Weekly, we receive phone calls from patients or healthcare professionals in search of a PRI trained provider. As a result we’ve long offered a listing of those PRI trained health professionals on our website. Our National Network page lists those who have attended 2 or more courses sponsored by PRI and instructed by PRI faculty. This list is a great resource that guides individuals all over the country to a health professional with PRI experience. Along with directing patient care, it also provides exposure to your clinic by linking directly to your website. If you are PRI trained and do not find your name on our National Network or if you would like to learn more about this great opportunity, please contact us!
Posted July 31, 2008 at 9:10am by Bobbie Ninneman.
Categories: Clinicians
These last few weeks have been filled with discussion on shoes. Now that you’ve been guided on which shoe to buy, let’s put them into use. Alternating Gait Recommendations is a handout found on PRI’s website educating patient’s on appropriate gait sequence complimenting a Right AIC pattern. This handout is a great way to incorporate PRI activity into an upright dynamic program! To access this handout, please click here!
Posted July 30, 2008 at 9:02am by Bobbie Ninneman.
Categories: Techniques
Our 1st Annual Interdisciplinary Integration course is scheduled for March 26-29, 2009 in Lincoln, Nebraska. Guest speakers will cover topics including: dentistry, vision & vestibular integration, podiatry and footwear, and pelvic floor dysfunction. Daily registration will be available or attend all 4 days! No pre-requisite course attendance applies. More details to come but mark your calendars now!
Posted July 29, 2008 at 8:59am by Bobbie Ninneman.
Categories: Courses
Vertical Facial Dimensions Linked to Abnormal Foot Motion, by Brian A. Rothbart, is the latest article being referenced in our Impingement and Instability course. Three studies were conducted determining the relationship between abnormal foot pronation, hip position and vertical facial dimensions. Although the three null hypotheses were rejected, the conclusion of the article is very interesting as it discusses how foot pronation affects the position of the innominate, temporal bones, sphenoid and maxilla. To access the article, please click here or contact us!
Posted July 28, 2008 at 8:55am by Bobbie Ninneman.
Categories: Articles
We were thrilled to receive notification yesterday that Ron Hruska will be presenting at this year’s Texas Occupational Therapy Association (TOTA) 2008 Mountain Central Conference. The conference will be held November 21-23, 2008 at the Renaissance Austin. TOTA’s Mountain Central Conference is the annual educational conference of the association. Ron will present Postural Respiration - Integrated Treatment of Patterned Thoraco-Abdominal Pathomechanics. For more information, go here!
Posted July 25, 2008 at 8:51am by Bobbie Ninneman.
Categories: Courses
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!
Posted July 24, 2008 at 8:48am by Bobbie Ninneman.
Categories: Videos
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?
Posted July 23, 2008 at 8:36am by Bobbie Ninneman.
Categories: Clinicians
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!
Posted July 22, 2008 at 8:32am by Bobbie Ninneman.
Categories: Techniques
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!
Posted July 21, 2008 at 8:26am by Bobbie Ninneman.
Categories: Techniques
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 the Hruska 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!
Posted July 18, 2008 at 8:14am by Bobbie Ninneman.
Categories: Techniques
For those therapists doing cranial work, you’ll want to read these latest articles supporting our CCMR 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 click here or 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 click here or contact us!
Posted July 16, 2008 at 8:04am by Bobbie Ninneman.
Categories: Articles
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. To read the article click here. 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. To read this article click here.
Posted July 14, 2008 at 7:58am by Bobbie Ninneman.
Categories: Articles
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 demonstrates hyperactive 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!
Posted July 11, 2008 at 7:51am by Bobbie Ninneman.
Categories: Techniques
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
Posted July 10, 2008 at 7:49am by Bobbie Ninneman.
Categories: Products
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 the Impingement 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 activate the quads, promote controlled hip extension and inhibit the gastrocs. To view the complete technique, click here!
Posted July 9, 2008 at 7:38am by Bobbie Ninneman.
Categories: Techniques