Clinicians

Sanford Health in Sioux Falls, SD has welcomed Sanford Physical Therapy Services to their family.  Their specialty…Postural Restoration!  Formerly known as Physical Therapy Solutions, Sanford physical therapy has embraced Joan Hanson and Jill Honermann’s expertise on the PRI approach.  Traditional physical therapy services will be offered but their main focus will be postural restoration.  To read more about the collaboration of Sanford Health and Physical Therapy Solutions please click here...and here!

Posted June 20, 2008 at 3:25PM
Categories: Clinicians

Last week, the staff of The Hruska Clinic and Dr. Michael Hoefs joined together to discuss treatment of TMD. Although PRI is an effective treatment to TMD, there are occasions when a referral to a dentist is appropriate and necessary, as outlined in Advanced Integration and Cervical-Cranio-Mandibular Restoration . During an initial evaluation, Dr. Hoefs uses several objective measurements to properly assess his patients. Range of motion (ROM) is the first objective test used to guide him in his plan of care; based on the following:

  1. Full ROM (>48 mm) with a noticeable click – Easiest to diagnose and treat.
  2. 42 – 46 mm ROM with >12 mm of lateral opening – Probably a muscular restriction with a reducing disc. Patient will need supportive therapy.
  3. 35 – 42 mm ROM with <10 mm of lateral opening – These symptoms would reflect a chronic closed lock position with most ligaments being stretched out.
  4. < 35 mm ROM – Patient is more than likely in an acute closed locked, but not always. Can be myospasms!

To learn more about Dr. Michael Hoefs please visit Lincoln TMJ Therapy. If you’d like more information on PRI and TMD integration with dentists and orthodontists like Dr. Hoefs who respect the need for proper mandibular condyle and temporal fossa position, please contact us!

Posted June 19, 2008 at 10:49PM
Categories: Clinicians

Jeanna Viramontes, MPT, PRC recently opened her own clinic in Hudson, Wisconsin and was featured by the local newspaper, Hudson Star-Observer. She’s doing exciting work in the area ofpelvic floor dysfunction using Postural Restoration techniques.

Posted June 19, 2008 at 10:44PM
Categories: Clinicians

Mike Cantrell, PRC and presenter of Myokinematic Restoration recently sent us a success story from his clinic.

“We are forever in your debt! Thank you so very much! In just 9 weeks he was at the top of his game again.
He finished the year as the most dominant pitcher in middle school and 2nd in the league in home runs with 5 and had a .390 batting average. He won the 8th grade baseball championship game in front of about 500 people. He hit a monster 2 run home run in his last at bat as an 8th grader and threw a 5 inning complete game, 2 hitter with 8 strike outs.”

Take a look at the before and after picture in just 9 weeks!

Posted June 18, 2008 at 10:57PM
Categories: Clinicians

Only 3 ½ months are left before we reach the deadline for the Postural Restoration Certification (PRC) application . For those of you that are considering certification this year, now would be a good time to make your final decision as the deadline of Septemeber 15th will be here before you know it. 

PRC provides avenues for professional development, collaboration between multidisciplinary specialists with PRI interests, and enhancement of scientific approaches using PRI concepts. Please note PRC is now open to Physical Therapist Assistants and Occupational Therapists.

Mark your calendars:
1. September 15th – PRC application deadline
2. September 19th – PRC application committee review meeting
3. October 15th – November 1st – Applicants contacted with PRC committee review feedback
4. December 4–7 – Advanced Integration
5. December 8 & 9 – PRC written and clinical exam

Posted June 9, 2008 at 11:06PM
Categories: Clinicians
Posted December 5, 2007 at 10:31PM
Categories: Clinicians

The Postural Restoration Institute™ announces that Larry A. Gruver, MPT, ATC, PRC of The Rejuvenation Center in Chandler, Arizona; Michael Cantrell, MPT, PRC of The Cantrell Center in Warner Robins, Georgia; and Roberta Delfun, PT, PRC of Impact Physical Medicine and Prism Aquatic Center in St. Paul, Minnesota have earned the designation of Postural Restoration Certified (PRC). Certification is a result of advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute, LLC. The certification process of both clinical and analytical examination took place on December 11th and 12th, 2006 at the Postural Restoration Institute™ following four-days of advanced training. We congratulate these three on their outstanding achievement! Fifteen individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified.

