip muscle moments. J. Biomechanics. 2008; 41(10):2082-2089.
Macrum E, Bell DR, et al. Effect of limiting ankle-dorsiflexion range of motion on lower extremity kinematics and muscle-activation patterns during a squat. Journal of Sports Rehabilitation. 2012;(21):144-150.
Makofshy H, Panicker S, Abbruzzese J, Aridas C, Camp M, Drakes J, Franco C, Sileo R. Immediate effect of grade IV inferior hip joint mobilization on hip abductor torque: a pilot study. JMMT 2007 15(2):103-111.
Richie DH. Treating ankle sprains with applied biomechanics. Podiatry Management. March 2001: 129-144.
Rothbart B. Vertical facial dimensions linked to abnormal foot motion. Journal of the American Podiatric Medical Association. May/June; Vol 98(3).
Rothbart, B. Malocclusions linked to abnormal foot motion. Positive Health. September 2008; Vol 151.
SanGiovanni T. Stabilizing pain. Biomechanics Jan 2006;22-32.
Terada M, Kosik KB, et al. Diaphragm contractility in individuals with chronic ankle instability. Med Sci Sports Exerc. 2016 Oct;48(10):2040-2045.
Terada M, Kosik KB, et al. Association of diaphragm contractility and postural control in a chronic ankle instability population: A preliminary study. Sports Health. 2024 Jan-Feb;16(1):19-25.

Hip Impingement

Azevedo DC, Paiva EB, et al. Pelvic rotation in femoroacetabular impingement is decreased compared to other symptomatic hip conditions. JOSPT. November 2016;46(11):957-964.
Bagwell JJ, Fukuda TY, et al. Sagittal plane pelvis motion influences transverse plane motion of the femur: Kinematic coupling at the hip joint. Gait & Posture. 2016;43:120-124.
Cibulka M. Sacroiliac joint dysfunction as a reason for the development of acetabular retroversion: a new theory. Physiotherapy Theory and Practice. 2013; Early Online:1-5.
Dandachli W, Islam S et al. The influence of pelvic tilt on acetabular orientation and cover: a three-dimensional computerised tomography analysis. Hip Int. 2013;23(01):87-92.
Domb BG, Sgroi TA. Physical therapy protocol after hip arthroscopy: Clinical guidelines supported by 2-year outcomes. Sports Health. 2016;8(4):347-353.
Elattar O, Choi HR, et al. Groin injuries (athletic pubalgia) and return to play. Sports Health. 2016;8(4):313-323.
Finnoff JT, Bond JR, et al. Variability of the ischiofemoral space relative to femur position: an ultrasound study. Physical Medicine and Rehabilition. 2015;7: 930-937.
Henebry A, Gaskill T. The effect of pelvic tilt on radiographic markers of acetabular coverage. AJSM Online PreView. August 27, 2013.
Hetsroni I, Funk S, et al. Femoroacetabular impingement syndrome is associated with alterations in hindfoot mechanics: A three-dimensional gait analysis study. Clinical Biomechanics. 2015 Dec;30(10):1189-93.
Kraeutler MJ et al. Increased prevalence of femoroacetabular impingement in patients with proximal hamstring tendon injuries. Arthroscopy: The Journal of Arthroscopic and Related Surgery, May 2019; 35(5):1396-1402.
Kwon HM, et al. Acetabular labral tear is associated with high pelvic incidence with or without femoroacetabular impingement morphology. Knee Surgery, Sports Traumatology, Arthroscopy. 2022;30:3526-3534.
Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther. 2006;86(1):110-121.
Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther. 2006;86(1):110-121.
Lewis CL, Loverro KL, et al. Kinematic differences during single-leg step-down between individuals with femoroacetabular impingement syndrome and individuals without hip pain. JOSPT. 2018;48(4):270-279.
Malloy P et al. Hip biomechanics during a single-leg squat: 5 key differences between people with femoroacetabular impingement syndrome and those without hip pain. JOSPT, Dec 2019; 49(12):908-916.
Martin RL, Enseki KR, Draovitch P, Trapuzzano T, Philippon M. Acetabular labral tears of the hip: examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006:36(7):503-515.
Masek, J. Femoroacetabular impingement mechanisms, diagnosis, and treatment options using postural restoration®: part 1. Sportex. March 2015.
Masek, J. Femoroacetabular impingement mechanisms, diagnosis, and treatment options using postural restoration®: part 2. Sportex. Oct 2015.
Masek, J. Femoroacetabular impingement mechanisms, diagnosis, and treatment options using postural restoration®: part 3. Sportex. January 2016.
Nicholls R. Intra-articular disorders of the hip in athletes. Physical Therapy in Sport, 2004.
Narvani A, Tsiridis E, Tai C, Thomas P. Acetabular labrum and its tears. Review of Br J Sports Med 2003;37:207-211.
Patel RV, Han S, et al. Pelvic tilt and range of motion in hips with femoroacetabular impingement syndrome. J Am Acad Orthop Surg. 2020 May 15;28(10):e427-e432.
Ross JR, Nepple JJ, et al. Effect of changes in pelvic tilt on range of motion to impingement and radiographic parameters of acetabular morphologic characteristics. Am J Sports Med. 2014 Oct;42(10):2402-2409.
Simoneau G, Hoenig K, Lepley J, Papanek P. Influence of hip position and gender on active hip internal and external rotation. JOSPT 28 (3) Sept 1998.
Zaltz I, Kelly BT, et al. The crossover sign overestimates acetabular retroversion. Clin Orthop Relat Res. 2013;471:2463-2470.

