Introduction to Orofacial Myofunctional Therapy Course Review

How improving tongue mobility can impact sleep and nasal breathing I hit a plateau. I was getting good results with many clients. I was making infrasternal angles dynamic, restoring hip flexion and extension, and getting ribcage mobility on fleek. Yet there were still some folks who I couldn’t get the symptom change they needed. Either they had really stiff necks, craniofacial issues, or difficulty sleeping. I knew I was missing something. Then I found myofunctional therapy. My buddy Joe Cicinelli, my myofunctional therapist, gave me some tongue exercises surrounding my tongue-tie release surgery, and I noticed some interesting changes with myself. My neck felt looser, I was sleeping better, and just overall feeling better. I decided to experiment and try a few activities here and there on some clients. With having only a rudimentary understanding, I started seeing some of those troubling cases improve. Necks were less tight. Sleep was improving, jaw pain was vanishing. I needed to learn more. That’s when I came across the Academy of Orofacial Myofunctional Therapy (AOMT) and saw they offered an introductory course. I was in. Four days later, a gap was filled. Having applied these techniques to several patients, many of those troubled cases were not so troubling. Although I was addressing airway with most of my treatments, I neglected the uppermost portions of it. The folks at AOMT give you that and then some. With this course, we deep-dived into anatomy, evidence, assessment, treatment, and business. You really get a total package

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Seth Oberst’s Stress, Movement, and Pain Course Review

Do you work with people who are stressed? Dumb question, right? Who isn’t stressed today? In fact, stress levels are probably at an all time high, and if you’ve read Robert Sapolsky’s work, is likely responsible for most of the conditions and maladies we face today. The question we must ask though is what role a movement professional has in helping someone mitigate stress? After attending Seth Oberst’s Stress, Pain, and Movement seminar, I think we now have an answer. Now I’ve taken a lot of courses in my day, and much of what I learned is the same poop, repackaged as different poop. That’s not to say that new perspectives aren’t useful, but most are looking at the same thing. Seth’s is the first class that I’ve been to in a hot minute where I had that feeling of “whoa, now this is different.” His approach looks at the struggles our patients and clients deal with through a very unique lens. To me, this course is the gold standard for learning just how problematic stress is for our patients, and what to do about it. Not only will you get an incredibly in-depth look at stress, autonomics, the nervous system, pain, and so much more, but you’ll learn some excellent methods to aid your clients in mitigating stress. I cannot recommend learning from Seth highly enough. If you want to attend, you can sign up here. While I won’t go into the great detail that Seth does on the brain,

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Lessons from a Cadaver Dissection

Y’all Wanna See a Dead Body? I remember my first cadaver dissection way back in undergrad. My first time seeing what the body “actually” looked like, not a two-dimensional representation. Exploring the human body via dissection left an indelible mark on my anatomical understanding. There is something incredibly salient about holding a human heart that the donors so graciously provided. It took my understanding to another level. I had a few other times in undergrad and PT school where I was able to study cadavers, but that was 8 years ago. My lens has changed. My biases have been altered. My appreciation for the human body and relationships is different. In PT school, dissection time is basically 75% fat removal, 20% separating structures, and 5% appreciating. Especially considering the primary objective is rote anatomical memorization for the test, you don’t get to take time and stop and smell the formaldehyde. You do what you gotta do to get that degree, fam. This dissection I got to participate in was hosted by University of St. Augustine. Without the pressures of PT school and better anatomical knowledge, the experience was worthwhile. A breath of fresh…well you know what I mean. It didn’t hurt that anatomical genius Daddy-O Pops Bill Hartman was in the heezy. We had pretty much free reign on these cadavers, which allowed see so many cool things, reinforce many ideas, and develop greater understanding of how to apply anatomy to our advantage. Realize that this post is horrendously biased.

