Posts by Ron Hruska

This is one title of a slide from the many that Susan Henning will use to present historical perspectives and current overviews on how to slow, halt, or reverse spinal curve progression. She has a strong experienced-based background on this subject and her presentation is already preceded by her clinical passion and genuine caring personality. Susan’s willingness to share her story about two complimentary programs in a manner that will help you better explain to a young person the reason for curve patterns and “trunk changes”, is a gift to us. I know no other person like Susan, that can facilitate a proprioceptive, kinesthetic, and respiratory self awareness attitude or a self-correcting program like Susan can. This, in my opinion, will be the hallmark of our 2014 symposium!

Registration is still available for the upcoming 6th Annual Interdisciplinary Integration Symposium, being held April 10-11, 2014. CLICK HERE learn more and get registered today!

Posted March 25, 2014 at 6:29PM
Categories: Courses Clinicians

After reviewing Emily's presentation material, attendees will learn how to drive their diaphragm and therefore control both gravitational forces and barometric forces. This physical therapist and yoga teacher will explore the ancient concepts and modern application of yoga breathing techniques (pranayama) to help the PRI clinician fully experience and appreciate the power of the diaphragm contraction. She will offer guidance and suggestions that can immediately be implemented into a client's work out program to maximize respiratory and performance awareness. I can't wait for this uplifting two hour talk!

There is still space available for the 6th Annual Interdisciplinary Integration Symposium. To register, CLICK HERE!

Posted March 21, 2014 at 1:00PM
Categories: Courses Clinicians

In May of 2006, I taught a Postural Respiration course in Tulsa, Oklahoma.  I met Julie Hereford for the first time at that course and was in awe of her knowledge on the subject of sleep.  She was asked to be a presenter at the 2010 PRI Interdisciplinary Integration Symposium and along with Dr. J. Paul Rutledge, they introduced sleep to us like no one had before.  Dr. Julie Hereford, PT, DPT has now published a book that will provide rehabilitation professionals with a source of information that will help them gain a better understanding of sleep and its impact on the rehabilitation process.  If you want to know how sleep can increase cortisol levels or reduce glucose tolerance or increase sympathetic nervous system activity, you will enjoy this read.  Dr. Hereford has always been an advocate of sleep being tied to consolidation of motor learning.  “It follows that dysfunctional sleep may interfere with the ability to incorporate particular restorative movement patterns that are learned and practiced during a rehabilitation session unless the appropriate stage of sleep is achieved within a specific time frame.”  I believe the reader and clinician will not be disappointed with any of the four sections of this book and will be introduced to disordered sleep as it relates to systemic challenging disease and dysfunctional patterns.  Therefore, Sleep and Rehabilitation: A Guide for Health Professionals is a must for book shelves of those who appreciate the need for sleep and its intricate effects on performance.

Posted February 25, 2014 at 7:47PM
Categories: Clinicians Books

A PRI course attendee, Lilla Marhefka sent me this recent article on the right diaphragm function in subjects experiencing chronic low back pain with structural spine disorders and in those who have no history of low back pain or structural disorders (control group). Diaphragm motion and shape was recorded from MRI recordings when postural demands on the body were increased (hip flexion demands were increased). A statistical analysis showed that the diaphragm respiratory and postural changes were significantly slower, bigger in size and better balanced in the control group.  When a load was applied to the lower limbs, the pathological subjects were mostly not able to maintain the respiratory diaphragm function, which was lowered significantly. Subjects from the control group showed more stable parameters of both respiratory and postural function. In their conclusion, the researchers state that the facts also support the ability of the diaphragm to play a key role in maintaining the good stability of the trunk. It is also important that they were able to separate the phases of diaphragm movement.  Postural motions of the diaphragm could predict dispositions to vertebrogenic problems or could help when seeking to correct these problems. This is an excellent research study that supports PRI philosophy and principles. Thank you Lilla!

Posted May 29, 2013 at 9:35PM
Categories: Articles

Lucy McKee, who is currently in one of her final physical therapy clinical rotations at the Hruska Clinic did a wonderful job of explaining how Postural Restoration is evidence based in our treatment approach with the A-B-A single subject experimental design in her recent blog. I couldn’t agree more with Lucy, and her patient case examples are great. CLICK HERE to read more about why testing and re-testing is so important in our assessment and treatment!

Posted April 5, 2013 at 7:23PM
Categories: Clinicians

This week’s featured speaker for our 5th Annual Interdisciplinary Integration Symposium is Ken Crenshaw. A native of New Mexico, Crenshaw graduated from New Mexico State University with a degree in sports medicine and worked as an athletic trainer in the Pittsburgh Pirates organization for three years and as the strength and conditioning coordinator with the Atlanta Braves for four years before heading to Tampa Bay for 10 years. In December 2005, Crenshaw was named the Head Athletic Trainer for the Arizona Diamondbacks. He is a certified member of the National Athletic Trainers Association and the National Strength and Conditioning Association.