Scapular Instability

Kelly J. Scapular disorders stretch focus of athletic rehabilitation. Biomechanics 2007; 20-27.
McQuade K et al. Critical and theoretical perspective on scapular stabilization: what does it really mean, and are we on the right track? Physical Therapy. Aug 2016; 96(8):1162-1169.
Morais NV, Pascoal AG. Scapular positioning assessment: Is side-to-side comparison clinically acceptable? Manual Therapy. 2013;18:46-53.

Tibial Tendon Instability

Byrd, Thomas JW. Femoroacetabular impingement in athletes, part 1: cause and assessment. Sports Health July-August 2010. Vol 2(4):321-333.
Allen L. The functional foot. Advance July 2007; Vol 18:22-24.

Pelvic Instability

Isbit J. Nature knows best – health benefits of the natural squatting position. Jonathan Isbit 2008.

Laterality

Glick SD. Hemisyndromes: psychobiology, neurology, psychology. New York: Academic Press, 1983: pp 7-26.
McManus C. The origins of asymmetry in the brain, bodies, atoms and cultures. Weidenfield and Nicolson Ltd, 2002.
Tallis R. The Hand: A philosophical inquire into human being. Edinburgh University Press Ltd, 2003.

Sensory Integration

Burgess PR et al. Signaling of kinesthetic information by peripheral sensory receptors. Annu Rev Neurosci. 1982; 5:171.
Inglis T et al. The importance of somatosensory information in triggering and sealing automatic postural responses in humans. Exp. Brain Res. 1994; 101:159-164.
Koch C. The feeling of life itself. Westchester Publishing Services, 2019.
McGilchrist I. The master and his emissary. Hobbs The Printer Ltd, 2009.

Forward Locomotor Movement

McMahon TA. Muscles, reflexes, and locomotion. Princeton University Press. Princeton, 1984.
Perry J. Gait analysis: Normal and pathological function. SLACK Incorporated. 1992.
Killeen T, et al. Arm swing asymmetry in overground walking. Scientific Reports. 2018;8:12803.

Licensed Physical Therapists and PT Assistants

Licensed Occupational Therapists and OT Assistants (Classification Codes)

Licensed Chiropractors

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 for 15 contact hours 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 New York State Education Department, Office of the Professions. Approval valid February 18, 2022 – February 17, 2025.
Approved by the California Physical Therapy Association for 1.5 CEUs. CPTA#24-277. Approval valid August 13, 2024 – August 13, 2025.*Approval valid only for courses offered in the state of California & live stream courses. If you attend this course outside the state of California, you will need to submit an individual CEU approval application with the CPTA.*
Approved by the Texas Board of Physical Therapy Examiners for 15 CCUs for PTs and PTAs. Approval valid August 23, 2024 – August 23, 2026. Approval #79049TX.
Approved by the Illinois Physical Therapy Association for 15 CE Hours. Course Approval #205-9092. Approval valid January 1, 2024 – January 1, 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.

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 15 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.

