Posts by Bobbie Rappl

We just wrapped up a fantastic week here at PRI!  On behalf of myself, Janie, and Ron we would like to thank everyone involved in the Interdisciplinary Integration course.  The course turned out to be a huge success and was full of valuable, clinical information that I’m hopeful those in attendance can use in their own practice.  We are already discussing next year so stay tuned!

Posted April 19, 2010 at 4:44PM

Check out Lori Thomsen’s first video in a 3 part series that discusses activity to perform in the sagittal, frontal and transverse plane.  In this video, Lori goes over the importance of squatting before and after running.  For those of you that don’t know Lori, she is an avid runner herself.  She is very passionate about the sport of running and making sure runner’s remain injury free.  Lori will be a speaker during the Foot Integration course scheduled for April 14th.  She will be presenting on the “Selection of Proper Footwear”.  Take a look at her video HERE!

Posted March 31, 2010 at 3:40PM

“Competing with Stress and Aging and Winning” is the seminar Ron Hruska is a part of at the University of Nebraska-Lincoln coming up in May.  Ron will be presenting with several other individuals including Coach John Cook, Dr. Tedd Mitchell, Coach Bo Pelini, Todd Whithorne, Joe Moglia, Coach Tom Osborne, Dr. Larry Widman and Dr. Todd Stull.  This conference will be discussing the effects of aging and stress on middle aged men and how to overcome this process.  Ron Hruska will introduce a “Four Step program to Enhance Diaphragmatic Power”.  The information presented in this seminar will also be disucssed in our Rest Integration course on April 17th. 

Posted March 30, 2010 at 3:42PM

“The Origins of the Left and Right Brain” found in the Scientific American Magazine is a must read!  This article was introduced to us by Joe Belding, LPT, PRC.  This article offers some fascinating information on how the left and right hemispheres have developed in humans and animals.  “The authors have proposed that the specialization of the brain’s two hemispheres was already in place when vertebrates arose 500 million years ago”.  To read more about this article, click here!

Posted March 29, 2010 at 3:45PM

This is the latest book that we have spotted Ron carrying EVERYWHERE with him.  Following the Cervical-Cranio-Mandibular Restoration course last weekend in Fargo, North Dakota, Ron purchased this latest book on the Brain.  You can understand why he hasn’t put it down when the first sentence he read was this:

With the Interdisciplinary Integration course fast approaching, this book couldn’t of been released at a better time!  If you are interested in attending this course or would like to learn more about it, CONTACT US!

Posted March 25, 2010 at 3:49PM

Check out Lori Thomsen’s latest video on the importance of hip shifting with gait!  Click HERE!

Posted March 24, 2010 at 3:55PM

We have moved the course scheduled for May 1-2 in St. Louis, Missouri to Loveland, Colorado!  If you are in the Loveland area, you’ll be happy to know that we will be there presenting Postural Respiration on May 1-2!

Posted March 21, 2010 at 3:56PM

Check out the latest video by Lori Thomsen, MPT, PRC on the importance of glutes while running!  You can view it HERE!

Posted March 16, 2010 at 4:03PM

We received this great question last week from a clinician who has attended a PRI course.  He brought up an interesting perspective…

During a conversation with a colleague a confusing issue came up.  PRI stuff is interesting and one of the things that is most interesting to me is that they pretty much say “everyone has this presentation” (left anterior, tension in right hamstring, anterior tilt, etc…). If you have ever read Wolf Schamberger’s “Malalignment Syndrome”, he actually talks about the most common presentation being people anteriorly rotated on the right, posterior on the left - which is opposite to PRI’s thought process.  Who is right?  I think it is okay to notice trends (I have actually seen more people fall in the presentation from the Malalignment Syndrome - anterior rotation on right), but to group everyone into the same presentation is a bit strange.

It’s all a matter of perspective, which is what PRI challenges the most.  Humans lateralize their center of gravity to the right more than to the left because of many objective reasons.  If one establishes a neuromuscular pattern of stable, secure foundation through the right lower extremity, utilizing the right vastus lateralis, right hamstring, right adductors and right gluteus medius, you will find an anteriorly positioned or oriented innominate on the right.  Subsequently, the left ASIS may “feel” more anteriorly rotated on the left and possibly the evaluator may “find” the right innominate more posteriorly rotated on the right.  Inter-rater reliability in these situations, without further integrated objective testing is poor at best.  In this case, in standing, the evaluator would find more lumbar-thoracic lordosis on the left. 
If one becomes lordotic bilaterally, as often is seen with those who are tight and over-active with their posterior exterior chained paravertebrals (PEC patients) the right and left innominates move in an anteriorly rotated direction around the frontal axis going through both central acetabulums.  Discussing axis of the sacral rotation complex, varies in every individual and has no validation in today’s research.  This individual will now need to begin moving the left innominate out or externally rotated it around the vertical left SI axis to offset weight distribution to the right, resulting in:

Hyperactive right quadratus lumborum activity
Hyperactive left gluteus maximus and TFL
Hypermobility and possible laxity of left pubefemoral and iliofemoral ligament and soft tissue
Inhibition of left adductor and hamstrings
A left ASIS that feels “posteriorly” rotated compared to the “anteriorly” rotated right innominate

I am fairly certain, this compensatory activity associated with the human characteristic pattern of bilateral innominate anterior rotation (lumbar-thoracic lordosis) is what the “Wolf Schamberger’s Malalignment Syndrome” is all about.
Again, it’s all about perspective, position and pattern of the tester and the tested.  Please realize that palpating ASIS’s and PSIS’s of those in sitting, standing, on one leg, supine, etc all result in various, ambiguous outcomes…a whole different discussion and set of circumstances. 

Posted March 15, 2010 at 4:06PM

Over the past 10 weeks we have had the privilege to work with an incredible illustrator, Elizabeth Cunningham.  In her short time here, she has finished several amazing illustrations that were inspired by the science behind the Postural Restoration Institute.  She has also developed images for the coloring sections of our Myokinematic Restoration and Cervical-Cranio-Mandibular Restoration courses.  We are sad to announce that this will be her last day here at PRI but we are happy to know our relationship will continue while she pursues a career in Boston. 

Posted March 12, 2010 at 5:10PM
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