Community

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!

Thinking Outside the Box

Although we have created several techniques designed to maintain a zone of apposition (ZOA), there are instances when these standard techniques may need to be modified or individualized to a specific patient. This was the case with a patient recently seen by Postural Restoration Certified Physical Therapist, Lori Thomsen. After several attempts with balloons, wall reaches and left abdominal integration the patient was unable to maintain a ZOA. Lori used Postural Restoration principles to create this new technique to help her patient achieve a ZOA with integrated glute max activity. This is one of many examples of Postural Restoration therapists thinking outside the box!

Bobbie Rappl

Posted July 24, 2008 at 10:39AM

Categories: Articles

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Orthotics May Not Be Appropriate for Everyone

Over the last few years we have been fortunate to develop a strong relationship with Paul Coffin, DPM. His monthly visits to the Hruska Clinic have provided us a great avenue to learn about him, his practice and his amazing knowledge of the foot. As time goes on, we are getting better at determining when PRI activity will succeed without Dr. Coffin’s expertise and when a referral to him is necessary. Last night when I got home from work I was greeted with the warmest welcome I have ever received from my adorable dog, Miles. As I sat my things down and began to walk to the bedroom, his habitual behavior of following my every step ceased.Ignoring this bizarre behavior I continued my path to the bedroom. Once I opened the door, I realized why my shadow had chosen to stay 10 paces behind me. Although my experience with orthotic referrals is elementary, I am fairly confident that he will not be able to help me?

Bobbie Rappl

Posted July 23, 2008 at 10:41AM

Categories: Clinicians

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Top 10 Ergonomics Recommendations for the Office

Lori Thomsen, PRC has given several community talks around Lincoln, Nebraska. One popular topic of interest is office ergonomics. In the world of Physical Therapy, office ergonomics, is a trendy topic covered by many clinics and organizations. Here at PRI, we have taken your typical office recommendations and applied PRI related concepts to them. Along with a list providing you with the top ten recommendations, there is also a coordinating image. To access the Top Ten Office Recommendations, please click here!

Bobbie Rappl

Posted July 22, 2008 at 10:43AM

Categories: Techniques

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Standing Right AF ER with Right Glute Max

While working with a patient who lacked right glute max activity in a standing right AF ER position, we came up with a new activity. This new activity not only places the patient in standing right AF ER, activating the right glute max, it also provides resisted right FA ER. This is a great activity to promote left AF IR with concomitant right AF ER / FA ER activity. To access the complete exercise, please click here!

Bobbie Rappl

Posted July 21, 2008 at 11:47AM

Categories: Techniques

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Class is Always in Session

Providing patient care is not only a learning experience for the patient but also for the therapist. Each patient has taught a lesson, sent a message and left an imprint that has helped develop our approach to treatment. This week Ron Hruska was working with a patient who had seen another therapist at theHruska Clinic prior to this visit. She mentioned that a specific cue from Lori Thomsen made all the difference in her ability to breathe into her right chest. Lori asked her to “breathe into the heel of my right hand” during an Infraclavicular Pump and Subclavius technique. Ron brought a couple of us into the treatment room to feel the upper right ribs externally rotate upon inhalation using this particular cue. The next time you perform these PRI Manual Techniques consider using this instruction to maximize your patient’s ability to achieve right apical expansion. Contact us to share your own patient-directed discoveries!

Bobbie Rappl

Posted July 18, 2008 at 11:49AM

Categories: Techniques

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CCMR Supportive Literature

For those therapists doing cranial work, you’ll want to read these latest articles supporting ourCCMR course.

Orthodontics in a Quantum World I: The Rationale for a New Approach by Gavin James, MDS, FDS, D. Orth. Abstract: Advances in physics and cell biology are changing how science views studies about the body. The first part of this article is an overview of these advanced. The second part is a working hypothesis as to how these changes could affect orthodontic diagnosis and treatment. An example is given of how this thinking might apply. To access the entire article please contact us!

Orthodontics in a Quantum World II: Cranial Movement and Parafunction by Gavin James, MDS, FDS, D. Orth. Abstract:Maintenance of brain vitality is the most important function of the body. Several oral behaviors are involved in this process. Typical facial characteristics and intra-oral change can result from this. Symptomatically, the response can resemble a temporomandibular joint disorder. An integrative systems approach gives a basis for understanding and treating the condition. To access the entire article please contact us!

Bobbie Rappl

Posted July 16, 2008 at 11:50AM

Categories: Articles

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More Summer Reading

Recent articles printed in The Journal of Manual & Manipulative Therapy further support Postural Restoration Institute methods for management and treatment of SI pathology. Three-Dimensional Movements of the Sacroiliac Joint: A Systematic Review of the Literature and Assessment of Clinical Utility by Goode et al, offers a review of current literature that sheds light on the need to consider re-organizing and retraining neuromotor adaptation patterns rather than mobilizing or manipulating the SI joint.

Go here to read the Letter to the Editor and here to read the Author Response. The second article, Variation in Pelvic Morphology May Prevent the Identification of Anterior Pelvic Tilt by Preece et al, discusses how angle of pelvic tilt and sagittal plane orientation may be morphologic.

Bobbie Rappl

Posted July 14, 2008 at 11:53AM

Categories: Articles

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Functional Squat Test

In addition to the Hruska Adduction Lift Test and the Hruska Abduction Lift Test, we have created the Functional Squat Test. Similar to the tests mentioned previously, The Functional Squat test is graded by levels. Level 1 is the inability to perform the test and level 5 represents maximal performance. This test helps the clinician determine whether the patient demonstrateshyperactive hip flexors, back extensors, and femoral rotators. It also helps establish whether or not the patient has the ability to perform a posterior pelvic tilt and if they can achieve maximal AF IR. To view the complete Functional Squat Test, please click here!

Bobbie Rappl

Posted July 11, 2008 at 12:00PM

Categories: Techniques

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And the Shoe Winners Are...

Last week we brought you the shoe list provided by The Lincoln Running Company. This week we are providing you with the favorites chosen by Dr. Coffin and PRI! With so many choices in footwear it’s hard to decide which is best. The shoes listed are not only the most appropriate footwear biomechanically they are also the best suited to compliment PRI orthotics.

1. Asics Evolutin
2. Asics Foundation
3. Brooks Beast / Ariel
4. Brooks Addiction
5. New Balance 817
6. New Balance 859
7. Saucony Stabil 6

Bobbie Rappl

Posted July 10, 2008 at 12:02PM

Categories: Products

Going Up or Going Down?

Retro Stairs has been a popular activity for the last decade of PRI. It is one of the first upright activities given to patients when teaching them how to achieve left AF IR. During the dawn of the squat program, taught in theImpingement and Instability course , we have found other great ways to utilize the stairs. Heel Stair Descents is a new activity designed to eccentrically lower your self down the stairs. This activity is an excellent way to activatethe quads, promote controlled hip extension and inhibit the gastrocs. To view the complete technique, click here!

Bobbie Rappl

Posted July 9, 2008 at 12:03PM

Categories: Techniques