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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!

A while back we referenced an article titled, “Vertical Facial Dimensions Linked to Abnormal Foot Motion”, by Brian A. Rothbart.  I received an email from Professor Rothbart after he saw this reference and suggested we also take a look at his website.  Professor Rothbart’s site has great information that is very similar to the information presented in PRI courses.  Some of this information has been referenced throughout the Impingement and Instability course and also the Cervical-Cranio-Mandibular Restoration course. 

Posted November 13, 2008 at 10:50AM
Categories: Clinicians

With all the people studying for certification this year, we have been getting some great questions!  Yesterday, I received this question:  “What is PRI’s stance on pec minor vs. pec major”.  When discussing the pec minor vs. pec major you have to consider the right pec minor vs. the left pec major.  The pec minor on the right side in a right BC pattern acts as an internal rotator with the right latissimus.  The right pec minor pulls your shoulder forward and compresses your right chest wall decreasing the abilitly to get right apical expansion.  When performing a right subclavious technique, you are also trying to inhibit the right pec minor.  Once you have restored right humeral glenoid internal rotation, you then retrain the right subscapularis to perform right internal rotation without compensation from the right pec minor and right latissimus.  In a right BC pattern, because of the orientation of the spine, the left pec major becomes tight, pulling the sternum and the shoulder girdle together.  On the left, you are working to inhibit the pec major by performing a left pectoralis stretch.  What a great question!

[Bobbie Rappl] Posted November 12, 2008 at 9:22am by Bobbie Rappl.
Categories: Science • 0 Comments

Posted November 12, 2008 at 11:06AM
Categories: Articles

Ron Hruska has been sited again in the Brazilian Journal of Oral Sciences.  “Physiotherapeutic treatment for temporomandibular disorders (TMD)” written by Grossi and Chaves discusses considerations that need to be made when treating TMD.  “One of the most important approachs for TMD physical therapy treatment must be the modification of craniocervical biomechanics and its effects to posture as an etiologic or perpetuating TMD factor”.  To access this complete article, click here!

Posted November 10, 2008 at 11:08AM
Categories: Articles

For those of you that have attended the Impingement and Instability course, you understand the concept of right compensatory femoral acetabular internat rotation (FA IR) and right compensatory tibial femoral external rotation (TF ER).  Here is a fabulous video that shows this pattern!

Posted November 7, 2008 at 11:11AM
Categories: Videos

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
Protonics

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

During the 1st annual PRC conference that took place in Minneapolis, Minnesota, Mike Cantrell, Holly Spence and Jen Poulin took a break from the action and happily demonstrated their ability to squat!  We are so proud of them on so many levels…especially Level 5!!

1st Annual PRC conference

Posted October 30, 2008 at 8:57AM
Categories: Clinicians

"System Integrational Dilemmas" was the title of the presentation Ron Hruska gave to the PRC therapists this past weekend.  Over the next few days, I will share with you topics highlighted during this presentation. 

To help you better understand the information presented in this talk you should appreciate the difference between a system and a dilemma:

System – The human body regarded as a functional physiological unit

Dilemma – A situation that requires a choice between options, usually equally unfavorable or mutually exclusive

Most PRI dilemmas are reduced or resolved (albeit temporarily) by:

1.  Not approaching the dilemma as ‘head on feet’ or ‘feet influences on head’ issues.
2.  Focusing more on frontal plane muscle that is not integrating with it’s ‘family’.
3.  Co-contracting left IO’s and TA’s during inhalation in a lumbar-thoracic flexion state.
4. Facilitating ‘Left Stance in Right AF IR Position from the Right AIC Pattern’ or by delaying ‘Left Stance in Left AF IR Position from the Left AIC Pattern’ (see previous Techniques of the Week).
5.  Reinforcing proprioceptive and mechanoreceptor ‘feel’ and movement of right apical expansion in a left thoracic abducted state.

Stay tuned to learn the other five reasons PRI dilemmas are reduced or resolved…

Posted October 30, 2008 at 8:53AM
Categories: Courses

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