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Pat Davidson’s Rethinking the Big Patterns Course Review

I recently attended a class put on my dear friend Pat Davidson, a phenomenal strength coach and lecturer out of NYC. I’ve had many thought provoking conversations with Pat over the years, but this was the first time that I got to hear him teach. And whoa is all I have to say. With his knowledge, speaking style, and adeptness at mixing theoretical and practical application, Pat is one of the most engaging speakers I have come across in recent years. Pat is one of those people that you have to check out. Period. ’nuff said. When he’s not moving heavy weight, you can find Pat on Facebook, Twitter, and Instagram. I’d also be remiss to not gave a shout out to Dave Rascoe for making the entire trip and course possible. You are a dear friend, and glad you reached out to me earlier in the year. I also must give a shout out to all the wonderful people who I finally got a chance to meet in person, including Lucy Hendricks (thx for helping me wake the sleeping giant called my right butt), D-Wil and Tom Cooper for the greatest training session of my life, Aaron Davis for sparking me to think about a wide variety of things, Brenda Gregory for #explaininglabs and being awesome, Paul Monje for teaching me about all things video , Teo for being the man, Patrick, Michael, and many more. Check out the video review below, and once you’ve done that, check out my notes.

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Resilient Movement Foundations Course Review

I recently had the pleasure of attending a class put on by my fellas at Resilient Performance Physical Therapy. I went to this course for a few reasons. First off, I of course support the home team. I can’t even front, Douglas Kechijian, Trevor Rappa, Greg Spatz, and I go way back, and are very much related through IFAST family and directly (Doug is my younger older brother, Trevor is my son, and Greg is my stepson #dysfunctionalfamily). That said, there is were a couple big things I wanted to take away from this course, which I did in spades: Mastering basic movement Program design In these two areas, the Resilient fellas delivered in spades. Knowing what good technique is in the basic movement patterns, how to coach, and how to regress, are all underappreciated topics that these guys teach quite well. So should you take this course? An emphatic hell yes. I give a more indepth review as to why in the video below, so go ahead and check that out. Once you got the verdict, check out my favorite takeaways in the course notes, and then for the love of God sign up for a course of theirs! Click here to check out the Resilient Seminar Page

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The Derek Hansen Speed Seminar

It turns out the Hamptons isn’t just a place to live large. It’s also a place where great learning can take place. That is exactly what recently happened when me and my boizzz arranged a 1-day seminar with sprint coach extraordinaire, Derek Hansen. For those who don’t know, Derek is one of the best sprint coaches in Canada, and had spent 10 years learning from THE Charlie Francis. He is a wealth of knowledge in many areas, but the course focus was on all things sprinting, speed, acceleration, and periodization. The setup we arranged was very unique. We watched Derek coach three different athletes on sprint mechanics, and watching the man work was quite remarkable. His ability to find the right cue, verbiage, and drill to attain improved sprint mechanics was remarkable. He is definitely an artist at his craft. Point being, if you get a chance to hear the man speak, do so. You won’t regret it. Without further ado, here are the notes. [Note – I am not the best sprinter in the world, so bear with me on the videos]

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Course Notes: PRI Postural Visual Integration: The 2nd Viewing

Would You Look at That It was a little over a year ago that I took PRI vision and was blown away. A little bit after that, I went through the PRIME program to become an alternating and reciprocal warrior. I had learned so much about what they do in PRI vision that I was feeling somewhat okay with implementation. Then my friends told me about the updates they made in this course. I signed up as quickly as possibly, and am glad I did. This course has reached a near-perfect flow and the challenging material is much more digestible. Don’t expect to know the what’s and how’s of Ron and Heidi’s operation. And realistically, you probably don’t need to. Your job as a clinician is to take advantage of what the visual system can do, implement that into a movement program, and refer out as needed. This blog will try to explain the connection between these two systems. If you want more of the nitty-gritty programming, I strongly recommend reading my first round with this course. Otherwise, you might be a little lost. Let’s do it.

