As the temperatures were dropping in Lincoln this weekend so were the femurs on the infamous Hruska Adduction Drop Test. We warmed up quickly in lab restoring patterned pelvis’ to neutral. The attendees learned the value of this test in order to identify the position of the pelvis and to confirm the Left AIC pattern was present. About half of the group of ATCs in attendance worked in the MLB/MiLB and pro soccer worlds so we discussed Myokinematic Restoration treatment and how to implement it within training sessions. Getting our patients the 4 Rs: reposition, retrain, reciprocate, and REST is the ultimate goal when utilizing these myokinematic restoration principles and programs!
"I love everything about PRI and what it stands for. Thank you!" Indianapolis, IN
Posts by Kasey Ratliff
PT, DPT, PRC
The weekend in Valencia, Ca teaching Myokinematic Restoration was one for the books. The majority of the class were first timers to PRI which is always rewarding to be able to introduce PRI concepts such as inhibition, neutrality, and acetabulum on femur movement. Getting to teach with Jason Miller PT, PRC was a joy as well and having 2 clinical perspectives added great benefit. Locatelli Rao PT, PRC was an asset to have as a lab assistant and he brought tremendous value by helping the attendees hone in on their assessment skills. They learned the interpretation of the Hruska Adduction Drop test and spent time with the Hruska ADD and ABD Lift tests during lab. We discussed the “money muscles” to help inhibit the left Anterior Interior Chain (L AIC). The staff at Henry Mayo is nothing short of amazing and the facility is top notch!
"Virginia is for (PRI) lovers". The state slogan fit in perfectly this weekend at fellow PRC Julie Blandin's beautiful clinic, Thrive Proactive Health. Craig Depperschmidt, DPT, PRC and myself tag teamed teaching Myokinematic Restoration to a room full of PTs, ATCs, LMTs, personal trainers, a DC, and even a PA. There wasn't a dull moment all weekend and the energy was contagious from the attendees. Our first day was full of "learning the PRI lingo" and basics of the left AIC pattern as well as the influence it has on the position of the lumbo-pelvic-femoral complex. We ended the day with lab and using 5 tests to determine the position of the left and right pelvis starting with the Adduction Drop Test. The second day was up and moving (literally) as half of the day was spent in lab using the Hruska Adduction and Abduction lift tests to help determine treatment. We went through the myokinematic hierarchy techniques and inhibition techniques along with the rationale for each. All in all, it was an excellent weekend with PRI enthusiasists!
After almost a year to the day of the country shutting down, this course marked a refreshing beginning to some normalcy with teaching PRI Myokinematic Restoration again. We had at least 50 participants virtually with attendees in and outside of the U.S. ranging all the way from Canada, Slovenia, and the UK. We had 9 in person attendees that made the trek to Lincoln and served as the “models” for our myokinematic lab portion.
We began the first morning with didactic material learning all about the patterns of the L AIC. This included non pathology and pathology discussions in relation to the compensatory demands of the femur in the acetabulum. Respiration demands, underlying neurology and asymmetry helped to shape and understand the reasoning behind the L AIC pattern.
The weekend concluded with an ample amount of lab and hands on time, learning to assess position of the hip, compensatory findings, and frontal plane performance testing with the Hruska ADDuction test and Hruska ABDuction test. The attendees then went through myokinematic techniques to restore and retrain pathomechanics of the pelvis.
We had several thought provoking questions and the enthusiasm was great from the group and could be felt even virtually!