“After meeting Ken Crenshaw in 2008, at an educational course that I presented to his staff, he sent me an article written by Pavel Kolar, a mentor of his and mine. Since that time, he has sent me several articles and emails on everything from the diaphragm to neurology as it relates to stabilization and integrating function. He has so much experience and wisdom. What were we thinking when we scheduled him to speak for only 2 hours?” - Ron Hruska

For more information and to register for this upcoming Annual Symposium, in which this year’s featured topic is Athletic Performance, CLICK HERE!

Posted March 26, 2013 at 7:48PM
Categories: Athletics Courses

As a physical therapist who understands the problems and symptoms associated with low backs that are too extended or too deep, I feel troubled and uneasy when I see people with such extended backs.  I find myself wanting to go up to strangers and persuade them to schedule an appointment with anyone they professionally trust, to help them understand what they can do to reduce the urge, need, or reason for arching their low back too much.  Maybe I am just getting old, but I believe this is an epidemic.  I travel a great deal, giving courses to physical therapists, occupational therapists, massage therapists, dentists, optometrists, etc. on Postural Restoration® and I see this extension epidemic, everywhere.  Of course I have a cognitive bias toward those with deep backs, but again I really believe a significant amount of our respiratory, endurance and musculoskeletal issues arise from those who innocently do not know how to stop extending their backs.

We have professionals in our world today who do know how to help you reduce this extension.  The only requirement, “you” have to ask for that help.  The question you need to ask them is, “Can you help me or help me find someone who will help me learn what I need to do to reduce my back extension?”  These professionals exist; they may be a physical therapist, a massage therapist, a yoga instructor, a personal trainer, etc.  Reach out and extend your search for these people so you can feel better and live with a body that is not fighting itself.  By extending this inquiry, your back extension and everything reflected by it should reduce, such as your possible back and neck muscle tightness, your irritability, your sleeplessness, your hip pinch and knee pain.

As humans we need other humans for help when our knowledge, education and ability is limited.  Those who have as much passion as I do to reduce patterned and asymmetrical extension of the back are usually willing to integrate your daily activity in a highly demanding and physically challenging environment through “your” ability to do so.  If you can’t find these passionate professionals, consider calling someone at the Hruska Clinic for consultation. They are physical therapists that will always keep your best interests and capabilities in mind and may actually need to consult with other professionals to reduce your extension.  “Extend” this search today, so that you do “not need to extend” tomorrow.

Posted March 18, 2013 at 8:30PM
Categories: Clinicians Science

This week’s featured speaker for our 5th Annual Interdisciplinary Integration Symposium is John Cook. Cook is entering his 13th season as the head volleyball coach at the University of Nebraska –Lincoln. Prior to becoming the head coach at Nebraska, he was the head coach at the University of Wisconsin. Cook also has Olympic and championship experience in his coaching resume. During his tenure at Nebraska, I have had the opportunity to work with John and his team as the Biomechanical Consultant for the University of Nebraska Volleyball team.

“What goes on behind any successful athletic program is leadership. For the last 13 years, I have had the good fortune to work with John Cook, his coaches, support staff, and the team of individuals that have made the volleyball athletes he develops well-rounded, disciplined and ‘complete’. John’s passion for interconnectivity will ‘fire up’ the course attendees on the morning of the second day. Get your seat early!”

Posted February 25, 2013 at 3:25PM
Categories: Courses Athletics

“This course was a good course from a standpoint that there were beginners, intermediates and veterans of PRI in the room - which is a blessing for everyone in attendance, including the speaker! The attendees in the room who were still trying to put the “pieces” together really helped strengthen the Guidelines for Right BC Treatment document. These suggestions and recommendations have been recognized and will benefit all future course attendees. Thank you Sioux Falls for a great weekend!”

Posted January 31, 2013 at 4:26PM
Categories: Courses

Recently, two PRC therapist’s spent time integrating with and educating groups of dentists across the country. Mike Cantrell, MPT, PRC presented at a Dental Conference in Atlanta, GA in November, while Kathy Johnson, PT, PRC recently had the opportunity to spend a couple weeks at the Pankey Institute in Florida, serving as guest faculty for their TMD II course. Kathy provided this blog entry on New Opportunities for Interdisciplinary Integration. Kathy’s comments in this blog reflect the openness many dentists have regarding the need to balance oral function and posture. The neck and the mandible compensate for functional malocclusion, just as the teeth accommodate for cervical-cranial unilateral patterns of function. Without obtaining, recognizing and achieving cervical-cranio-mandibular neutrality, as the neuro-muscular adaptation to unfamiliar occlusion is established, both the dentist and the physical therapist outcomes will be challenging at best. Maintaining a PRI reference between offices is highly recommended. These two professions have so much in common where and when neuro-muscular position and postural influences are considered. Thank you Mike and Kathy for your efforts in integrating PRI with these groups of dentists! - Ron

Posted January 2, 2013 at 6:22PM
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