Welcome to the Postural Restoration Community! This is where you will read the latest industry news, hear about upcoming events, find helpful deadline reminders, and view a plethora of additional resources regarding our techniques and curriculum. The great part about it is--not only can you can view the entries we post, you can also post about the things that matter to you. Did you find an interesting article about a technique you learned in one of your courses? Do you have a patient case study you want to share with other professionals? Simply click "Submit an Entry" and follow the easy steps towards getting your information published in the PRI Community!

Blog Posts in November 2008

We are proud and honored to share with you an article published by Holly Spence, PT, PRC.  “Case study report: postural restoration: an effective physical therapy approach to patient treatment” was published in the Regional Anesthesia and Pain Management journal this summer.  This article summarizes Postural Restoration as an alternative approach to physical therapy: “The purpose of this case study is to inform specialists that there are different approaches to physical therapy treatment intervention”.  To access the complete article, click here!

Posted November 6, 2008 at 11:12AM
Categories: Articles

Today brings an end to the discussion of System Integrational Dilemmas.  If you have been tuning in the last few days, we have been presenting common issues that arise with PRI programs and some things to think about when attempting to overcome these dilemmas.  Today we will feature common dilemmas that arise with a Cervial Cranio-Mandibular Restoration program:

1.  Can’t open mouth past 45mm - no click

More than likely will need an appliance or see an orthopedic gnathologist oriented dentist.

2.  Can’t open mouth without a click

Treat TMCC issues, free up cervical axial limitations, restore C3-C5 lordosis and if PRI stabilization effort maintains cervical neutrality a splint or TMD treatment may not be necessary, especially if there is no associated joint pain.  If joint pain,  then refer to a dentist for an appropriate splint.

3.  Can’t passively rotate cervical spine to the left – axially with neutral brachial chains

Treat left SCM, scalenes, upper trap, anterior and posterior capitus muscles to achieve right sidebending at OA and AA.
Restore cranial flexion on the right manually.
Re-check after placing tongue depressor between left molars; if cervical spine resumes neutrality – refer for intra-oral appliance.
If all the above fail, consider neuro-optometric treatment.

4.  Can’t protrude without lateral trusion

Treat left SCM, scalenes, upper trap, anterior and posterior capitus muscles to achieve right sidebending at OA and AA.
Restore cranial flexion on the right manually.
Re-check after placing tongue depressor between left molars; if cervical spine resumes neutrality – refer for intra-oral appliance.
If all the above fail, consider neuro-optometric treatment.

5.  Can’t decrease a cant (bipupilar plane, otic plane, transverse occlusal plane)

Will more than likely require palate expansion for system unlocking and possibly orthodontistry to ‘stabilize’ neutral cranium with proper occlusion.

Posted November 5, 2008 at 11:14AM
Categories: Courses

Yesterday I highlighted common problems that may occur when initiating a Myokinematic Restoration program.  Today I will cover common dilemmas in a Postural Respiration program:

1.  Can’t reduce left rib flare

Open right low back – inhibit right quadratus lumborum.
Right Superior T4 manual technique or two person Infraclavicular Pump with emphasis on proprioceptive integration of inhalation on right and exhalation on left.
90-90 abdominal integration without use of hip flexors.

2.  Can’t realize 70-80% of passive right HG IR

Restore left horizontal abduction and cervical axial rotation to the left.  Guide right humeral internal rotation with hand placement on volar forearm to inhibit HG ER guarding.
Supine Resisted Right HG IR with Left HG ER to fatigue right teres minor and infraspinatus, followed by Supine Resisted Right HG IR with Weighted Left HG ER.
Two person Right Subclavius manual technique.

3.  Can’t achieve 45% of left upper extremity horizontal abduction

Supine Hooklying T8 Extension
Paraspinal Release
Standing Hip Flexor Stretch
Sternal Positional Stretch

4.  Can’t expand right chest with left chest wall resisted expansion

Improve right thoracic rotation with technique that places a rolled towel along the left paraspinals when in supine.
PRI Supine Weighted Punch (right serratus anterior) with Right Apical Expansion and (left latissimus dorsi) Left Resisted HG IR.
Two person Superior T4 with right arm distraction from mid range flexion to full flexion (end range) during inhalation.

5.  Can’t blow up a balloon without pinching balloon neck

Allow patient to blow balloon and pinch neck during inhalation at first.  Then practice tongue up during pinch. Then attempt again normal balloon process with epiglottis sealed by tongue.
Can they perform Supine Hooklying Restorative Synchronized Resisted Glute without arching back?
Consider blowing up a balloon correctly in seated position first to allow for posterior mediastinal expansion.  Then go back to supine hooklying position.

Tommorrow we will end this series on Common Dilemmas with a Cervical-Cranio-Mandibular Restoration program!

Posted November 4, 2008 at 11:15AM
Categories: Courses


For those of you tuning in the last few days, we have been discussing common dilemmas that occur with a PRI program.  Today we will highlight dilemmas that occur when instructing a Myokinematic Restoration program and offer suggestions on how to correct the dilemma:

1.  Can’t find and feel left hamstring

In a 90-90 position use the isotrainer ledge or similar set up to disengage paravertebrals
Blow up a balloon in a 90-90 position with right arm reach and toes off the wall

2.  Can’t find and feel left adductor

Allow the patient to ‘roll’ entire torso and hip back upon Right Sidelying Left Adductor Pull Back during inhalation.  Upon exhalation, contract the left abdominals - left knee into right thigh or ball
Right Sidelying Knee to Knee – we often forget about this co-contraction adductor technique
Left Sidelying Knee Toward Knee with Left Trunk Rotation – move knee with left abs on and during state of inhalation

3.  Can’t find and feel right glute max

Single Leg Wall Left AF IR with Right Glute Max
Standing Supported Right AF ER with Right Glute Max
Left Retro Stairs with left AF IR Stance, left foot one step higher than the right.  Focus on right AF ER / glute max facilitation

4.  Can’t abduct right leg without right low back activity

Un-Resisted Single Leg Lateral Dip - emphasis on simultaneous right cervical and left thoracic abduction
Sidelying Swiss Ball with Passive Apical Expansion - focus on contracting left IO/TA’s upon inhalation, hold and then attempt to raise right leg with hip abductors
Standing Resisted Adductor Pull in -left leg in left thoracic abduction

5.  Can’t inhibit left TFL or left hip flexors

Single Left Leg Kneeling with right hip flexion
Right Sidelying Left Glute Med in Hip Extension - push left knee into the wall above
Right Sidelying Left Anterior Glute Med with TFL Inhibition - push left thigh into post

Tommorrow we will highlight common dilemmas that take place with a Postural Respiration program!


Posted November 3, 2008 at 11:16AM
Categories: Courses
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