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 15 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 & Conditioning Coaches Association (CSCCa) for 7.5 CEU’s. Since continuing education courses are not required to have pre-approval through the National Strength and Conditioning Association (NSCA), this course is not currently approved through the NSCA. NSCA certificants interested in completing this course may contact the NSCA to inquire about CEU eligibility.

Massage Therapists

PRI is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Provider number 451877-12. *Approval applies to select live courses only. This live course is approved. **Approval not valid for New York 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 universtity 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.

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.

Physical Therapists and PT 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 New York State Education Department, Office of the Professions. Approval valid February 18, 2022 – February 17, 2025.
Approved by the California Physical Therapy Association for 1.5 CEUs. CPTA#24-277. Approval valid August 13, 2024 – August 13, 2025.*Approval valid only for courses offered in the state of California & live stream courses. If you attend this course outside the state of California, you will need to submit an individual CEU approval application with the CPTA. *
Approved by the Texas Board of Physical Therapy Examiners for 15 CCUs for PTs and PTAs. Approval valid August 23, 2024 – August 23, 2026. Approval #79049TX.
Approved by the Illinois Physical Therapy Association for 15 CE Hours. Course Approval #205-9092. Approval valid January 1, 2024 – January 1, 2025.
Approved by the Minnesota Board of Physical Therapy for 15 hours. Course Approval #9649. Approval valid January 1, 2024 – December 31, 2024. *Approved for live stream courses only.

Occupational Therapists and OT Assistants

Chiropractors

Approved by the Minnesota Board of Chiropractic Examiners for 15 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.

Athletic Trainers

Strength and Conditioning Coaches

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 universtity 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.

