Articles

“Innovations in Spinal Deformities and Postural Disorders” was just released on September 27th. We are so proud of Susan Henning, Jean Massé and Lisa Mangino from Advance Physical Therapy in Chapel Hill, NC, who spent countless hours summarizing their clinical experience utilizing Postural Restoration® with scoliosis and other spinal dysfunctions! Chapter 7 titled “Postural Restoration: A Tri-Planar Asymmetrical Framework for Understanding, Assessing, and Treating Scoliosis and Other Spinal Dysfunctions” is sure to be a popular reference for all PRI professionals who work with patients or clients with curvature of the spine.

I had a chance to get a little more information on Susan’s path of learning and teaching about scoliosis. She began her dive into and interest in scoliosis after attending the Advanced Integration course over 10 years ago, and shortly after she attended a Schroth Method course which expanded her focus and insight into working with that population. In 2014, Susan presented at our Annual Interdisciplinary Integration, where her presentation focused on the similarities of the Schroth and Postural Restoration® methodologies.  While attending the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) meeting in 2016, Susan was introduced to Josette Bettany-Saltikov, PT, PhD, and she had the opportunity to introduce her to some of the PRI concepts. Josette began writing “Innovations in Spinal Deformities and Postural Disorders” with Dr. Sanja Schreiber and they asked Susan to contribute a chapter on Postural Restoration®. After the abstract for the book was accepted, Susan brought her colleagues Jean and Lisa on board to help write the chapter. They ended up finishing it in only 6 months! We are so thankful for all of the hard work they all put into making this chapter a reality.

We are also excited to have Susan, Jean and Lisa teaching the scoliosis section (day 4) of the Advanced Integration course this year, and in future years. If you are working with patients who have scoliosis, be sure to check out this chapter, and register for the Advanced Integration course! Their expertise of curvatures of the spine will provide course attendees with new material on treatment for non-pathological and pathological scoliosis curves, juvenile kyphosis and torticollis.

Posted October 10, 2017 at 3:07PM
Categories: Articles Books

Straight out of the Hruska Clinic, Jason Masek's third article will be published in the Co-Kinetic (formerly known as SportEX) April 2016 issue, as well as online at https://co-kinetic.com/#_l_5w.

Check out a preview!! online at the Hruska Clinic Blog or on our You Tube Channel.

Posted March 31, 2016 at 7:21PM
Categories: Clinicians Articles

"Femoroacetabular impingement: Mechanisms, diagnosis and treatment options using Postural Restoration. Part 2" written by Jason Masek, PT, ATC, CSCS, PRC has been published in SportEx. For more information or to purchase a copy of the article, please visit www.sportex.net. To receive 20% off your purchase of the article, you can use the coupon code: 20AUTHOR. Part 3 of this three part series will likely be published in October.

Posted July 14, 2015 at 2:18PM

Last month, an article titled "Femoroacetabular Impingement: Mechanisms, Diagnosis and Treatment Options Using Postural Restoration. Part 1" written by Jason Masek, PT, ATC, CSCS, PRC was published in SportEx, a medical journal published in England covering topics of physical therapy and sports medicine. This is Part 1 of a three part series that Jason is authoring for the journal on this topic. For more information or to purchase a copy of the article, please visit www.sportex.net. To receive 20% off your purchase of the article, you can use the coupon code: 20AUTHOR.

CLICK HERE for a sneak peak of the article!

The article that originally appeared in the April issue of Men's Health is now online, you can read it here.

“It doesn’t matter whether you’re an 80-year-old smoker, a 23-year-old Olympian, or a regular, fit guy-odds are the way you’re breathing right now is flooding your body with stress hormones, compromising your joints and mobility, bottlenecking your energy and undermining your performance in the gym and everyday life. Fourteen times a minute, you become a little weaker and a bit duller.

Hruska is on a mission to change that. Step one is understanding how your body is organized.”

1/ Lungs
They come as a pair, but the left Is smaller to accommodate the heart.
2/ Heart
We shift weight onto our right leg in part to counterbalance this organ.
3/ Diaphragm
It has two sides, but the right is thicker and stronger than the left.
4/ Liver
It also has two lobes, but the right is much larger (by a factor of six).

