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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!

Blog Posts in 2015

Hello PRI Community!

We are very excited for the work that is coming together for the new PRI Integration for Fitness and Movement Course.

James Anderson and I would like to create an opportunity for passionate individuals well versed in the PRI science to share their expertise and provide feedback and input for the content that will be featured in this course.

Click below for some background information which was put together to facilitate discussion and guide interaction for those that may be interested to have their work featured in this course. Please contact me directly with any questions julieblandin@hotmail.com

We are grateful for everyone passionate about this course content and look forward to reviewing your ideas and adding valuable content from others to this course!

Click Here for more information

Posted February 4, 2015 at 11:23AM
Categories: Courses

On Left Biceps Activation...

Ok, If we’re super in love with the right triceps for sagittal Right BC inhibition, aren’t we also loving the left biceps (long head) for the same reason?

Let’s consider not the long head of the biceps alone but the short head as well.

The scapula on the R is positioned in a state such that the inferior angle is moving posteriorly away from the ribcage and the superior edge is moving anteriorly toward the ribcage.  This is facilitated by pec minor activation and subsequent triceps inhibition.  Also, though perhaps to a lesser degree, the R biceps may act, via the long head, but also and possibly more importantly so, the short head (due to its attachment to the coracoid) synergistically with the pec minor.    And the end result can be biceps tendinitis.  One mechanism for reduction of the biceps activity is via triceps activation.  On an interesting side note I had a pt with right biceps pain and the first line of attack was to activate right subscapularis.  This was suggested because I already had him on a triceps program and he was neutral.  By engaging subscapularis I facilitated IR of the humerus which was now positioned in ER as a result of neutrality, which yielded prolonged inhibition of the subscapularis.  Subscapularis activation created internal rotation and internal rotation alone is sufficient to inhibit biceps, because it is a lack of internal rotation (as a compensatory strategy to manage system extension) that results in the alliance of biceps with anterior deltoid and upper trapezius on that R side.  This polyarticular chain of muscle which becomes a respiratory accessory muscle chain at this point can become so dominant that injury is an inevitable outcome if no intervention takes place.

On the L side the position of the scapula is opposite the R in many cases and subsequent activation of the L biceps may be necessary as a result of its positional disadvantage.  Likewise, inhibition of subscap may be necessary if it has been acting as a compensatory IR muscle to counter ER positioning.  To that end, we should also see a need for activation of teres minor and infraspinatus (following repositioning) on the L side as well.  Doing so can improve compensatory demands of internal rotation of the humerus when in the R BC pattern.   Compensatory internal rotation of the humerus could then possibly increase L pec major activity as it acts synergistically with subscap during compensatory L TR in the R BC pattern.  The end result of this patterning could easily create the need for L pec inhibition as a mechanism for L biceps activation!  Thus the mechanism for increasing biceps activity (as opposed to triceps on the R side) would be to improve rotation via reduction of the “alliance” of pec major and subscapularis.

One must understand that not everyone develops biceps tendinitis as a result of L AIC, R BC patterning however if it becomes the case then the above scenario are likely. -Michael Cantrell MPT, PRC

To read more recent emails click here.

Posted February 3, 2015 at 11:06AM

Almost 70 talented clinicians in Quincy, Illinois attended Postural Respiration on the weekend of January 24th-25th.   The majority of the group had taken Myokinematic Restoration last year and it was a pleasure to return to Quincy for round two.  We covered a wide range of topics (including balloon blowing!) and I have received multiple success stories since the course completed.  I think the group will love continuing the journey into Postural Restoration.  Thanks to Heather Jenny PT, PRC and to Lori Brinkman ATC, CSCS, PTA, PRC for all the lab assistance and a special thanks to Natalie Stratton DPT for all her help with the course set-up and wonderful hosting that she did!  Natalie, you’re the best!

