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Low Back Pain Case Study: by Tina Straub, PT, ATC

Low Back Pain Case Study: by Tina Straub, PT, ATC

Tina Straub, PT, ATC has recently submitted a case study for our website on low back pain. This case study gives you great insight on how to treat low back pain using the PRI approach. Tina does a great job explaining her assessment of the patient based on PRI objective measurements and also provides insight on the reasoning behind the non-manual activities she choose for the patient’s home exercise program. Tina currently works in Brookings, SD at Avera Brookings Medical Clinic. To access the case study, please click here!


We Want Your Feedback

It has been over a week since we mailed out the first copies of the Manual Techniques DVD. We’ve sent several copies to clinicians all around the United States but have not heard any feedback (positive or negative) on what you think. We are very anxious to hear from you to provide us with your initial thoughts on how it turned out. Please email us at with any comments you may have on your newly purchased DVD. Any comments provided will help us answer questions from other clinicians interested in using this DVD!


PRC Applications

Early applications are now arriving! As the Director of Certification, I review the applications to verify course attendance, ensure that the application is complete and offer any feedback or guidance that may assist the PRC Application Review Committee. I would like to share this early feedback with those of you still finishing up applications:

Please be sure to mail both your article review and the articles themselves.

Consider the following information when answering the questions about your favorite PRI Techniques…
1. What is the purpose of the technique?
2. In your experience, what is the likely outcome of the technique?
3. What techniques would you use before, after or even in the same program in conjunction with the technique you chose.
4. What cues do you find helpful when instructing your patient?
5. What patient diagnoses or objective test outcomes indicate that this technique is appropriate?

Letters of recommendation are welcome. Consider a letter of recommendation from a colleague, PRC therapist or faculty, or professional with whom you integrate with such as a dentist, physician, podiatrist, etc.

Be sure to include copies of any presentations or in-services you have done in the area of Postural Restoration.

Don’t forget the deadline for submission is September 15th! Thank you!

Janie Ebmeier


Only Three More Weeks!

Only Three More Weeks!

Just a reminder that the September 15th PRC application deadline is soon approaching. If you are planning on applying for certification this December, the application needs to be postmarked by September 15th . We are very excited for the 2008 certification process as this will be the first year the process is open to Physical Therapist Assistants and Occupational Therapists.

Mark your calendars:
1. September 15th – PRC application deadline
2. October 15th – November 1st – Applicants contacted with PRC committee review feedback
3. December 4–7 – Advanced Integration
4. December 8 & 9 – PRC written and clinical exam


Latest Article

Latest Article

Laurie Jung, PRC recently sent us a fantastic article from the Scoliosis Journal discussing idiopathic scoliosis and asymmetry.

Kotwikci T, Walczak A and Szulc A. Trunk rotation and hip joint range of rotation in adolescent girls with idiopathic scoliosis: does the “dinner plate” turn asymmetrically? Scoliosis 2008 Jan;3(1).

This article provides some interesting comparisons between trunk and hip rotation in adolescent girls with and without scoliosis. Symmetry of the range of hip joint rotation was found only in 16% of patients with scoliosis and in 35% of healthy controls”. To access the complete article, please click here!


Join Us In St. Louis!

Join Us In St. Louis!

We will soon present our first course in St. Louis, Missouri. We’ve collaborated with Julie Hereford, PT, DPT to host Postural Respiration at CORE Rehab Services on September 20-21. Julie has 25 years of experience in physical therapy practice and teaching. She has taught many courses for physical therapy and anatomy, both at the University level and for continuing education. As a highly respected and experienced therapist, we’re proud to have her endorsement.
This course has been approved for co-sponsorship by the Missouri Physical Therapy Association (MPTA). Fifteen continuing education hours are awarded for attendance of this course.

Register soon to receive our special discount of 20% off tuition. Discount may not be combined with any other offers. See you in St. Louis!


The Manual Techniques DVD Has Arrived!

The Manual Techniques DVD Has Arrived!

They’re here! The Manual Techniques on DVD arrived at our office today. Nearly 2 hours of video including demonstration, instruction and explanation of each manual technique provided by Ron Hruska make up this DVD. For those of you that have placed your pre-order, your DVD will be shipped out to you today! If you have not already placed an order and would like to, please contact us!


The Foundation of Postural Restoration Institute by: Ron Hruska

The Foundation of Postural Restoration Institute by: Ron Hruska

“As the Postural Restoration Institute (PRI) approaches the end of its first decade the staff of PRI, Postural Restoration Certified (PRC) therapists, and I, are often asked about the history of PRI. It’s an Institute that is truly built around 30 years of clinical practice associated with re-occurring successes of specific patient treatment programs. Consistent evidence-based correlations, discovered with patient biomechanical, respiratory and neurological functional patterns, as well as predictable functional limitations, allowed us to establish reproducible outcome based programs”. Read more…


In Case You Missed It

In Case You Missed It

We are often asked to explain what Postural Restoration is and how it is different from other therapies. Although we most commonly answer this question through conversation, it is nice to have a piece of literature that is simple enough for the common person to understand. An official publication of Musculoskeletal Physiotherapy Australia published an article called Postural Restoration written by Kyndall Boyle back in 2006. This is a fantastic article that introduces and summarizes what Postural Restoration is. This article also provides an overview of the history behind PRI, and Postural Restoration Certification (PRC). We have used this article several times to help educate all individuals on PRI! To access this article, click here!


