Posts by Janie Ebmeier

Preparations for the upcoming Interdisciplinary Integration course are well underway. I interrupted Ron’s busy day to get his thoughts on how it’s going and what he is most excited about…

Foot Integration – Wednesday April 14th
It’s the first time that three health professionals with different backgrounds and perspectives will come together to discuss myokinematics of the active human foot; its pattern, perception and position.
For the first time we’ll look at…
1. right foot qualities and personality vs. left foot qualities and personality
2. ascending and descending issues – largely the result of the post course evaluations from last year and Bobbie’s input
3. muscle families reflective of Left AIC, Right BC, and R TMCC disposition
4. when you absolutely have to consider orthotics and when you don’t

Dental Integration – Thursday April 15th
It’s the first time a dentist will cover clinical concepts specifically designed for PRI therapists and aligned dentists! Click here to read how this year is different!

Vision-Vestibular-Integration – Friday April 16th
It’s the first time a speaker with years of experience working with PRI trained therapist will take PRI concepts to another level of vision!
I’m really excited after reviewing Dr. Edwards’ outline! This topic excites me more every year as we continue to build concepts of this perceptual issue and the influences of the eye on the neck. Click here to read the revised and soon to be printed outline that will offer attendees a FUN learning experience! It is sure to be a day we will reflect back on in the future.

Rest Integration – Saturday April 17th
It’s the first time we’ve had the opportunity to integrate activity with sleep and rest from a team who understands present and future treatment of the fatigued body using PRI integration!
Springtime brings warmth and new life and for us it also brings a unique opportunity for collaboration with other disciplines exploring PRI integration. For the first time a neuropsychiatrist and PRI trained physical therapist from St. Louis will teach a subject that is routinely discussed by PRC therapists across the country dealing with the need for rest, deceleration, system revival and rest-oration. I’m quite certain this St. Louis team will bring an influential perspective using manual and non-manual techniques and another level of how to relax the system.

There is still time to register! Mention this blog post to receive the early registration rate!

Posted March 31, 2010 at 3:36PM

QUESTION: Do you know if there have been any changes to the dental presentation or will it be pretty much the same as last year?

ANSWER: This year will be focused on PRI integration more than on dentistry.  Last year I had the presentation geared with a lot of info for dentists thinking we would have more dentists in attendance.  So this year I’m focusing more on what the PT’s can benefit from a dentist and understanding different training of dentists.  Also when to refer and when to wait to refer to a dentist.  We are planning on showing more case studies and hopefully a live evaluation by Ron and myself—possibly with a course participant.  In the case studies I’m asking the PT’s that co-treated to add their comments on treatment.  So my hope is that the course has more practical application for the PT.  Also, that they will be able to know what to look for in a dentist and let them know we will are planning the course in Oct for dentists to learn how to help the PT’s.  Hope this helps. - Dr. Hoefs

Posted March 24, 2010 at 3:51PM

Joyce Wasserman, PT, PRC is traveling through India and introducing Postural Restoration concepts. She has been kind enough to share with us her experiences…

“Since arriving at Christian Medical Center, CMC, I have given nine presentations, a combination of lectures and labs. I am pleased with how both theory and practical aspects of teaching are going. Today’s talk was about myokinematic dilemmas, or what to do, where to look when the basic techniques relating to the pelvis and hips is not enough to get results.

On Saturday, I presented Postural Restoration Institute concepts to about 15 physiatrists, doctors of rehabilitation medicine. People here work six and one-half days a week. By Saturday at 11:30 people are more than ready to go home and relax. The extreme heat doesn’t make it any easier.

Tomorrow I will teach the introductory PRI talk to the students. Some of them had heard about what I was teaching from the therapists, some were working in the electro-therapy unit and have been asking for me to help with their patients. Others had come to me with their pain problems. On subsequent days I will teach them the myokinematic tests. That is all I will be able to do in the few days I have left. For the main staff I have picked out five exercise techniques that they should do to keep the ability to move reciprocally and to reposition throughout the day.

