We received a great question the other day regarding the “Right BC PRI Treatment Guidelines” found in the Postural Respiration manual!
“I have question concerning page 63 of the postural respiration manual. Written on the third row down is the term…All tests are - and sufficent right scapular-thoracic function and position exists. What is meant by this phrase and how do I know when the patient has obtained this”?
The tests we are referring to are left horizontal abduction, left cervical axial rotation, left humeral glenoid flexion, right and left apical expansion, and right HG IR. If these tests are all negative and the patient has the ability to reach forward in supine, with arms extended, without losing position of the thorax (all previous tests would indicate that) then I would recommend standing right low trap and right tricep PRI activity. Standing places gravitational forces on the scapula and if good anti-gravitational support is offered by the right serratus anterior, middle and lower trapezius and atmospheric pressure then upright re-training and correct neuro-motor timing of upper extremity flexion should be able to occur without losing thoracic flexion. If it cannot then right low trap and right tricep co-activation using PRI non-manual techniques should take place in any of the previous non-standing or non-upright positions.
We have also added this criteria on page 63 of the course manual. To get a replacement copy, click here!