Posted December 12, 2006 at 10:22PM
Categories: Clinicians

The Postural Restoration Institute™ announces that Oliver Hall, PT, PRC of Poulin Performance and Rehab in Waitsfield, Vermont; Cory Healy, PT, PRC of Crown Point Physical Therapy Associates in North Springfield, Vermont; Jen Poulin, PT, PRC of Poulin Performance and Rehab in Burlington, Vermont; Lori Thomsen, PT, PRC of Riverview Health in Crookston, Minnesota; Joan Hanson, MPT, PRC of Physical Therapy Solutions in Sioux Falls, South Dakota; Chad Lauseng, MSPT, PRC of Restore Physical Therapy in Sioux Falls, South Dakota and Maura Guyer, PT, PRC of Poulin Performance and Rehab in Burlington, Vermont; have earned the designation of Postural Restoration Certified (PRC). Certification is a result of advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute, LLC. The certification process of both clinical and analytical examination took place on December 12th and 13th, 2005 at the Postural Restoration Institute™ following four-days of advanced training. We congratulate these seven on their outstanding achievement! Twelve individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified.

Posted December 27, 2005 at 3:51PM
Categories: Clinicians

From: Kim Keyser, PT, Duke University
Sent: Friday, April 15, 2005 
To: Postural Restoration Institute™
Subject: General Contact

Comments:
Ron, I was hoping you could give me some advice over the phone or by e-mail. I am writing a case study on a patient with a peer of mine and we used PRI with them. We are having a difficult time putting into words the “theory” and background behind the evaluation and treatment techniques. Obviously it makes sense to me, but it is a whole different ballgame when trying to explain it to someone especially on paper. Particularly in front of an evidence based audience. As you have mentioned before the evidence is there. However, it is not in a concise and fluid way. I have read a couple case studies that you have written and one Kyndy wrote. But that is still not clear.
Any help would be greatly appreciated.

Kim

From: Ron Hruska, PT, Postural Restoration Institute™
To: Kim Keyser, PT
Subject: RE: General Contact

Hi Kim-
Thanks for your email and on-going support of our PRI approach to positional influences on neuro-pathomechanic developmental patterns.

The “evidence” is there, but going to all the sources as they presently exist, hasn’t been put together for the general public as of yet. As an Institute (PRI), we are in the process of doing this.

Articles on zone of apposition (ZOA) will help one understand the asymmetrical roles of the two hemi-diaphragms in their influence on respiration and thoracic function. Please refer to our website for these articles and information on diaphragm positions, differences in size, asymmetrical attachment sites, etc. Respiration, intercostal and mediastinal motion is also controlled and influenced by visceral position of the pericardium on the left and liver on the right (Reddy et al, J. Thorac Cardiovas Surg. 1994). Contraction of the diaphragm during postural adjustments (Paul Hodges, Journal of Physiology, 1997) and the diaphragms influence on postural/abdominal function (Paul Hodges, Manual Therapy, 1999) also support the need to address respiratory issues and influences on postural asymmetry.

Rib cage mechanics influence on the spine and asymmetry of the spine can be found in numerous articles (too many to mention in this email) with respect to the most common curvatures to the prevalence of right rib humps. Rib cage mechanics is influenced by asymmetrical compartmental pleural and abdominal pressure, configuration and trans-diaphragmatic strength. (Kenyon et al, J Appl Physiol, 1997). Why do 98% of adolescents with a single thoracic curve, have apex curvatures to the right with accompanying rib humps? (K. Song, Journal of Musculoskeletal Medicine, 1993)

Communication, swallowing, language, speech and ‘handedness’ reflects the left hemispheric ‘command center’ as well as proximal muscle involvement of the contralateral limbs (Bagesteiro et al, J Neurophysiology, 2002). “Dominant arm tasks were most almost exclusively associated with activities requiring precision in interjoint coordination and trajectory formation”. Slow, deliberate, controlled, organized, cortical motor encoding is correlated with manual skills developed by the left hemisphere (Volkmann, et all, J Neurophysiology, 1998 and Gabbard et al, JOSPT, 2002)