PRI is a radical change from the therapy that is being practiced here. The expression “The crush of humanity” is taken to a whole different level here.  In the gym where both outpatients and in patients receive treatment it is hot, crowded, and noisy .It is not conducive to concentration. The therapists often give an exercise that the patient then does with the help of a family member. The exercises are simple, uniplanar, with no consideration to what muscles are substituting or if there is any control of proximal or distal segments of the body.  Machine treatment with a nod to a simple home exercise seems to be the norm. None the less certain patients who need more hands on care are routinely given to more senior therapists whose job it is to take more time with the patients for exercise or orthopedic PT techniques. It is with these more senior therapists that PRI can take hold.  I am making sure that they are learning as much as they can. Everyone is enthusiastic and pleasant to work with.”

Posted March 17, 2010 at 4:00PM

by Jen Poulin, PT, PRC

Today I received a call from a college student who lives in New Hampshire.  He was referred to me for consultation from a therapist in Omaha, NE who had treated this young man with PRI techniques while he was living in Nebraska.  The student currently goes to school at Wash U in St. Louis.  His parents moved to New Hampshire and he was home visiting his parents over spring break.  It was closer for him to drive to Vermont for treatment than wait until he returned to school and fly to Nebraska to seek PRI treatment.  I called his original therapist who now lives in Oregon to get some history on this young man’s hip problems prior to his appointment.  We collaborated on his case and had established continuity in his plan of care.  He was seen at Poulin Performance and I discovered his hip imbalances had reemerged.  I educated him on how to realign his hip and sent him back home to New Hampshire.  He will continue working with his therapist in Nebraska when he returns to school and now has made a connection via the PRI network in Vermont.  This is the strength of the PRI network and obtaining certification in postural restoration concepts.  I am seeing more and more patients from surrounding areas that do not think twice about driving to Vermont to seek care when other remedies have failed.  This young man felt comfortable driving the distance because of my certification and collaboration with a fellow PRC. 

Posted March 11, 2010 at 5:14PM

Jeffrey Banaszak, PT, CSCS, Founder and President of Back9Fitness® will be hosting our Myokinematic Restoration in Fort Worth, TX on April 24-25. Back9Fitness® is a recognized industry leader in golf fitness & performance. We are excited for the upcoming opportunity to collaborate with this organization. To read more about the integration of postural restoration with golf in an article titled The Biomechanical Link Between Low Back Pain and Golf written by Allen Gruver, click here. To learn more about Back9Fitness®, click here!

Posted March 10, 2010 at 5:18PM

We are excited for Dr. Edward’s upcoming presentation on Day 3 of our Interdisciplinary Integration course. Here is what you can expect…

Day Three - Vision Vestibular Integration
8-9 Do you see what I see?
              Pointers and banters from each professional point of view.
9-10 The Rock Star and the Back Up Band
              A rather nontechnical, but memorable introduction to the Ambient Visual System.
10-10:15 Break
10-11 Can you stand on your own? Or do you have a visual midline shift?
              An introduction to screening patients quickly and effectively for visual-perceptual problems that are preventing effective PRI treatment.
              Supervised, small group, breakout sessions will be integrated with demonstrations of various techniques for measuring visual midline shifts.
              An opportunity to thoroughly experience normal and abnormal posturing of the visual midline.
11-12 Spend Another $6 for Equipment and Have Some of the Most Memorable Therapy Sessions Of Your Life
              Further screening techniques for visual perceptual problems.
              Techniques for on-the-spot trials for amending the response of the visual system.
              Gauging the changes in PRI response and body posturing response.
12-1 Lunch (on your own)
1 – 1:30 Waking the Sleeping Giant
              Visual-perceptual neglect is more common than you think. Learn how visual-spacial neglect impacts patients with traumatic histories.
              Easy screening techniques for neglect.
1:30-2:30 Visual Fields - Can we accept what has been taught for a hundred years?
              Screening tests for the determination of visual field loss.
              Techniques for the rehabilitation of field loss in patients with stroke, TBI, brain hemorrhages, and neurotoxicity.
              Strategies for determining which fields are more receptive to rehabilitation.
              Application of acute care techniques to patients with long term field loss.
2:30-3 Okay, my patient needs an optometrist. What do I do now?             
              Resources for finding an optometrist.
              Key questions to ask when looking for the right optometrist.
              Examples of optometric referral.
3-3:15 Break
3:15-5 Have you ever seen this?             
              Case presentation of patients who have been rehabilitated with PRI and optometric referrals.

