We recently added a new area on the PRI products page titled “Manuals”. For those of you interested in purchasing a re-print of a course you attended a few years back or for those interested in purchasing a course manual to a course you have not attended, click here! Additions and updates are continually added to all course material. If you register for a course, you will be given an updated manual at the time of the course!
We have picked a date for our one day clinical course, Postural Restoration, in Woodbury, Minnesota! Mark your calendars for March 28! This one day review, demonstration, and lab course provides a number of PRI resources that are related to concepts covered in Myokinematic Restoration and Postural Respiration. Space is limited, register early!
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. To check out his website, click here!
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!
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!
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!
Tibial ER from Bobbie Ninneman on Vimeo.
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!
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
2. Can’t open mouth without a click
3. Can’t passively rotate cervical spine to the left – axially with neutral brachial chains
4. Can’t protrude without lateral trusion
5. Can’t decrease a cant (bipupilar plane, otic plane, transverse occlusal plane)
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
2. Can’t realize 70-80% of passive right HG IR
3. Can’t achieve 45% of left upper extremity horizontal abduction
4. Can’t expand right chest with left chest wall resisted expansion
5. Can’t blow up a balloon without pinching balloon neck
Tommorrow we will end this series on Common Dilemmas with a Cervical-Cranio-Mandibular Restoration program!
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
2. Can’t find and feel left adductor
3. Can’t find and feel right glute max
4. Can’t abduct right leg without right low back activity
5. Can’t inhibit left TFL or left hip flexors
Tommorrow we will highlight common dilemmas that take place with a Postural Respiration program!
If you caught yesterday’s blog...here are the other five reasons PRI dilemmas are reduced or resolved:
6. Leading with left hand and right leg to encourage right arm extension (right thoracic rotation).
7. Achieving a reverse squat from a PRI level 4 Squat Test.
8. Occasionally focusing on a target with left eye during upright (standing or seated) diaphragmatic breathing.
9. Keeping tongue up with right upper extremity demands.
10. Walking counterclockwise periodically throughout the day with calcaneal stabilization footwear and mid arch contact.
Next week we will discuss common Myokinematic Restoration, Postural Respiration, and Cervical-Cranio-Mandibular Restoration dilemmas.
“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…
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!!
If you are registered to attend the Cervical Cranio Mandibular Restoration course in Lincoln, Nebraska on November 15-16...book your hotel reservations now! The hotel room block will end this Friday the 31st! To contact Chase Suites, click here! To receive our discounted rate, ask for Roxanne! See you in November!
Re-locating or looking for a change? Be sure to visit our “Careers” page to find a listing of employment opportunities specifically for PRI trained therapists nationwide. Go to Find a Therapist and click Careers!
If you would like to post a position for a PRI trained therapists at your clinic, just contact us and we’ll post the job right away!