Posts by Ron Hruska

Each of the PRI courses take on a personality, over time. Of course this personality can be modified by the speaker who is presenting or the people in attendance. After presenting the Myokinematic course material a few weeks ago, I realize how important our basic courses are and how important they are in providing the ground and foundation for all the other courses. I also appreciate, now more than ever, the need for guidelines and boundaries from each of our courses and each of our speakers. The one course that provides the most clinical guidelines and references for system flexion maintenance and symmetrical integrity, is the Impingement and Instability course.  This course offers historical reference and allows the attendee to reflect on those events that shaped and developed their “check” points and stability limits.

When I was young, I would occasionally walk the railroad tracks to town. I would see how far I could go, placing one foot in front of another on a steel non-ending beam, before I would fall off. I would never quite get over the bridge however, walking on one rail. There is something about a train rail, going across a bridge, that would always throw my calcaneus and foot arches off in my worn leather high top farm shoes. I learned early that vision influenced the foot and balance. When your system wobbles the feet become marbles. 

I also will never forget how nervous my wife and I were when we let our oldest daughter finally ride her bike around the block without us. This seven year old took off and was never to cross a street. A maiden voyage. At the first corner there was the big oak tree that we walked and rode around many time prior to this sole expedition. At the second corner there was the dilapidated boat and at the third corner there was the fire hydrant. Will she remember the oak tree, the boat and the hydrant? Although I am not as nervous about my patients ability to remember the left hamstring, the left adductor or the left gluteus medius as I was for my little girl’s safety around her block she lived on, I am pretty nervous when a patient can’t feel these muscles or their left ischial tuberosity. 

After attending a wedding reception this weekend I reflected on the biblical story on how God created a woman from a man’s rib. A rib! What a wonderful guidance center. (I wonder if a left one was used or a right one. Can’t wait to ask.) None the less, the ribs are attachment sites for highly integrated abdominals, scapulas and diaphragms.

Aren’t door ways great? We occasionally run into them, hit them inadvertently, close the door hard on them when we are mad, etc. and without them we could never enter a room. They provide contact boundaries in the middle of the night and guidance for a closing door, just like our anterior and posterior hip capsules. When we slam into them we know it.

Rail road beams, city block markers, ribs and doorways all have personalities. They direct our attention, are an allusion to an occurrence or a situation, and indirectly in some cases, and directly in others, become pointed and meaningful, just like the posterior calcaneus, the middle arch of our feet, the ischial tuberosities, the lateral abdominals and the hip capsules. Thank God we have them, other wise we would be in “time out” because of the inflammatory process would constantly take over and situational instability would be inherent. These life long reference center personalities need to be recognized and correctly used regularly. When did you check in with your reference centers, and when did they check you?

Posted February 21, 2012 at 4:53PM

It’s raining here in Nebraska and as I walk on the slippery, wet surfaces I can’t help but reflect on how our patient’s must feel when they can’t feel their heels strike or sense what centering over a lower extremity is all about, because of uni-planar learned behavior and lateralization in their attempt to move without falling.  What a difference left heel strike made on the waterlogged path I was on this morning.  I could walk from place to place and dodge the wettest surfaces without locking up my back, my knees or my spatial perspective.  I feel blessed to understand the importance of left AF IR and right trunk rotation so that my reciprocal respiration and peripheral vision can remain peripatetic. 

Posted May 20, 2011 at 8:19PM

After having countless meetings, integrative discussions and patient co-assessment and co-treatment interventions with Dr. Heidi Wise and Dr. Bob Edwards, I thought I would give an overview of the upcoming Annual PRI Interdisciplinary Integration course being held in April. Dr. Wise, Dr. Edwards and I are excited about interacting together and with you as we cover up-to-the-moment clinical advances and evidence-based successes in improving visual functional integration, using PRI positional and neurological principles. We will discuss and demonstrate how neurological input and output to the eye interacts with vestibular, postural-related autonomic function.

For the PRI Therapist, attending this course will help you assess a patient who is having difficulty in achieving or maintaining neutrality. We will offer an overview of the autonomic system, spatial awareness, binocularity, visual accommodation, orbital orientation, and patterns of postural adaptation resulting from the asymmetrically challenged vestibular system. This is an excellent opportunity to learn how eyewear can help or hinder a PRI intervention. Additionally, patient management strategies to facilitate visual integration will be presented, including PRI program sequencing to maximize integrated outcomes.

For those of you who know me, you know I’ve had a passion for the eye for a long time. The eye is integration. Our balance, our reference centers, our autonomics, our spatial patterns, and our learned behaviors are all reflected and revised by the visual system and visual cortex. This course will address this descending input and cortical interference by identifying ascending treatment intervention limitations and ruling out other system influences.

This course will identify up-to-date clinical information on global-orbital and orbital-global mechanical patterns, frontal plane limitations of the head and neck on the thorax as a result of visual influences on the sagittal and transverse planes, and postural imbalances as a result of visual-vestibular (spatial neglect) challenges. These include influences of un-corrected or corrected astigmatism on orbital position and ocular muscle, and autonomic-accommodation on system extension.

The three days will offer anyone with an interest in vision or the vestibular systems an opportunity to learn how basic cranial, cervical and thoracic mechanics can be influenced not by what we see, but by where we have to put ourselves to see it. Achieving neutrality can be frustrating for a PRI Therapist if neutral vision is restricted. Future PRI Vision-trained optometrists will understand how to use the visual system and ocular kinematics to achieve a balanced, neutral oriented visual system. This futuristic integrated-minded course will offer all participants an opportunity to become active in this PRI Vision process. I’m very excited about it! - Ron Hruska

Posted February 14, 2011 at 8:56PM
Categories: Courses

"As the Postural Restoration Institute (PRI) approaches the end of its first decade the staff of PRI, Postural Restoration Certified (PRC) therapists, and I, are often asked about the history of PRI. It’s an Institute that is truly built around 30 years of clinical practice associated with re-occurring successes of specific patient treatment programs. Consistent evidence-based correlations, discovered with patient biomechanical, respiratory and neurological functional patterns, as well as predictable functional limitations, allowed us to establish reproducible outcome based programs". Read more…

Posted August 13, 2008 at 5:06PM
Categories: Clinicians
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