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We received another great question on the treatment of right ischial tendonitis…

The reason we include a discussion on left ischial tendonitis and not right is because right ischial tendonitis is often ‘cleaned up’ or treated with a conventional myokinematic approach to the treatment of the Left AIC or PEC pattern.  One would start with “pulling” the anteriorly rotated pelvis back to neutral with left hamstring engagement (90-90 Supported Hip Lift with Hemibridge) then proceed with right glute max activity to “shift” the pelvis to the left and “rotate” the pelvis into left AF IR and right AF ER, therefore, reducing strain on the contracting, shortened right hamstring and the proximal attachment of the hamstring on the right ischial seat. 

So in essence you would treat the right ischial tendonitis issue by using the myokinematic hierarchy of lumbo-pelvic-femoral control for the Left AIC patient that is outlined and covered in the Myokinematic Restoration class.  Remember under every PEC pattern there is a Left AIC pattern, so even if your patient had right ischial tendonitis and had limited SLR on adduction levels bilaterally, I would start with the above recommendations.

The left ischial tendonitis patient will need more concomitant cooperation from the right glute max and left medial adductor and left quadricep during left heel strike and push off, to reduce left hamstring strain. 

We were recently asked a great question about some of the wording in our TMCC Non-Manual techniques…

What is the reasoning for the jaw moving forward and to the left in the ‘Supine Active Sacro-Sphenoid Flexion’ technique and forward and to the right in the ‘Active Left Lateral Pterygoid in Protrusion’ technique?

Many of our patients have cranial base function oriented to the right secondary to the human spinal pattern often seen in the human right upper brachium and cranium (Right BC and Right TMCC patterns).  These patterns demand on the right lateral pterygoid (mandible often seen oriented to the left) and overdeveloped right sternocleidomastoid (head and neck often seen slightly side-bent to the left and turned to the left) can be reduced by activating the left lateral pterygoid.  The left lateral pterygoid assists in rotating the sphenoid or cranium to the left through its attachment on the lateral pterygoid plate of the sphenoid, and the base of the skull and upper cervical spine to the left, through lateral movement of the mandible to the right. 

Movement of the mandible to the right promotes good left lateral pterygoid function for meaningful chewing on the right with a balanced forward condyle to fossa relationship on the left during the actual downward power stroke.  Movement of the jaw to the right is, therefore, promoted which is so often lost on patients who are very active on their right side when they chew.  Right sided chewers over-activate their right lateral pterygoids immediately preceding opening and at the end of the downward power stroke on the right, by moving their mandible to the left after each power stroke.  Alternative chewing on both the left and right, is advisable as is keeping lateral pterygoid function balanced, by reducing right neck activity through left lateral pterygoid non-chewing function during the day.  The ‘Active Left Lateral Pterygoid in Protrusion’ is one way to keep balanced horizontal movement during mastication and the right cervical muscles relaxed because of the left lateral pterygoid indirect action on moving the cranium (sphenoid) and occipital base (OA/AA) to the left.

Because of the direct attachment of the stylohyoid, styloglossus and stylopharyngeus on the styloid process, moving the mandible to the left “pulls” the right temporal bone into external rotation and flexion, thus reducing intercranial torsion, and intraoral cants associated with the Right Temporal Mandibular Cervical Cranial (TMCC) pattern.  This technique reduces hemi-extension of the cranium, restores symmetrical cranial respiratory function and provides a complete base for the tongue to function without compensatory glossus activity.  By moving the mandible to the left, the hyoid, dorsal lateral tongue and pharyngeal thyroid cartilage move also to the left, promoting alignment of the airway and pharynx of the Right TMCC patient. 

This week’s Interdisciplinary Integration featured speaker is Dr. Kris Berg. Dr. Berg is a Health, Physical Education & Recreation professor at the University of Nebraska – Omaha. His teaching interests include exercise in chronic illness and exercise in special populations. Dr. Berg will be presenting on day two of the symposium on asthma and exercise-induced asthma.

“The athletes’ ability to perform really depends on bronchial performance. What really is exercise-induced asthma? How does exercise induce bronchial constriction? Who really has it? And what considerations should be made when working with this athletic phenomenon? I can’t think of a more highly qualified person to answer these questions, other than Dr. Kris Berg. Should be an enlightening presentation for anyone who uses PRI principles in maximizing functional performance.” – Ron Hruska

Click here to view the full two-day agenda!

Despite some travel delays due to the crazy weather across the country this past week, we had a great weekend of courses!

