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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!

The Postural Restoration Institute™ announces that Larry A. Gruver, MPT, ATC, PRC of The Rejuvenation Center in Chandler, Arizona; Michael Cantrell, MPT, PRC of The Cantrell Center in Warner Robins, Georgia; and Roberta Delfun, PT, PRC of Impact Physical Medicine and Prism Aquatic Center in St. Paul, Minnesota have earned the designation of Postural Restoration Certified (PRC). Certification is a result of 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, LLC. The certification process of both clinical and analytical examination took place on December 11th and 12th, 2006 at the Postural Restoration Institute™ following four-days of advanced training. We congratulate these three on their outstanding achievement! Fifteen individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified.

Posted December 12, 2006 at 4:22PM
Categories: Clinicians

For nearly 70 years, Paul Bunyan and Babe, the Blue Ox have enjoyed fame of massive proportions, even being named by Eastman Kodak as one of the most photographed icons in the nation. But this year, Paul and Babe will have to get used to the dark — the Bemidji spotlight now shines on a new set of hometown heroes: the men’s and women’s Olympic curling teams.

For the athletes and for the entire Bemidji community, the chance to represent the U.S. in the Olympics was a dream come true. Behind the scenes, though, for two members of the women’s team, this dream — so close to becoming a reality — was slipping away.

Just weeks before they were to fly out to Torino, Jamie Johnson and Maureen Brunt were worried, to say the least. During what should have been key training and preparation time, the women found themselves sitting practice out, nursing painful injuries rather than curling.

Jamie’s pulled hamstring and Maureen’s IT band injury (which caused the muscles of her hip, knee and ultimately her entire left leg to be painful and tight) could not have happened at a worse time. “At practice I was already at the point where I couldn’t curl,” Maureen remembers. “I was so nervous that the injury would be a huge setback in Torino.” Jamie, too, was affected “not only physically, but mentally as well.”

Determined to get back on the ice fast, the women turned to MeritCare Bemidji physical therapists Megan Bollinger and Paula Vigen for help. Vigen had worked with Maureen before, but recognizing the need for immediate results, she consulted Bollinger about a new revolutionary technique called postural restoration. “This technique is designed to improve movement, posture and breathing,” says Bollinger. “It targets the body as a whole by using special exercises and repositioning to help the body function more efficiently as one unit.”

Very aware of the fast-approaching Olympic games, the physical therapists wasted no time in beginning treatment. Attending practices, visiting with the coach, consulting the trainer and guiding and training the women, Bolligner, with Vigen’s support, used postural restoration to quickly get the women back on track. “With this intensive program, we were able to achieve excellent results quickly, accomplishing about two months’ traditional strengthening in just one-and-a-half weeks,” Bollinger says.

Bollinger and Vigen were very pleased with the women’s progress. “It was very exciting to treat these individuals and see the great results that occurred. It’s always rewarding when patients do well after therapy,” says Vigen. No one, however, could have been happier with the outcome than Maureen and Jamie. “The treatment really helped with the pain — it was such a relief!” Maureen noted. For Jamie, the therapy went above and beyond treating her symptoms; it even improved her pre-injury aim. “I learned so much about myself and my body. It [the postural restoration technique] will help me continue to improve my game,” Jamie said.

With the help of the MeritCare Bemidji physical therapists, Jamie and Maureen were able to overcome their injuries, regain their confidence and ultimately live their dream of competing in the Olympic games. During their time in Torino, the women, with the help of their trainer (who received guidance from Bollinger), continued their postural restoration exercises. Neither was bothered by her injury during competition.

Though the Olympics are over, both Jamie and Maureen plan to continue to use the techniques they learned during their treatment, whether injured or not. Jamie, in fact, never intends to stop. “I plan to keep curling for a very long time and I want to be sure my legs and body can keep up,” she says. “I will use the exercises for the rest of my life.”

Like Paul Bunyan and Babe, Jamie, Maureen and their peers on the men’s and women’s Olympic curling teams have become icons. Their hard work, dedication, talent and passion have captured admiration not only in Bemidji, but on a worldwide scale as well. The legend of the Bemidji Olympic curlers, however, is still being written. “The beauty of curling is that there’s always more to strive for,” says Maureen. “Now that we’ve gotten a taste [of the Olympics], we definitely plan to be back.”

Michelle M. Roers
Public Relations & Communications
MeritCare Health System

Posted March 3, 2006 at 4:15PM
Categories: Articles

The following article has been added to PRI references for Zone of Apposition.

This article provides evidence that lung volume reduction surgery (LVRS) improves spirometric parameters, lung volumes, diaphragm strength, increased diaphragm length (ZOA), and improvement in maximum exercise performance.

PRI techniques performed clinically are the non-surgical avenue for reducing hyperinflation and therefore achieving the same outcomes seen here with surgical intervention.