Ron Hruska was recently interviewed by Men’s Health along with Bill Hartman and Neil Rampe discussing Postural Restoration, after Trevor Thieme, Senior Editor for Men's Health attended a Postural Respiration course last year. Topics discussed include: optimal breathing and the typical respiration patterns, asymmetry, PRI in pro baseball, and common compensations that can cause neck, back and joint pain.  

The 90/90 hip lift with balloon was shown as a way to get your diaphragm in a position to work correctly, helping you to breathe appropriately and avoid chronic stress which can increase your risk of dementia by 67%, stroke by 59% and diabetes by 45%.

“You can think of neutrality of being functionally symmetrical- the ability to shift your center of gravity from one side to the other, to breathe efficiently with both lungs, and to maintain position of your true core. “Being neutral helps everything,” says All-Star first baseman Paul Goldschmidt. “When I lift, I’m stronger. When I run, I’m faster. It allows me to fully express my power and speed.”

If you haven't already, go out and grab the April 2015 Men’s Health issue and flip to page 144 to read the article, which they refer to as the "#1 Greatest Health Tip Ever!"

Posted April 24, 2015 at 3:58PM

In PRI, we are typically focusing on creating a reciprocal and alternating neuromuscular system. However, our neuromuscular system is connected with all the other systems in our body. There appears to be a coupling between autonomic, central, endocrine, and gastrointestinal systems which, in parallel with our neuromuscular system, are also asymmetrical and rhythmically shifting. “Asymmetry, Lateralization, and Alternating Rhythms of the Human Body” has been broken up into 5 parts describing this phenomenon in addition to the story of how and why our asymmetry came to be. It can also be accessed at on my website where I have written on other various topics that relate to PRI. 

CLICK HERE to read Part 5: "Connecting Ultraradian and Neuromuscular Rhythms of the Human Body"

CLICK HERE to read Part 4: "How Does One Reconcile an Asymmetrical Neuromuscular System?"

CLICK HERE to read Part 3: "How Did Humans Become Asymmetric?"

CLICK HERE to read Part 2: "What Does Asymmetry Provide for a Human Being?” 

CLICK HERE to read Part 1: "The Prevalence of Human Asymmetry and Lateralization"

Posted April 14, 2015 at 1:32PM
Categories: Articles Science

In PRI, we are typically focusing on creating a reciprocal and alternating neuromuscular system. However, our neuromuscular system is connected with all the other systems in our body. There appears to be a coupling between autonomic, central, endocrine, and gastrointestinal systems which, in parallel with our neuromuscular system, are also asymmetrical and rhythmically shifting. “Asymmetry, Lateralization, and Alternating Rhythms of the Human Body” has been broken up into 5 parts describing this phenomenon in addition to the story of how and why our asymmetry came to be. It can also be accessed at on my website where I have written on other various topics that relate to PRI. 

CLICK HERE to read Part 4: "How Does One Reconcile an Asymmetrical Neuromuscular System?"

CLICK HERE to read Part 3: "How Did Humans Become Asymmetric?"

CLICK HERE to read Part 2: "What Does Asymmetry Provide for a Human Being?” 

CLICK HERE to read Part 1: "The Prevalence of Human Asymmetry and Lateralization"

Posted April 2, 2015 at 4:07PM
Categories: Clinicians Articles

Congratulations to Michal Niedzielski, who recently had an article that he wrote about PRI published in a Polish Rehabilitation Journal! In addition to this article, Michal has translated and taught Myokinematic Restoration to colleagues in Poland, and is currently working to translate and teach Postural Respiration and Pelvis Restoration in Poland as well!

Posted April 1, 2015 at 8:45PM
Categories: Clinicians Articles

“It doesn’t matter whether you’re an 80-year-old smoker, a 23-year-old Olympian, or a regular, fit guy-odds are the way you’re breathing right now is flooding your body with stress hormones, compromising your joints and mobility, bottlenecking your energy and undermining your performance in the gym and everyday life. Fourteen times a minute, you become a little weaker and a bit duller.