Dan was a phenomenal presenter – he was clear, gave easy to understand examples, had some great analogies to explain how techniques help direct air flow, he stayed on time, and made the course fun. Out of all the PRI courses I’ve taken so far, I enjoyed I&I the most – because of presenter style and the material itself. Looking forward to the next one! | New York, NY, November 2024
Dan Houglum is excellent. He breaks down the complex PRI concepts in a very digestible way. He is up there with my favorite PRI speakers! | New York, NY, November 2024
Dan does a great job of presenting the material in an easily digestible way. |Live Stream – August 2024
This might be my new favorite course! The discussion of functional cord dominance and the neurological basis for all non-manual techniques was very helpful. I especially enjoyed the demonstration of how referencing one reference center over another during the same non-manual technique can accomplish two very different objectives. The detailed discussion of the role of the scapula during forward locomotion really tied all the primary course material together into one coherent concept. This is a very practical course that can be applied in the clinic immediately. Excellent presentation all the way around. |Live Stream – August 2024
This was my 5th course and one of my favorites thus far as it helped to tie in the primary courses and will help me to better treat various patients in physical therapy – treat the why and not just a bandaid. | Valencia, CA – March 2024
Dan was incredible. The reiteration of concepts and demonstration was amazing. | Valencia, CA – March 2024
I love the fact that he is a clinician treating patients. It makes him very relatable.| Live Stream-August 2023
This was simply the best course I have ever taken. I was able to implement and understand the content from the 3 primary courses much better. The reference centers will help me a lot in teaching my patients the non-manual techniques. Dan lived this course and delivered it perfectly. I am totally satisfied and would recommend ANYONE to take this course. It provides answers to many questions I have asked myself before. Thank you Postural Restoration! | Munich, Germany-August 2023
Dan did a great job of breaking down theory and helping us translate Ron’s way of writing/thinking. I&I was the big picture course I needed to organize the thoughts I had on the primary courses. | Munich, Germany-August 2023
Dan is an engaging, dynamic teacher who thoroughly explains complicated information well. He does a good job layering in examples. | Live Stream-January 2023
Dan is great! He helps bring everything (other courses) all together. Very thorough and repeats things frequently so that they resonate! | Live Stream-January 2023
Dan is an excellent instructor!! I really enjoyed this class as it starts putting the puzzle pieces together, wow! | Live Stream-August 2022
Dan is an exceptionally organized teacher and has an incredible ability to field questions without them interfering with the flow of the class. | Live Stream-August 2022
This course was outstanding. The concepts of impingement, instability, and integration truly rounded out my knowledge. I also feel much more confident helping my clients now that I understand how to get them to own their upright positions. | Live Stream-August 2022
This was by far my favorite course from PRI. I feel like my understanding and ability to use PRI GREATLY increased after this course. | Wellesley, MA-March 2022
Dan gave probably the best PRI lecture I’ve attended so far! | Wellesley, MA-March 2022
Very informative and Dan did a great job breaking down and making the information understandable. | Wellesley, MA-March 2022
This was my 4th time to take this class and although I’ve thoroughly enjoyed each rendition from the different instructors, this version taught by Dan Houglum really stood out. There’s so much material in this class but Dan managed to present it all with a common thread of compression and decompression. One highlight was an emphasis on the subscapularis in the scapular section – very insightful and extremely clinically relevant. | Live Stream, August 2021
So wonderful! Best course I have taken, and have so much appreciation for Ron’s beautiful cortex! | Fort Collins, CO-March 2020
Amazing course showing how cortical sense of compression allows us to properly alternate and reciprocate. | Fort Collins, CO-March 2020
Most comprehensive ‘connect the dots’ course. | Fort Collins, CO-March 2020
Awesome course, great clinical pearls! Tons of food for thought. Wouldn’t change a thing but could make this a weeklong course to totally dive into everything even more. Should be a requirement for PRC. (This is) stuff I should have been doing the whole time. | Aurora, IL-June 2019
Did a great job of filling the gaps from the primary courses. | Lima, OH-November 2018
Love, love love! Thank you for giving me the “special sauce” | Lima, OH-November 2018
This course has put so many pieces of the puzzle together. Great information and exciting to be better treating my patients now. | Lima, OH-November 2018
Can’t wait to do more! Very very engaging! | St. Louis, MO-September 2018
My favorite PRI course I’ve taken, really ties everything together. | Tucson, AZ-July 2018
These PRI courses continue to make sense out of “patterns” I have seen for 30 years and not understood. Thank you. | Raleigh, NC-June 2017
Definitely helped add the glue to seal together all the primary classes. | Philadelphia, PA-March 2015
Great course, Great Content, Great instructor! | Philadelphia, PA-March 2015
Very comprehensive – tied a lot of loose ends together for me! | Philadelphia, PA-March 2015
The best PRI course I’ve attended (all, at least once) – everything came together. | Prescott Valley, AZ-October 2012
Exceeded my high expectations!! Thank you. | Prescott Valley, AZ-October 2012
For a difficult topic – the class was really engaging. I picked up a lot of the advanced info I need to transition from foundational PRI. Thanks! | Prescott Valley, AZ-October 2012
Excellent way of presenting material in a fun way! | Salem, OR-October 2012
I am amazed that a course with less lab time than other classes was so engaging. Nice work with presentation! | Salem, OR-October 2012
Great job. Kept it light and easy to understand with plenty of photos and videos. Photos and videos extremely helpful. | Williston, VT-September 2012
Excellent course. Many moments of increased clarity. | Williston, VT-September 2012
This is my 3rd time taking I&I and I still feel like I learned more to strengthen my skills as a PRI therapist. Education never ends! The class has improved over the years with more detail given to prescription alternatives/goals and progression of more clinic application is always helpful. | Williston, VT-September 2012
It was great, really expanded my knowledge of Postural Restoration. | Brevard, North Carolina, June 2012
Great job as always! PRI has influenced my career beyond belief and continues to do so!! | Lincoln, Nebraska, January 2012
Very excellent course! Tied a lot of things together for me. | Lincoln, Nebraska, January 2012
Thank you, what I’ve been looking for, hopefully will change my practice. | Seattle, Washington, November 2011
The more I learn, the more it makes sense. | Seattle, Washington, November 2011
PRI is the only concept I believe, feel, and others get it too. All other, even the instructors who know the material live it. PRI is on the importance level with water, nutrition, air…This course (as well as TMCC) has helped tip my beliefs completely and allow me to live it. I love the statement of “You can’t be half-pregnant.” | Seattle, Washington, November 2011
Ron is such a wonderful, kind, enthusiastic speaker. It was a treat to learn from him. | Seattle, Washington, November 2011
Can’t wait to take more PRI courses; this helps apply previous classes. | Seattle, Washington, November 2011
PRI continues to connect the dots and improve applicability to patient care. Thanks! | Chanhassen, Minnesota, September 2011
This is an amazing course that really pull things together! Go PRI!!! | Chanhassen, Minnesota, September 2011
Amazing, unique, integrated approach which has been exceedingly effective in my practice. I look forward to applying the new paradigms. | Virginia Beach, Virginia, January 2011
Thank you for all of the work you do. You are great. Also, the class was really enjoyable. This stuff is addicting…I want to keep learning more. Also, please tell Ron thank you again for all of the hard work that he does to teach and educate us all. This has really changed the way I practice and came at a time I was becoming frustrated with limited outcomes and the PT profession. It has certainly rejuvenated me. So again, thanks for everything. | Lincoln, Nebraska, August 2010
Ron’s love and passion for PRI is addicting. It is much more exciting attending a course when he’s so excited to talk about it. | Bismarck, North Dakota, September 2009
Thank you for the Impingement and Instability course. I am glad you focused on the “system” and integrating it. I had an A-HA moment and now I’m looking for what I should inhibit and use to get patients into neutral without any manual techniques. It’s faster and easier to look for what to turn off and shut down to start retraining. | Minneapolis, Minnesota, October 2008
Thanks for all the time and work you do to allow us to learn and treat our patients as a whole “system”! | Minnepolis, Minnesota, October 2008
This course in some ways was more integrated than the Advanced Integration course. I found it very useful at “pulling” together a lot of ideas and concepts. The main concepts of calcaneal instability, patellar instability, pelvic instability and scapular instability are fantastic! | Minnepolis, Minnesota, October 2008
This course helped advance previous concepts and integrate treatment for very clinically relevant conditions! | Minnepolis, Minnesota, October 2008
This course made it very clear that instability anywhere in the body affects the “whole system”. | Minneapolis, Minnesota, October 2008
I would like to give a big thank you for a wonderful weekend. It was by far the most enjoyable class ever and I look forward to the next integration class in November. | Lincoln, Nebraska, August 2007
Ron – I wanted to express my gratitude to you for the help I gained by being a class case study. I have believed in PRI since I first sought help and as I continue to learn my faith in it’s principles is strengthened. I am convinced that my search for my own pain has benefit for every patient I see, as I apply my limited PRI knowledge. I look forward to learning and regaining pain-free movement as I study PRI more! Thank you. | Lincoln, Nebraska, March 2007