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Course Notes: Explaining Pain Lorimer Moseley-Style

Why Weren’t you Here??!?!?!?!?! A late addition to the yearly course list, but a decision I will never regret.   Lorimer Moseley is one of my heroes in the pain science realm and I’ve always wanted to hear him speak. His teaching style—slow paced, humorous, filled with story, and unforgettable—really resonated with me and made his material so easy to understand. My admiration for him tremendously grew because he was readily admitting if he didn’t know something, critical of his own body of work, and very open to what we we do clinically. I got the impression that he was okay with us practicing how we wish, as long as our treatments are science-informed and coupled with an accurate biological understanding. I left the talk validated, reinvigorated, and better adept at educating patients. He put on one of the best courses I have been to. If you haven’t seen Moseley live or had the chance to interact with him, please do so. Let’s go over the big moments.

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Course Notes: PRI Cervical Revolution REMIX

Note: I made some errors on the first rendition of this blog that were corrected after speaking with Eric Oetter. Courtesy to him, Lori Thomsen, and Ron Hruska for cleaning up some concepts. Four Months Later When the Lori Thomsen says to come to Cervical Revolution, you kinda have to listen. I was slightly hesitant to attend since I had taken this course back in January. I mean, it was only the 3rd course rendition. How much could have changed? Holy schnikes! It is simply amazing what four months of polishing can do. It was as though I attended a completely different course. Did I get it all figured out? No. But the clarity gained this weekend left me feeling a lot better about this very complex material. This is a course that will only continue to get better with time; if you have a chance to attend please do. Let’s now have a moment of clarity.   Biomechanics 101 The craniocervical region is the most mobile section of the vertebral column. This mobility allows regional sensorimotor receptors to provide the brain accurate information on occipital position and movement. The neck moves with particular biomechanics. Fryette’s laws suggest that the cervical spine produces ipsilateral spinal coupling in rotation and sidebending. The OA joint, on the other hand, couples contralaterally. C2 is the regulator of cervical spine motion; much like the first rib regulates rib cage movement. C2 is also important for the mandible, as it balances the cervical spine during mandibular

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Course Notes: PRI Interdisciplinary Integration 2015

A Stellar Symposium Back in April I had the pleasure of finally attending PRI’s annual symposium, and what an excellent learning experience. The theme this year was working with high-powered, extension-driven individuals. The amount of interdisciplinary overlap in each presentation made for a seamless symposium. Common themes included the brain, stress response, HRV, resilience, and drive. These are things altered in individuals who are highly successful, but may come at a cost to body systems. If you work with business owners, CEOs, high-level athletes and coaches, high level positions, straight-A students, special forces, and supermoms, this symposium was for you. And let’s face it; we are both in this category! There were so many pearls in each presentation that I wish I could write, but let’s view the course a-ha’s. The Wise Words of Ron Ron Hruska gave four excellent talks at this symposium regarding high performers and occlusion. Let’s dive into the master’s mind. People, PRI does not think extension is bad. Extension is a gift that drives us to excel. Individuals who have high self-efficacy must often “over-extend” themselves. This drive often requires system extension. Extension is a consequence, and probably a necessary adaptation, of success. If this drive must be reduced to increase function and/or alter symptoms in these individuals, we have to turn down the volume knob. How can we power down these individuals? Limit alternate choices – These folks take a wide view of a task Set boundaries – These folks attribute failure to external factors Making initial

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Course Notes: PRI Cervical Revolution

Where are all the People? I recently made the trek to Vermont for the first rendition of PRI’s Cervical Revolution course; a course in which the attendees doubled the population of the entire state. It was nice to go to the class with a bunch of old friends. You always learn better that way, and I couldn’t have been more excited to get the band back together. And even more so, I got to meet a lot of good folks for the first time. It was a real treat. This course was meant to update the former craniocervical mandibular restoration course (which I reviewed here and here), with extra emphasis on the cervical spine and OA joint. In this blog however, I will not touch much on the cervical spine positioning. I still have several questions regarding the mechanics. Some spots within the manual seemed to be conflicting; the blessing and curse of a first run-through. I will update this piece once I get these points figured out. That said, the revolution helped fine tune the dental integration process for me. I have been working a bit with a dentist, and I have a bit more insight in terms of what devices they are using for whom. Let’s go through my big a-ha moments. Smudging 901 The human body is symmetrically asymmetrical. When we have capacity to alternate and reciprocate, we are able to separate the body into parts to form a whole. If you lack integration, then there are

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