Posted February 2, 2015 at 8:41AM
Categories: Courses

I recently had the opportunity to take PRI’s Impingement & Instability (I&I)course for the first time.  The most important concept from this course, in my opinion, is that if patients can’t recognize, use, and integrate the sensory references need for upright, alternating, reciprocal function—the goal of any PRI program—then they will not be successful in their program.  And neither will you.  Definitely not something that excites most of us, regardless of whether you are a PT, strength and conditioning coach, trainer, or even an optometrist, dentist, podiatrist….the list could go on and include anyone working with this patient, whether  to improve performance, decrease/prevent pain, or treat their orthostatic or anxiety issues.   Impingement & Instability is the “bridge” course between the primary, “floor-up” PRI courses and the “top-down” secondary courses and the PRI Vision course.

I&I concepts are the type of thinking that, in some regards, are the only thing I really know how to do when it comes to PRI.  I am not a PT, nor do I have any formal educational background in human gait, movement, or physical performance.  The minute a term like “anterior pelvic inlet” or “late left stance” comes out of Ron’s mouth, I’m a little lost.  I’ve learned a lot over the past 5 years working with Ron and the other therapists here at the clinic, but this is why I keep taking and retaking courses!  Anyone who knows me knows how much I HATE that feeling!  But what I do clinically every day in PRI Vision with Ron is ALL about sensory awareness.  So for  the patients  that need me, I know if they can’t consciously “find & feel” the floor under their left foot—in  I&I the left calcaneus—nothing  I have done so far will help them and we have to keep going until they can.

There are, of course, other sensory references many patients need to increase or decrease.  Some of them are discussed in I&I, some are not, and these vary based on the patient.  Regardless of what these are, my job is to change the “top-down” brain’s sensory awareness so that the “bottom-up” activity from the primary courses can be effective.

The second concept for this course is the meaning of the words impingent and instability.  Impingement as a syndrome or diagnosis is usually associated with pain due to excessive or inappropriate contact between two points in the body.  Instability is usually associated with the lack of support or stability, often due to overstretched or lax ligaments or muscles.  But consider these definitions:

Impingement:  appropriate contact not only between two points in the body, but also between the body and a needed sensory reference, such as the floor.

Instability:  the freedom to “let go” of a contact point, sensory or physical, so movement can take place.  To obtain alternating, reciprocal function, you need proper impingement on one side paired with proper instability on the other, then the ability to reverse it—This is how “good gait” happens!

Every patient I see in PRI Vision needs less impingement and less instability in certain areas, and more of each in other areas.  Many have too much “impingement,” or reliance, on vision, and not enough on their left heel.  We also frequently have to change multiple reference areas for the patient to make use of the new “instability” I am giving them in Vision.   These changes can be the determining factor in the patient’s program success, and where I rely fully on Ron and the referring therapist to ensure this is accomplished when needed.

If you haven’t taken I&I, you absolutely should!  Ask some of the attendees that experienced the “right” PRI function for the first time during those two days.  If you’ve taken I&I, then the next step is to take the Cervical Rotation and Postural-Visual Integration courses.  These two courses will show you what to do when you have patients (or yourself!) that just can’t find and keep those sensory references from the I&I course.  The head, neck, and ultimately the BRAIN are the “top-down” drivers that can negate, or reinforce, all of your and your patients’ “floor-up” hard work.

Moving Beyond Sight!

Dr. Heidi

Posted January 30, 2015 at 9:21AM
Categories: Courses PRI Vision

Santa Cruz) Myokinematic Restoration.  Had a fantastic weekend with a dynamic group of rehab, medical, performance and fitness professionals in the beautiful Paradigm Sport facility in Santa Cruz, California. Thank you Joey Wolfe for hosting such a great weekend and for making us all feel so welcome at Paradigm Sport. First Class all the way.

And thank you to Julie Blandin and Caleb Chiu for their work as lab assistants and clinical PRI experts, having done such a great job answering questions and guiding attendees through proper testing and exercise technique during the lab portion of the course.

As a group, we found ways to overcome the two key barriers to moving into the left hemisphere of human performance: (barrier #1) unexhaled air and (barrier #2) overactive polyarticular muscle chains. We did this with exhalation movement techniques that used the left hamstrings and left adductor and also the left abdominals (via left rib internal rotation) to help lateralize athletes to the left side. Securing left hip stability with "ligamentous muscle" then helped hold an athlete on the left side without requiring undue compensation.