Lando Y, Boiselle PM, Shade D, Furukawa S, Kuzma AM, Travaline JM, Criner GJ. Effect of lung volume reduction surgery on diaphragm length in severe chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1999 Mar;159(3):796-805.

Full text available at:
http://ajrccm.atsjournals.org

Posted March 3, 2006 at 4:10PM
Categories: Articles

The Postural Restoration Institute™ announces that Oliver Hall, PT, PRC of Poulin Performance and Rehab in Waitsfield, Vermont; Cory Healy, PT, PRC of Crown Point Physical Therapy Associates in North Springfield, Vermont; Jen Poulin, PT, PRC of Poulin Performance and Rehab in Burlington, Vermont; Lori Thomsen, PT, PRC of Riverview Health in Crookston, Minnesota; Joan Hanson, MPT, PRC of Physical Therapy Solutions in Sioux Falls, South Dakota; Chad Lauseng, MSPT, PRC of Restore Physical Therapy in Sioux Falls, South Dakota and Maura Guyer, PT, PRC of Poulin Performance and Rehab in Burlington, Vermont; have earned the designation of Postural Restoration Certified (PRC). Certification is a result of 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, LLC. The certification process of both clinical and analytical examination took place on December 12th and 13th, 2005 at the Postural Restoration Institute™ following four-days of advanced training. We congratulate these seven on their outstanding achievement! Twelve individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified.

Posted December 27, 2005 at 9:51AM
Categories: Clinicians

Improving the Functional Strategy of the Volleyball Athlete - Ron Hruska, MPA, PT Postural Restoration Techniques to Reduce Shoulder Impingement and Instability - Ron Hruska, MPA, PT To download handouts from these presentations please visit: http://www.posturalrestoration.com/about/certification

Posted December 13, 2005 at 9:47AM
Categories: Courses
Posted August 3, 2005 at 9:38AM
Categories: Articles

From: Kim Keyser, PT, Duke University
Sent: Friday, April 15, 2005 
To: Postural Restoration Institute™
Subject: General Contact

Comments:
Ron, I was hoping you could give me some advice over the phone or by e-mail. I am writing a case study on a patient with a peer of mine and we used PRI with them. We are having a difficult time putting into words the “theory” and background behind the evaluation and treatment techniques. Obviously it makes sense to me, but it is a whole different ballgame when trying to explain it to someone especially on paper. Particularly in front of an evidence based audience. As you have mentioned before the evidence is there. However, it is not in a concise and fluid way. I have read a couple case studies that you have written and one Kyndy wrote. But that is still not clear.
Any help would be greatly appreciated.

Kim

From: Ron Hruska, PT, Postural Restoration Institute™
To: Kim Keyser, PT
Subject: RE: General Contact

Hi Kim-
Thanks for your email and on-going support of our PRI approach to positional influences on neuro-pathomechanic developmental patterns.

The “evidence” is there, but going to all the sources as they presently exist, hasn’t been put together for the general public as of yet. As an Institute (PRI), we are in the process of doing this.

Articles on zone of apposition (ZOA) will help one understand the asymmetrical roles of the two hemi-diaphragms in their influence on respiration and thoracic function. Please refer to our website for these articles and information on diaphragm positions, differences in size, asymmetrical attachment sites, etc. Respiration, intercostal and mediastinal motion is also controlled and influenced by visceral position of the pericardium on the left and liver on the right (Reddy et al, J. Thorac Cardiovas Surg. 1994). Contraction of the diaphragm during postural adjustments (Paul Hodges, Journal of Physiology, 1997) and the diaphragms influence on postural/abdominal function (Paul Hodges, Manual Therapy, 1999) also support the need to address respiratory issues and influences on postural asymmetry.

Rib cage mechanics influence on the spine and asymmetry of the spine can be found in numerous articles (too many to mention in this email) with respect to the most common curvatures to the prevalence of right rib humps. Rib cage mechanics is influenced by asymmetrical compartmental pleural and abdominal pressure, configuration and trans-diaphragmatic strength. (Kenyon et al, J Appl Physiol, 1997). Why do 98% of adolescents with a single thoracic curve, have apex curvatures to the right with accompanying rib humps? (K. Song, Journal of Musculoskeletal Medicine, 1993)

Communication, swallowing, language, speech and ‘handedness’ reflects the left hemispheric ‘command center’ as well as proximal muscle involvement of the contralateral limbs (Bagesteiro et al, J Neurophysiology, 2002). “Dominant arm tasks were most almost exclusively associated with activities requiring precision in interjoint coordination and trajectory formation”. Slow, deliberate, controlled, organized, cortical motor encoding is correlated with manual skills developed by the left hemisphere (Volkmann, et all, J Neurophysiology, 1998 and Gabbard et al, JOSPT, 2002)

There are postural origin theories on asymmetrical development (Day and MacNeilage, J Comp Psychol, 1996), vestibular asymmetry theories (Previc, Psychol Rev., 1991). Developmentally tonic lumbar reflexes described in the literature by Tokizane (1951) and Brunnstrom (1970) are elicited when the “position” of the upper trunk is changed in relation to the pelvis. We pick up an object and proceed to throw it with our right hand because our upper trunk rotates to the right initially and the pelvis to the left, as weight is born on our extended “dominate” right leg with the left lower extremity flexed (Barnes, Crutchfield, 1978). Our diaphragm and adjoining psoas on the left allow this activity to occur more easily because of visceral orientation of the heart, stomach and liver (left upper quadrant to right lower quadrant axis) and neural-motor development of this amphibian reaction at the age of six months (Fiorentino, 1972).