Hruska is on a mission to change that. Step one is understanding how your body is organized.”

Ron Hruska was recently interviewed by Men’s Health along with Bill Hartman and Neil Rampe discussing Postural Restoration, after Trevor Thieme, Senior Editor for Men's Health attended a Postural Respiration course last year. Topics discussed include: optimal breathing and the typical respiration patterns, asymmetry, PRI in pro baseball, and common compensations that can cause neck, back and joint pain.  

The 90/90 hip lift with balloon was shown as a way to get your diaphragm in a position to work correctly, helping you to breathe appropriately and avoid chronic stress which can increase your risk of dementia by 67%, stroke by 59% and diabetes by 45%.

“You can think of neutrality of being functionally symmetrical- the ability to shift your center of gravity from one side to the other, to breathe efficiently with both lungs, and to maintain position of your true core. “Being neutral helps everything,” says All-Star first baseman Paul Goldschmidt. “When I lift, I’m stronger. When I run, I’m faster. It allows me to fully express my power and speed.”

If you haven't already, go out and grab the April 2015 Men’s Health issue and flip to page 144 to read the article, which they refer to as the "#1 Greatest Health Tip Ever!"

The article that originally appeared in the April issue of Men's Health is now online, you can read it here!

Posted March 25, 2015 at 3:21PM

Asymmetry of arm-swing not related to handedness:

Authors: Kuhtz-Buschbeck, Brockmann, Gilster, Koch, Stolze,

Gait and Posture 27 (2008) 447-454

During my recent certification process to become a PRC, I found an article whose findings are supported by PRI science.  I felt like I had stumbled upon a pot of gold!  I want to share the wealth with PRI nation!

This 2008 article identified a predominant trend of patterned posterior arm swing occurring more on the left than the right in subjects walking at various walking speeds.  They found this event to not be related to handedness. The author’s provide insight into why this pattern of movement was observed including underlying mechanisms of side differences in muscle tone and/or strength and also neural motor programming.  PRI’s apriori understanding of normal human asymmetry, the development of adaptive muscular recruitment patterns around a left AIC, right BC and a left type1 scapular pattern can explain why the authors observed this pattern. 

 Around the time of finding this evidence, I had two clients who demonstrated L AIC/RBC patterns. Because of these patterns of movements they had developed asymmetries of a left and right triceps and posterior deltoid muscle groups.  Their pictures are below:

The left arm swing findings are understood when you consider that left arm swing occurs during left trunk rotation of the right stance phase of gait and that the human body is always oriented to be in this right stance phase pattern.  PRI courses and previous blogs provide excellent and thorough explanations for why our body has a right stance dominant pattern, so I will not describe them in depth.  Anatomical asymmetries that orient our spine to the right create imbalance in the AICs with the left AIC becoming more influential and orienting the pelvis and lumbar spine to the right.  As a compensation to a right oriented spine the thorax rotates back to the left creating an imbalance in the BCs with the right BC becoming more dominant.  This pattern of counter-rotation, between the pelvis and ribcage, will be the dominant pattern occurring during walking, so even though a person will move into a left stance of gait they may not achieve full and opposite counter-rotation.   Thus the left arm will always have a tendency to move more frequently and activate more into extension or posterior flexion as the authors described it vs. into flexion or anterior flexion.  The degree to which a person is limited in moving out of their LAIC/RBC and into a RAIC/LBC will vary and the results of this study show this.  Clinically, I have observed this and have found that the individual needs for a PRI program will vary from one person to the next person.

In closing, I think one of the take home messages from this article is that the underlying pattern of a LAIC and RBC can be observed in a real world situation, walking.  The power of PRI is that it understands why the person maybe walking in an unbalanced manor, it provides an evaluation to determine the extent to which a person’s systems are influencing the patterned movement and it provides a management program that helps people become sensory-motor aware and find the floor to maintain balanced walking.

Posted March 17, 2015 at 4:41PM
Categories: Articles
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