The California Coast is quickly catching PRI fever and we're more than grateful to support the process. I'm already looking forward to the next trip.

This statue showed up after a great dinner at Hula's Island Grill. He made himself known after Julie, and Maureen and I discussed PRI Integration for Fitness and Movement all evening. We thought seeing this statue was a message from the universe that reminded us that single leg performance on the left leg was a big deal. Haha. 

Posted January 29, 2015 at 8:55AM

We are excited to announce that Hannah Janssen joined the PRI staff full time earlier this month as Education Coordinator. Hannah is busy training with all the PRI office day to day activities, and also in learning the course material. To learn more about Hannah and how he became interested in PRI, click here!

Posted January 27, 2015 at 8:13AM

The weather was beautiful in Phoenix and the Seattle Mariners’ Spring Training complex was as well for Myokinematic Restoration last weekend!  We delved into the challenging subject of human kinetics and the relationship to baseball as well as general athletic performance. The class was eager and excited and I received many notations that read “Wow! This is a real paradigm shift for me!”  Thanks to all the participants in the sessions and a special thanks to Jimmy Southard, Head Minor League Athletic Training Coordinator of the Mariners organization for inviting PRI into his living room!!!  It was the best!!!

Posted January 16, 2015 at 11:45AM
Categories: Courses Athletics

We are excited to announce and congratulate the Postural Restoration Trained (PRT) Class of 2015!  PRT is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRT application, and successfully participating in practical and analytical testing. Five individuals earned the designation of Postural Restoration Trained (PRT) under the direction of Ron Hruska, Michael Mullin and Jennifer Platt.

The Postural Restoration Institute® established this credentialing process in 2011 as a way to recognize and identify individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute®.  The PRT credential is available to Certified Athletic Trainers and Certified Strength and Conditioning Specialists who have completed the requirements. With the addition of this class, there are now 23 PRT professionals throughout the U.S.

PRT credentialed athletic trainers and strength and conditioning specialists offer a unique approach to physical medicine called Postural Restoration. This approach addresses underlying biomechanics which can often lead to symptoms of pain and dysfunction. All mechanical influences on the body that restrict movement and contribute to improper joint and muscle position are considered, examined, and assessed. Techniques are utilized to restore proper alignment of the body while proper respiratory dynamics are considered. Treatment encompasses prevention and lifetime integration for long-term successful outcomes.

Congratulations!

Pictured from left to right: Michael Mullin, Takuto Kondo, Matthew Uohara, Gibbie Duval, Atsuhiko Takei, Dallas Wood, Jennifer Platt and Ron Hruska

Posted January 13, 2015 at 3:34PM

In November I have made another trip to Poland to teach Myokinematic  Restoration as well to introduce Postural Respiration for first time in Europe, all together almost 70 professionals came. Because of enormity of material which respiratory course includes, I have decided to extend it to 3 days.  I also made myself available for two extra online sessions to all who attended, so they do not feel "left out". All courses were taught in Polish which helped everybody to understand essence of PRI philosophy as related to mykokin and respiration.  I have chosen my home town Opole, in Southern Poland as place of gathering. My audience however was from all different parts of the country. Consisting of physical therapists as well MD's and strength and conditioning individuals.

While in Poland, I was invited to lecture at the professional meeting in small picturques town named Wisła. There, I met about 70 therapists, where I introduced four basic concepts of PRI pertinent to asymmetry, position, muscular chains and function of diaphragm on human function.

I found all attendees very eager to learn - lots of questions, and our philosophy of evaluating and treating patient was very well received and immediately embraced. I think they are "hooked" on PRI! ;)

Posted January 9, 2015 at 9:50AM

I welcomed the opportunity to have one of the attendees from last weekend's PRI Integration for Baseball course write up a course review. Steve Smith, Major League Physical Therapist for the LA Dodgers did a wonderful job summarizing the course in his review. Be sure to check out his write up, titled "Top 5 Reasons Why PRI Integration for Baseball Is As Good As It Gets." Check it out HERE!

Posted January 8, 2015 at 2:23PM
Categories: Courses
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