In addition to these evidence-based comments on respiratory influences on asymmetry, cortical-hemispheric influences on neuromotor developmental strategies of proximal vs. distal stability on the right vs. the left, rib cage dynamics reflecting diaphragm influence and size, neurophysiology of motor development on ATNR, Moro, and other reflexes in the frontal, sagittal and transverse planes, there are those mentors; Buchholz, Schamberger, Gracovetsky, Myers, Lee, Busquet, Mezieres, Vleeming and Chaitow who will all agree we operate through patterns of ‘polyarticulated’ muscle.

It is also my strong belief that the mandible, sphenoid and temporal bones influence forward head posture, asymmetrical tonic neck reflexes, body on head righting reactions and respiratory pathomechanics that lead to forward head posturing, COPD and asthmatic activity, fibromyalgic sleep habits, scoliosis, T.O.S., hyperinflation cervicalgia headaches all which can be referenced easily through the dental community and all of which I have treated successfully without surgical intervention through the use of PRI techniques and intervention. Through my experience and with clinical documentation at the Hruska Clinic, strong evidence-based clinical data that supports the Postural Restoration Institute™ approach towards intervention and treatment of pathomechanics to restore balanced integrated function and respiration exists. Please refer to our evidence-based summary of “Postural Respiration and Myokinematic Functional Relationships”. Once a pattern of neuromuscular, respiratory, and circulatory system activity is identified, restoration of sphenoid, sternum and sacrum orientation and ‘rest’ position can begin.

Hopefully, Kim, you’ll appreciate we have a lot of work ahead of us. But those of us who understand these ‘system relationships’ will further develop this system evidence-based research to this date through an integrative approach by promoting sequential, specific approaches to a multi-system, bipedal, machine that functions with asymmetrical patterns of movement.

Best Regards,

Ron Hruska, MPA, PT


References can be found on our website, posturalrestoration.com by selecting the link titled “educational resources”, then “references”. 
The majority of references listed within the context of this email are listed in the “neurology” section of the Postural Respiration course.

Posted May 24, 2005 at 9:34AM
Categories: Clinicians

Perri MA, Halford: Pain and faulty breathing: a pilot study. Journal of Bodywork and Movement Therapies 8:297-306, 2004. Available online at http://www.sciencedirect.com

Posted March 22, 2005 at 9:24AM
Categories: Articles

Together, Ron Hruska and James Anderson presented Myokinematic Restoration – An Integrated Approach to Treatment of Lumbo-Pelvic-Femoral Pathomechanics in Elon, North Carolina on March 12th and 13th. This course was a result of the collaboration between PRI and Elon University’s Department of Physical Therapy Education. Forty-three participants: DPT students, faculty and area clinicians from North Carolina, Virginia and Georgia, represented a wide range of clinical backgrounds and experience. The academic setting and diversity of attendees made for dynamic interaction. In addition to the weekend course, Ron was honored to accept an invitation to present an overview of PRI concepts, focusing on scoliosis, to Elon’s charter DPT class on Monday, March 14th. PRI is as dedicated as ever to the importance of student education and awareness of postural restoration concepts at every level of professional learning and excited about the support and enthusiasm that exists at Elon University today!

Posted March 22, 2005 at 9:22AM
Categories: Courses

The Postural Restoration Institute™ announces that Jason Masek, MSPT, ATC, CSCS of the Hruska Clinic in Lincoln, Nebraska; James Anderson, MPT of the Rejuvenation Center in Omaha, Nebraska; Raulan Young, MPT of ProActive Physical Therapy in Burley, Idaho; Karen Jiran, MPT, ATC and Carrie Langer, MPT, ATC both of Orthopaedic Sports, Inc. in Lake Elmo, Minnesota have earned the designation of Postural Restoration Certified (PRC). Certification is a result of 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, LLC. The certification process of both clinical and analytical examination took place on December 6th and 7th, 2004 at the Postural Restoration Institute™ following four-days of advanced training. These five individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified. Each is currently training under Ron Hruska as an Associate Faculty member and all are passionate about future educational opportunities through PRI. We congratulate these five on their outstanding achievement!

Posted January 15, 2005 at 4:09PM
Categories: Clinicians

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