“Your disease doesn’t define your character” 


The Pulmonary Performance Institute’s (PPI) goal is to help people who are fighting a pulmonary disease by improving their quality of life through exercise.

Through our own research and in collaboration with other professionals (e.g., doctors, physical therapists, nutritionists, researchers, etc.),we believe that we can enhance the exercise training approaches for individual’s exercising with a pulmonary condition.

Exercising is an essential component to one’s quality of life, and we know how challenging it can be to simply put together one type of program or routine. At PPI, we aim to design programs by incorporating movement and exercise training techniques that have been backed by research and are specifically geared to increase strength and endurance abilities for individual’s with pulmonary diseases.

The combination of science and exercise application are key in the development and understanding of what fits best for each individual.We understand that everyone is different and that everyone has unique goals. Our mission is to help facilitate your understanding of what type, duration, and frequency of exercising best fits you and your lifestyle, in order to help you create a program that you would like to accomplish to ultimately improve your quality of life.

Exercise Consults

Exercise Consults are individualized appointments with an exercise physiologist. The exercise physiologist will answer any exercise related questions that you have. We currently do not give out nutritional advice, and recommend you talk with your clinical dietician.

The calls will last 20-30 minutes long.


One of the hardest parts about training is finding a program that best fit your goals based on your life and career. PPI’s online training programs are developed based on the person, what they are trying to accomplish. Cookie cutter programs that are given out to multiple people will not effectively help you reach your goals, because everyone is different. Everyone has different goals, everyone is built differently, and no one lives the same life.

At PPI we set up an initial exercise consultation to talk with you to see what you like to do and where you are trying to get. Our goal is to better understand who you are, so we can help you on your exercise journey. All our online programs are customized based on the individual and their medical history. Throughout the training we set up check ins to go over your program. This allows us to update it based on how you are doing. The programs come with videos and descriptions of the exercises to give you the ability to look back through the exercises and self-correct accordingly. The goal is to get to the point where you do not need us anymore, and you feel confident that you can put together your own workout routine based on your goals.

What the program consists of:

Pre and Post Testing

4-Week Program

Exercise Coaching Support

Exercise Videos

Online Training Overview

We will set up a 30-minute consultation. After the consultation we will send you a questionnaire pertaining to your past training history, medical history, your goals and how much time you have to commit to your training. From there we will have you send us postural photos, a video of you walking, as well as some pre muscular endurance and strength test. Once we have looked at all the information, we will put together a program that address your goals; this could include soft tissue work, postural and respiratory control exercises, dynamic flexibility, stability and/or mobility exercises, strength, endurance and  cardiovascular training. Once you have received your program we will set up a phone conversation to go over it. After the first week of completing the program, we will set up another phone conversation to make any adjustments needed and then check in on the 4th week to see how everything is going.

Speaking engagements

Are you interested in having PPI present at your next conference or meeting? With experience in both exclusive and public event presentations, PPI will provide your audience with research, technology and influence like no other organization. 

For more information and to inquire about booking, contact us.


1009 2nd Street

San Rafael, CA 94901

Intrinsic motivation is something that develops over time. Kids don’t yet have the cognitive abilities to grasp the concept that, “exercising is good for physical and mental health.” The understanding that by “doing something good for your body now, your future self will thank you,” is far too abstract. Kids don’t live for the future, they live for the here and now.

By the time children are in high school and/or go through puberty, those high order thinking cognitive processes begin to develop. However, social obligations and a sense of figuring out one’s own identify often trump the desire to be consistently active for one’s own physical and/or mental health purposes.

Sports certainly help, as they play a role in encouraging healthy competitiveness within oneself and others, as well as promotes team building and social opportunities that child and young adults actively seek out. However, not every kid plays a sport or has the health opportunities to actively participate in one. So, how do we encourage motivating?


There are two types of motivation: intrinsic motivation and extrinsic motivation. Some will say, intrinsic motivation is ideal because it creates long lasting effects on one’s drive and purpose to reach a goal. The definition of intrinsic motivation is, “behavior that is driven by internal rewards.” Extrinsic motivation is the opposite. Extrinsic motivation is defined as, “behavior that is motivated to perform an activity to receive an award or avoid punishment.”


When starting to increase your child’s motivation to exercise, extrinsic motivation is the “easiest” way to go. When young, a child/teen is beginning to develop his/her own sense of motivation and enjoyment from exercising, something that is not going to happen overnight. Fortunately, exercising regularly will naturally contribute to developing intrinsic motivation, as it increases the feel-good happy chemicals in your brain (serotonin, dopamine, endorphins). But, habits do take time, so here are three tips to increase your child’s motivation to exercise!

  1. Reward System

There are often mixed reactions to implementing a reward system. However, a reward system is not something to frown about when working on establishing a foundation for positive behaviors. Research has shown that children respond better to positive reinforcements than they do to negative reinforcements.

How to begin a behavior reinforcement plan:

  • For children ages 7-12: Make a personalized goal tracker with your child. For example, if want your kid to do something physically active 3x a week, create a page with three boxes per week to check off after each workout (e.g., can use stickers, a drawing, a penny, etc.)
  • For children 13 and older: they can often keep rack on their own, and independence is key for teenagers and young adults.
    • Each workout = 1 point.
      • It is up to you to decide how often a reward occurs and what the reward will be.
      • Reward types: with your child’s help, create a list of 5 items/things that might be motivating to earn. For example, 30 minutes of a favorite show, a new toy or “surprise box,” staying up later one night a week, choice of a favorite meal for dinner, a new book, etc. The possibilities are endless!
  1. Social Opportunity

As an adult, performing 15 reps, 4x on one exercise is manageable. Our attention is longer. We enjoy isolation more. We have intrinsic motivation or tangible goals set for ourselves, like losing weight. However, children and young adults are heavily socially dependent with shorter attention spans. Their worlds thrive around social opportunities, So, make physical exercise a social experience. Workout with your child, put on a YouTube video and together and complete 30 minutes. Put on your child’s favorite music on in the background and encourage your child to work out for 20 minutes (set a timer). One time a week (or more) invite a friend or sibling, make it an event that can be done inside or outside, and make it fun.

  1. Bring back Play

Which brings us to our third tip: Bring back play! Even if you have a teenager or young adult, play is important to developing a positive attitude towards physical exercise. Play can consist of hiking with friends or family, trying a new activity in your community, and generally, reducing the strict structure around exercise that children and young adults often try to escape as they build independence and autonomy. A majority of the time, exercising can consist of structured exercises catered around a specific goal, however, a few times a month it’s important to switch it up and encourage exploring of physical exercise through unstructured (play) opportunities.



















1009 2nd Street

San Rafael, CA 94901