When treating the geriatric population or someone with acute pain, we modify our testing and treatment all the time.  You can take several of the sidelying activities and modify them to aseated position.  This is an example of a modified Sidelying Adductor Pull Back.  Because of the patients inability to get on and off the floor, the therapist has instructed this activity in a seated position.  What’s even more beneficial to this modified seated position is the ability for the patient to isolate just the left adductors by placing her right hand medially to the left knee.  With verbal cues for the patient to “press their left knee into their right hand”, they isolate just the left adductors without right adductor involvement.  To access the complete handout, click here!

Posted September 23, 2008 at 6:11PM
Categories: Techniques

[PRI Recommended TMJ Proprioceptive Occlusal Splints]

We have updated the page discussing Recommended TMJ Splints.  This handout provides a great reference for mandibular and maxillary splints and the benefits of both.  We have now added discussion regarding permissive and directive splints and the considerations that need to take place before using both.  To access our updated handout on PRI Recommended TMJ Proprioceptive Occlusal Splints, click here!

Posted September 22, 2008 at 6:12PM
Categories: Techniques

In today’s weekly meeting between PRI and the Hruska Clinic, we discussed the importance of the PRI Left AIC Stance technique. This activity is the first activity in the standing integration section of our 2nd Edition Non-Manual Techniques CD-Rom. This activity is the beginning to all of our activities that incorporate standing left AF IR. Some patients may have Adduction Lift Test and Abduction Lift Test scores of 3 or better but still be challenged during daily gait. By placing them first in a Left AIC position, it allows you the capability to teach them how to get out of right AF IR and into left AF IR before their right foot leaves the ground. Although stair activity is a great activity to gain left AF IR during midstance, this activity helps teach the patient how to get out of right AF IR during late stance. Consider the PRI Left AIC Stance technique to transition from active right AF IR to left AF IR by transferring 50% of the patients weight through the left leg before moving forward. Many patients appreciate this activity because it gives them a good understanding of what left AF IR really is. To access the complete technique, please click here!

Posted August 6, 2008 at 5:32PM
Categories: Techniques

These last few weeks have been filled with discussion on shoes. Now that you’ve been guided on which shoe to buy, let’s put them into use. Alternating Gait Recommendations is a handout found on PRI’s website educating patient’s on appropriate gait sequence complimenting a Right AIC pattern. This handout is a great way to incorporate PRI activity into an upright dynamic program! To access this handout, please click here!

Posted July 30, 2008 at 2:52PM
Categories: Techniques

Lori Thomsen, PRC has given several community talks around Lincoln, Nebraska. One popular topic of interest is office ergonomics. In the world of Physical Therapy, office ergonomics, is a trendy topic covered by many clinics and organizations. Here at PRI, we have taken your typical office recommendations and applied PRI related concepts to them. Along with a list providing you with the top ten recommendations, there is also a coordinating image. To access the Top Ten Office Recommendations, please click here!

Posted July 22, 2008 at 3:43PM
Categories: Techniques

While working with a patient who lacked right glute max activity in a standing right AF ER position, we came up with a new activity. This new activity not only places the patient in standing right AF ER, activating the right glute max, it also provides resisted right FA ER. This is a great activity to promote left AF IR with concomitant right AF ER / FA ER activity. To access the complete exercise, please click here!

Posted July 21, 2008 at 4:47PM
Categories: Techniques

Providing patient care is not only a learning experience for the patient but also for the therapist. Each patient has taught a lesson, sent a message and left an imprint that has helped develop our approach to treatment. This week Ron Hruska was working with a patient who had seen another therapist at theHruska Clinic prior to this visit. She mentioned that a specific cue from Lori Thomsen made all the difference in her ability to breathe into her right chest. Lori asked her to “breathe into the heel of my right hand” during an Infraclavicular Pump and Subclavius technique. Ron brought a couple of us into the treatment room to feel the upper right ribs externally rotate upon inhalation using this particular cue. The next time you perform these PRI Manual Techniques consider using this instruction to maximize your patient’s ability to achieve right apical expansion. Contact us to share your own patient-directed discoveries!

Posted July 18, 2008 at 4:49PM
Categories: Techniques

In addition to the Hruska Adduction Lift Test and the Hruska Abduction Lift Test, we have created the Functional Squat Test. Similar to the tests mentioned previously, The Functional Squat test is graded by levels. Level 1 is the inability to perform the test and level 5 represents maximal performance. This test helps the clinician determine whether the patient demonstrateshyperactive hip flexors, back extensors, and femoral rotators. It also helps establish whether or not the patient has the ability to perform a posterior pelvic tilt and if they can achieve maximal AF IR. To view the complete Functional Squat Test, please click here!

Posted July 11, 2008 at 5:00PM
Categories: Techniques

Retro Stairs has been a popular activity for the last decade of PRI. It is one of the first upright activities given to patients when teaching them how to achieve left AF IR. During the dawn of the squat program, taught in theImpingement and Instability course , we have found other great ways to utilize the stairs. Heel Stair Descents is a new activity designed to eccentrically lower your self down the stairs. This activity is an excellent way to activatethe quads, promote controlled hip extension and inhibit the gastrocs. To view the complete technique, click here!

Posted July 9, 2008 at 5:03PM
Categories: Techniques

You can never have too much of a good thing, here is another technique for Left AF IR! This activity was developed after working with a patient who had difficulty achieving Left AF IR while in a standing position. This is a great integrated abdominal technique to instruct patients on who have a difficult time “turning their left hamstring on”. The technique also promotes Left AF IR with Right Glute Max activation while attempting to maintain complete dominance over the torso. For the complete handout, please click here!

Posted June 25, 2008 at 10:36PM
Categories: Techniques
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