Posts by Bobbie Rappl

We received a question about treating Superior T4 syndrome using the gluteus medius.  James Anderson, MPT, PRC did a great job explaining the rationale behind this:

When I took the Myokinematic Restoration class you said to email you about some information on Superior T4 syndrome.  You mentioned working your glute med’s for Superior T4’s.

Please read a handout I put together on Superior T4 syndrome.  Click HERE!

The reason I said the glute medius was such a big deal with the T4 patients is because of all the things that must be in place in order for the glute medius to be properly felt during single leg stance.  In other words, the Adductor Pull Back must have been well coordinated with proper breathing to clear out the right BC while it approximated the left femur up into the acetabulum.  In fact, your Adductor Pull Back should have restored full right HG IR to ensure that the left ZOA has been restored and the right BC has been inhibited.  The deliberate left hip approximation is a precursor for left posterior hip capsule stretching, which is often needed prior to the glute medius being able to properly work when doing single leg left AF and FA IR training.  Also of note, if the right thigh does not stay positioned ahead of the left thigh during single leg left AF IR training (like the Retro Stairs), then you are probably not maintaining the needed left AF IR state to keep the left glute medius active during single leg stance training.

I hope this helps clarify what I said about the glute medius.  And I hope the T4 document is helpful as well.  But remember, if the left hip does not do all of the above described items, your left hip comes out of place and the base of your spine will orient towards the right (something you’ll struggle to overcome with just upper half exercises).

-James Anderson, MPT, PRC

Posted July 12, 2010 at 2:19PM
Categories: Techniques Articles

We recently had a course attendee ask some great questions following the Myokinematic Restoration course.  Please check out Recent Emails to see the questions and answers!

Posted July 1, 2010 at 2:32PM
Categories: Science

**To review the exercise technique mentioned below, click here!

I was reviewing the blog section and I saw that the Standing Serratus Stomatognathic Squat can be used to determine bite position.  When I took The Cervical-Cranio-Mandibular Restoration course, we did not discuss this technique.  Could you give me some information?

The first picture is taken with her weight through her heels and her scapulas supported by the wall.  Her levator scapulaes, upper traps and SCM’s are relaxed.  Her thoracic lumbar and cervical lordosis will be placed in the end range of her normal lordotic range of these 2 areas of her spine.  Her teeth should be able to make uniform contact on both sides of her mouth and through the posterior teeth. 

The last picture shows the end range of normal thoracic and cranial flexion.  She should be able to touch her teeth evenly on both sides and through her posterior teeth.  If she cannot feel uniform closure in both of these positions she may need a splint to re-orient or support her occlusion and cervical-cranial imbalances. 

An open bite on one side is indicative of possible frontal plane asymmetry at the cranium or cervical spine.

If she can’t touch front teeth together (incisor to incisor and then close with good posterior molar contact and then back to incisor to incisor, etc) in the first or last position as reflected by the above 1st and last pictures, cranial mandibular, cranial cervical and cranial thoracic muscle cannot rest during resting bite, regardless of cranial or cervical position or the degree of cranial or cervical flexion or extension. 

This is why I did not talk about this bite issue in great detail.  It will be reviewed and discussed in greater detail at the Orthognathic Dentistry and PRI integration course this fall.

Posted June 25, 2010 at 3:57PM
Categories: Techniques

Listen to Lori Thomsen, MPT, PRC give a demonstration and explanation on why it’s so important to “find and feel” your right arch.  Click HERE!

Posted June 24, 2010 at 4:00PM
Categories: Videos

We received this article from Brad Runia.  Brad recently attended the Cervical-Cranio-Mandibular Restoration course and thought the Institute would find this article interesting. 

“Recently, several investigators have reported that mastication produces an antinociceptive effect.  The present results support our hypothesis that the rhythmic behavior of chewing suppresses nociceptive responses via the serotonergic neurons descending inhibitory pathway.”

Prolonged rhythmic gum chewing suppresses nociceptive response via serotonergic descending inhibitory pathway in humans is the title of the article.  You can read it HERE!

Posted June 17, 2010 at 4:06PM
Categories: Articles

We often have people ask us about the use of the words PRI and Postural Restoration Institute.  Most recently we received this email and decided to take the opportunity to educate everyone on this issue. 

“I have been hearing the phrase ‘doing PRI with my patients’ being used by some therapists for a while now.  I am not sure this is correct.  To me it sounds like the therapist is saying ‘doing Postural Restoration Institute with my patients’.  I could understand ‘using PRI methods’, or ‘PRI techniques’, but the active verb of ‘doing PRI’ doesn’t seem like the proper use of the PRI initialism.  I highly respect this approach but I also understand how language sometime evolves incorrectly (for example: ATM machines, PIN numbers, ITB band).”

“I have been doing PRI on my patients for years and the PRI has helped me teach PRI!”  This statement was said correctly.  PRI is a tradename, a brand, a label, etc. that reflects position, process or approach.  PRI is also an acronym.  The Postural Restoration Institute is the name of an Institute. Our attorneys are well versed in these issues.  You use Kleenex to blow your nose. It is a branded soft tissue. Its acronym stands for nothing, that I am aware of. PRI is a brand name, a “Kleenex” of an approach to restore posture or perform postural rehabilitation. It’s acronym in this form, grammatically, is meaningless.  Instead of calling this method or approach a different name, we decided to use the acronym of the Institute to “brand” it.  “Postural Restoration” does not brand an approach. “Pilates” is a form of postural restoration, as is “Feldenkrais”. There are hundreds of different approaches that could be used to restore posture.  Hope this helps you understand the legal world and world of PRI as an acronym and as a brand. 

Posted June 15, 2010 at 6:34PM

“Vertebral Fractures and Mortality in Older Women” is the article where this statement was taken from.  The study conducted in this article looked at women with osteoporotic fractures and the rate of mortality.  Their conclusion found that “women with radiographic evidence of vertebral fractures have an increased mortality rate, particularly from pulmonary disease and cancer.” To read this article click HERE!

Posted June 10, 2010 at 6:48PM

Lori Thomsen, PT, PRC discusses instability of the feet while running in her latest video.  She covers what to look for in a shoe to help provide the runner with good support and stability.  Check it out HERE!

Posted June 3, 2010 at 6:55PM

Check out another Video Consultation performed by Ron Hruska and Oliver Hall, PT, PRC.  Olly had been consulting via email for a while prior to scheduling a Video Consult.  Read the dialogue from his correspondence HERE before viewing the video!

Bilateral Trochanteric bursitis and anterior visual midline shift syndrome, secondary to horse or rider? from Postural Restoration Institute on Vimeo.

Posted June 2, 2010 at 7:38PM

We are excited to share with you our first recorded Video Conference!  This video was recorded during a consultation performed between Jen Poulin, MPT, PRC and Ron Hruska.  This hour long consultation discusses a patient Jen Poulin has been working with who has complex back pain secondary to strong co-activation of the right psoas and right adductor.  We hope you find the live interaction between both therapists and the patient very engaging and educational!

Click HERE to read about the patient’s background!

Complex Back Patient Secondary to Strong Co-Activation of Right Psoas and Right Adductor from Postural Restoration Institute on Vimeo.

Posted May 21, 2010 at 7:16PM
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