Myokinematic Restoration (Portland, OR) – “Enjoyed a great course in Portland with a nice mix of athletic trainers, strength and conditioning professionals, massage therapists, personal fitness professionals, yoga instructors and physical therapists.  A big thanks to Jimmy Southard of the Seattle Mariners for encouraging such a large group from his organization and to the girls in the back row who made such a great contribution to the course, even though they were initially intimidated by their lack of degrees and certifications.  Your interest and passion in learning was felt and appreciated by us all.” – James Anderson

Pelvis Restoration (Loveland, CO) – “I was amazed this past weekend of the course participants and their enthusiasm to learn and integrate PRI in their practices.  The host site, Rebound Physical Therapy, hosted their 7th PRI course this past weekend!!!! When I asked the participants and read their reviews, I feel three things stood out for them this past weekend:  1) Frontal plane integration of the pelvis inlet and outlet with patient function.  2) Improved understanding of inhibition in PRI and 3) Utilizing PRI tests to assist them with making improved clinic decisions for home programs for their patients. Very blessed to have assisted them this past weekend in their PRI learning! – Lori Thomsen

Double X Science, an online science magazine for women, recently posted a story which features PRC therapist’s Kristen Spencer and Louise Kelley. The story titled “Pregnancy 101: It Hurts Where?” discusses post-pardum pregnancy pain, and how physical therapy, including Postural Restoration to address pelvis asymmetry can prevent or eliminate pregnancy-related pelvic pain.

Check out speaker Lori Thomsen’s latest running video titled “Running, Ribs and Breathing”

This week’s Interdisciplinary Integration featured speaker is Eric Cressey, CSCS. Eric is president and co-founder of Cressey Performance, a facility located just west of Boston, MA.  A highly sought-after coach for healthy and injured athletes alike, Eric has helped athletes at all levels – from youth sports to the professional and Olympic ranks – achieve their highest levels of performance in a variety of sports.  Behind Eric’s expertise, Cressey Performance has rapidly established itself as a go-to high performance facility among Boston athletes – and those that come from across the country and abroad to experience Cressey Performance’s cutting-edge methods.  Eric is perhaps best known for his extensive work with baseball players, with more than 80 professional players traveling to Massachusetts to train with him each off-season.

“We are very excited to have Eric attending and presenting at this year’s Interdisciplinary Integration Symposium! It’s obvious to us that Eric has earned a lot of respect in his profession, and I think it is in part to his respect for the “whole” athlete. Eric’s experience with athletes of all levels and his commitment to continuing education in biomechanics of the athlete (including Postural Restoration) will enhance his presentation, Long Term Management of the Overhead Athlete.” – Ron Hruska
Eric will be presenting on day two of our symposium.

To register for the Interdisciplinary Integration course, CLICK HERE!

We are excited to announce that Rich Tenney, Kyndall Boyle and Aaron DeBord have collaborated together to publish an article in the Physiotherapy Canada journal! We are excited to share this article, Influence of Hamstring and Abdominal Muscle Activation on a Positive Ober’s Test in People with Lumbopelvic Pain. Congratulations on your hard work and thank you for your dedication in helping to educate others about the science of Postural Restoration through journal publication!

Have you ever heard Ron mention that he doesn’t like the phrase “posterior pelvic tilt” when teaching patients to perform an exercise? Check out our newest Recent Email to learn more about how Ron prefers to cue patients to perform an effective posterior pelvic tilt with PRI Non-Manual Techniques.

“This course was a good course from a standpoint that there were beginners, intermediates and veterans of PRI in the room – which is a blessing for everyone in attendance, including the speaker! The attendees in the room who were still trying to put the “pieces” together really helped strengthen the Guidelines for Right BC Treatment document. These suggestions and recommendations have been recognized and will benefit all future course attendees. Thank you Sioux Falls for a great weekend!”

Mike Arthur, CSCS is the keynote speaker and will lead off day one of the Interdisciplinary Integration Symposium on April 11th, 2013! Mike is in his 36th year with the Nebraska Athletic Department, and in January 2008, he was promoted to Director of Strength and Conditioning for the athletic department. Ron has known Mike for over 15 years.

“I am very excited to have Mike as the keynote speaker for our 2013 symposium! During the years of working with Mike, I have observed some strong characteristics – Mike is consistent and a predictable thinker. He is one of the nicest guys I know and is respectful of everyone’s suggestions and approaches. I admire his open-mindedness in implementing strength and conditioning concepts. Mike is very analytical and his analytical mind makes him evidence-based and therefore he gravitates towards programs based on strong scientific backgrounds. Mike will offer a personal perspective, based on his 36 years of experience in the field and his success with integrating PRI into his program. His strong belief of safe strength training with an emphasis on injury prevention is why Mike is our 2013 keynote speaker. ” –Ron Hruska

To register for the Interdisciplinary Integration course, CLICK HERE!

On January 12, 2013, Mike Cantrell had the opportunity to present to over 200 attendees at the Major League Soccer Medical Symposium in Ft. Lauderdale, Florida! CLICK HERE to view Mike’s presentation from the symposium. “PRI was greeted with high-fives and fist pumps after the one-hour presentation!” In addition, Mike presented a one day Myokinematic Restoration course for over 40 athletic trainers from the Major League Soccer organizations (pictured with Mike Cantrell). “What a rewarding weekend of teaching at the Major League Soccer Medical Symposium. Athletic trainers from across the country and Canada came to Ft. Lauderdale to learn some advanced human kinetics and take it back to their teams!”