There are postural origin theories on asymmetrical development (Day and MacNeilage, J Comp Psychol, 1996), vestibular asymmetry theories (Previc, Psychol Rev., 1991). Developmentally tonic lumbar reflexes described in the literature by Tokizane (1951) and Brunnstrom (1970) are elicited when the “position” of the upper trunk is changed in relation to the pelvis. We pick up an object and proceed to throw it with our right hand because our upper trunk rotates to the right initially and the pelvis to the left, as weight is born on our extended “dominate” right leg with the left lower extremity flexed (Barnes, Crutchfield, 1978). Our diaphragm and adjoining psoas on the left allow this activity to occur more easily because of visceral orientation of the heart, stomach and liver (left upper quadrant to right lower quadrant axis) and neural-motor development of this amphibian reaction at the age of six months (Fiorentino, 1972).

In addition to these evidence-based comments on respiratory influences on asymmetry, cortical-hemispheric influences on neuromotor developmental strategies of proximal vs. distal stability on the right vs. the left, rib cage dynamics reflecting diaphragm influence and size, neurophysiology of motor development on ATNR, Moro, and other reflexes in the frontal, sagittal and transverse planes, there are those mentors; Buchholz, Schamberger, Gracovetsky, Myers, Lee, Busquet, Mezieres, Vleeming and Chaitow who will all agree we operate through patterns of ‘polyarticulated’ muscle.

It is also my strong belief that the mandible, sphenoid and temporal bones influence forward head posture, asymmetrical tonic neck reflexes, body on head righting reactions and respiratory pathomechanics that lead to forward head posturing, COPD and asthmatic activity, fibromyalgic sleep habits, scoliosis, T.O.S., hyperinflation cervicalgia headaches all which can be referenced easily through the dental community and all of which I have treated successfully without surgical intervention through the use of PRI techniques and intervention. Through my experience and with clinical documentation at the Hruska Clinic, strong evidence-based clinical data that supports the Postural Restoration Institute™ approach towards intervention and treatment of pathomechanics to restore balanced integrated function and respiration exists. Please refer to our evidence-based summary of “Postural Respiration and Myokinematic Functional Relationships”. Once a pattern of neuromuscular, respiratory, and circulatory system activity is identified, restoration of sphenoid, sternum and sacrum orientation and ‘rest’ position can begin.

Hopefully, Kim, you’ll appreciate we have a lot of work ahead of us. But those of us who understand these ‘system relationships’ will further develop this system evidence-based research to this date through an integrative approach by promoting sequential, specific approaches to a multi-system, bipedal, machine that functions with asymmetrical patterns of movement.

Best Regards,

Ron Hruska, MPA, PT


References can be found on our website, posturalrestoration.com by selecting the link titled “educational resources”, then “references”. 
The majority of references listed within the context of this email are listed in the “neurology” section of the Postural Respiration course.

Posted May 24, 2005 at 2:34PM
Categories: Clinicians

The Postural Restoration Institute™ announces that Jason Masek, MSPT, ATC, CSCS of the Hruska Clinic in Lincoln, Nebraska; James Anderson, MPT of the Rejuvenation Center in Omaha, Nebraska; Raulan Young, MPT of ProActive Physical Therapy in Burley, Idaho; Karen Jiran, MPT, ATC and Carrie Langer, MPT, ATC both of Orthopaedic Sports, Inc. in Lake Elmo, Minnesota have earned the designation of Postural Restoration Certified (PRC). Certification is a result of advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute, LLC. The certification process of both clinical and analytical examination took place on December 6th and 7th, 2004 at the Postural Restoration Institute™ following four-days of advanced training. These five individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified. Each is currently training under Ron Hruska as an Associate Faculty member and all are passionate about future educational opportunities through PRI. We congratulate these five on their outstanding achievement!

Posted January 15, 2005 at 10:09PM
Categories: Clinicians
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