Course

Schedule

Date	Location	Faculty	Register
Jan 10-11, 2025 (Fri-Sat)	Live Stream	Dan Houglum	Tickets The numbers below include tickets for this event already in your cart. Clicking "Get Tickets" will allow you to edit any existing attendee information as well as change ticket quantities. Late Registration $ 655.00 78 available Quantity Quantity: 0 Total: $ 0.00 Course Has Been Confirmed
Aug 22-23, 2025 (Fri-Sat)	Live Stream	Dan Houglum	Tickets The numbers below include tickets for this event already in your cart. Clicking "Get Tickets" will allow you to edit any existing attendee information as well as change ticket quantities. Early Registration $ 605.00 98 available Quantity Quantity: 0 Total: $ 0.00 Course Has Been Confirmed

Course Registration

Registration is limited to ensure a low faculty to student ratio. 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.

Special Needs Requests

If you have a disability and require accommodation in order to fully participate in this course, please contact us at least two weeks prior to the course date or prior to purchasing any online home study course so that arrangements can be made.

Course Completion

The course must be attended in full, and an online course evaluation summary and short post-test (with a passing score of 70% or higher) must be completed in order to receive a certificate of completion. Certificates of completion will be emailed after the online course evaluation summary and post-test have been completed If you arrive late, or leave early, your certificate of completion will be adjusted for the number of CE hours you were in attendance. *For live stream courses, if you have your camera turned off (or you are not visible on camera) at any time for greater than 15 minutes, this time will be deducted from your total hours on your certificate of completion.

Cancellation and Refund Policy

Tuition is refundable less $50 if cancelled 14 days before the course date. Tuition is not refundable for registrations or cancellations within 14 days of the course. However, you may have someone attend in your place or attend on another date. If you choose to attend on another date, a $50 fee applies to transfer your registration. If you are a no show and we have no communication with you before the course you will forfeit your course tuition. PRI reserves the right to cancel a course and will refund the tuition fee only. *Please note: For Live Stream Courses, once course manuals have been shipped (or emailed to international attendees), there will be no refunds for cancellations.