No Vacancy

No Vacancy

We are happy to report that our course in Minneapolis this September is full. We aren’t, however, happy to have to turn away anyone who was hoping to learn about Postural Respiration. Therefore, for those who would like to attend this course and are able to travel to another location this fall we are offering a discounted tuition rate.

Register for Postural Respiration in St. Louis, MO September 20-21; Brownsville, TX October 11-12 or Sioux Falls, SD October 25-26 and receive a 20% discount! If you are currently registered for the September course in Minneapolis and would like to transfer to one of these other courses, you’ll receive a refund of 20%. Contact us today!

This is our attempt to accommodate all those currently on our Minneapolis waiting list and educate as many as possible. This offer won’t last long...call to register before September 15th! Discount can not be combined with any other offer and applies to new registrations only.


Confirmed Courses for 2009

Confirmed Courses for 2009

Can you believe it? 2008 is half over! With a new year comes a new PRI course schedule. We are very excited about traveling to new places next year and of course, always excited to go back to familiar ones. Listed below are confirmed courses for 2009. To register for the course please go to the course page. Don’t see a location or date that appeals to you? Contact us to host a course at your clinic and forget the headaches of travel next year. Check back again as 2009 courses will be continually added!

January 17-18 - Loveland, CO - Postural Respiration
January 24-25 - Las Vegas, NV - Myokinematic Restoration
February 21-22 - Grayslake, IL - Myokinematic Restoration
March 26-29 - Lincoln, NE – Interdisciplinary Integration (Please Contact us!)
April 4-5 - Durham, NC - Myokinematic Restoration
April 25-26 - Lancaster, PA - Cervical Cranio Mandibular Restoration
May 16-17 - Lebanon, NH- Postural Respiration
June 6-7 - Sun City West, AZ - Postural Respiration


“A Journey of a Thousand Miles Begins with a Single Step” – Confucius

Ever have a patient that you feel like you’ve tried everything with and they still can’t maintain neutrality?  You know, those patients that you’ve given every activity you can think of and they still come back in a Left AIC pattern.  Footwear can make all the difference in the outcomes you achieve using a PRI program.  This young lady has been working withLori Thomsen, PT, PRC, and has shown signs of improvement but can not maintain neutrality with upright activity.  After carefully looking at her orthotics and her gait pattern, it was determined that the reason why she’s not neutral is because of her shoes!  Check out this video to see the effects appropriate footwear can make on the outcomes of your treatment! 


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Moving Forward

Moving Forward

In today’s weekly meeting between PRI and the Hruska Clinic, we discussed the importance of the PRI Left AIC Stance technique. This activity is the first activity in the standing integration section of our 2nd Edition Non-Manual Techniques CD-Rom. This activity is the beginning to all of our activities that incorporate standing left AF IR. Some patients may have Adduction Lift Test and Abduction Lift Test scores of 3 or better but still be challenged during daily gait. By placing them first in a Left AIC position, it allows you the capability to teach them how to get out of right AF IR and into left AF IR before their right foot leaves the ground. Although stair activity is a great activity to gain left AF IR during midstance, this activity helps teach the patient how to get out of right AF IR during late stance. Consider the PRI Left AIC Stance technique to transition from active right AF IR to left AF IR by transferring 50% of the patients weight through the left leg before moving forward. Many patients appreciate this activity because it gives them a good understanding of what left AF IR really is. To access the complete technique, please click here!


Success in the East

Success in the East

Oliver Hall, PT, PRC, who owns and operates Inspire Physical Therapy in Essex, Vermont, recently sent us a story about one of his patients. Oliver has been using PRI for several years and in December of 2005, Oliver’s interest in biomechanics and movement patterns led him to become one of the first twelve therapists in the country to be certified in Postural Restoration.

“These 2 pictures were taken 6 weeks apart and are of a young man who came to therapy with mid back pain from lifting at work. He had long been aware that his chest was different from the rest (pectus carinatum). He presented as a left AIC right BC with significant tightness in his right BC. Despite the right side of his chest being higher than the left in supine, the lateral measurement from sternum to lateral chest wall was 1” shorter on the right side. In 6 weeks of working on a PRI program, he had complete resolution of his symptoms and returned to lifting at work with no problems”.


PRI is Traveling to Korea

PRI is Traveling to Korea

Ron Hruska will be traveling to Seoul, South Korea next month! Ilhwan Kim, MD, DC of Kim & Chang Spine and Chiropractic Clinic found PRI through an internet search and requested a course to learn more. This group already has an advanced knowledge of manual therapy and is eager to add Postural Restoration to their practice. Ron will present concepts covered in our Myokinematic Restoration and Postural Respiration courses on September 5-7. Kim & Chang are members of the Korean Integrative Medicine Institute (KIMI) which is composed of MD’s, OMD’s (Oriental Medical Doctor), DC’s, and PT’s. This integrative group of health professionals host regular seminars on manual medicine, nutrition, and various alternative medicine topics. We are very excited about this international opportunity and the possiblity for future collaboration!


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