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Postural Restoration in India

Joyce Wasserman, PT, PRC is traveling through India and introducing Postural Restoration concepts. She has been kind enough to share with us her experiences…

“Since arriving at Christian Medical Center, CMC, I have given nine presentations, a combination of lectures and labs. I am pleased with how both theory and practical aspects of teaching are going. Today’s talk was about myokinematic dilemmas, or what to do, where to look when the basic techniques relating to the pelvis and hips is not enough to get results.

On Saturday, I presented Postural Restoration Institute concepts to about 15 physiatrists, doctors of rehabilitation medicine. People here work six and one-half days a week. By Saturday at 11:30 people are more than ready to go home and relax. The extreme heat doesn’t make it any easier.

Tomorrow I will teach the introductory PRI talk to the students. Some of them had heard about what I was teaching from the therapists, some were working in the electro-therapy unit and have been asking for me to help with their patients. Others had come to me with their pain problems. On subsequent days I will teach them the myokinematic tests. That is all I will be able to do in the few days I have left. For the main staff I have picked out five exercise techniques that they should do to keep the ability to move reciprocally and to reposition throughout the day.

PRI is a radical change from the therapy that is being practiced here. The expression “The crush of humanity” is taken to a whole different level here.  In the gym where both outpatients and in patients receive treatment it is hot, crowded, and noisy .It is not conducive to concentration. The therapists often give an exercise that the patient then does with the help of a family member. The exercises are simple, uniplanar, with no consideration to what muscles are substituting or if there is any control of proximal or distal segments of the body.  Machine treatment with a nod to a simple home exercise seems to be the norm. None the less certain patients who need more hands on care are routinely given to more senior therapists whose job it is to take more time with the patients for exercise or orthopedic PT techniques. It is with these more senior therapists that PRI can take hold.  I am making sure that they are learning as much as they can. Everyone is enthusiastic and pleasant to work with.”

Posted March 17, 2010 at 4:00PM

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