Posted March 1, 2010 at 5:28PM

As the Interdisciplinary Integration course approaches, we want to provide some timely input and updates.  Our speakers are excited about this event and are working on each of their presentations.  If you attended the course last year, you’ll see that the agenda has been changed for 2010 so that April 14th is unique in this way…

Ron will start the morning with an update on the influences on gait and foot mechanics from Left AIC, Right BC and Right TMCC patterns. Curt Johnson will then review anatomical and myokinematics of the foot followed by an introduction to the Left AIC patterned foot. In addition to pelvis influences on the Left AIC foot and vice versa, skeletal and muscular characterstics of each foot will be discussed in three independent planes during midstance, push off and heel strike phases of the Left AIC gait pattern. Dr. Paul Coffin will provide an update on biomechanical influences on gait and the lumbar-pelvic-femoral-tibial complex from the ground up. New this year is also a panel discussion for 2 hours after lunch.  The panel discussion will focus on the following:

1. What leg, ankle and foot issues can be treated successfully using only PRI non-manual techniques?
2. When can you successfully treat leg, ankle and foot issues using clinical materials such as scaphoid pads, heel wedges, shoe inserts, metatarsal pads, etc?
3. When are orthotics indicated and necessary to successfully treat leg, ankle and foot issues?
This panel will offer their individual treatment perspectives, theories and recommendations regarding some of the more common leg, ankle and foot patterned disorders and dysfunction.

Following the panel discussion, case studies and video analysis will take place. To end the day, Lori Thomsen will share her passion for shoe selection. She will discuss what to look for, consider and compare when choosing a shoe for PRI function. You won’t want to miss this day!

Posted February 5, 2010 at 4:22PM

We recently made a change to the Cervical-Cranio-Mandibular Restoration course schedule. The August 7-8 course in Lincoln has been moved to July 24-25. We hope this new date works better with your schedules!

Posted January 25, 2010 at 10:24PM

We received a request recently on a course evaluation survey that is perhaps a shared request by other course attendees. The therapist is looking for a more thorough understanding and appreciation for the use of balloons. Two Postural Restoration Certified (PRC) Therapists had offered insight on the subject a couple years ago and their comments are currently in our Advanced Integration course manual and are provided here…

The balloon blow facilitates MUSCLE ACTIVATION of abdominals which are flexors of the spine/trunk. Therefore it helps to facilitate MUSCLE INHIBITION of paraspinals. (Several of my patients say it helps shut off their back muscles which decreases back pain from hypertonic paraspinals.) The abdominal activation helps to oppose the diaphragm for efficient breathing and abdominals in general oppose all dysfunctional patterns (i.e. L AIC, R BC, PEC, R TMCC) so most people benefit from muscle activation of abdominals. The balloon provides a slowing down of the exhalation phase of respiration which is helpful for decreasing SOB and many other conditions (refer to basic physiology text books for the formulas on respiratory breathing rates) and it facilitates depression of ribs (which is good for ribs that are too elevated/externally rotated and lumbar spines that are excessively lordotic) which therefore increases the ZOA which is necessary for increased exercise tolerance, efficient respiration etc. The resisted exhalation also helps to increase the INTRA ABDOMINAL PRESSURE (IAP). This is needed for core/spinal stability. If a patient clamps off the balloon with any strategy, they essentially are augmenting the IAP that is required to be able to inhale again without loss of air in the balloon. If they don’t clamp it off, the increase in IAP is required of the ABDOMINALS and diaphragm via position/ZOA which is what we are after.
by Kyndall Boyle, PT, PhD, OCS

When you have the person create a seal using their tongue instead of pinching the balloon you:
1. encourage “up”/resting position of the tongue
2. encourage activation of left lateral pterygoid
3. create a negative space to restore the dome position of the soft palate (restoring ZOA in the cranium)
4. encourage obliques to stay activated during the pause at the end of the exhalation phase. 
If they pinch the balloon they will lose the zone, whereas if they don’t pinch the only way the balloon will not deflate is if they stay in the zone.
by Jeanna Viramontes, MPT, PRC

Posted January 18, 2010 at 10:37PM

2010 brochures will be mailed in about one week. In the meatime, you can click here to view or print an electronic version of the brochure. Now is a great time to start planning your continuing education for 2010!

Posted December 31, 2009 at 5:32PM
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