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System Integrational Dilemmas - Part Two

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

“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:

SystemThe human body regarded as a functional physiological unit

DilemmaA 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…


PRC Therapists know Squat

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!!


Cervical-Cranio-Mandibular Restoration course in Lincoln, NE

Cervical-Cranio-Mandibular Restoration course in Lincoln, NE

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!


CAREERS

CAREERS

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!


“Pitfalls to Stabilization Rehabilitation” - Impingement & Instability

  • Failure to address pain and hypomobility
  • Failure to follow progression steps
  • Failure to ensure proper patterns of movement
  • Failure to ensure proper muscle firing sequences
  • Allowing incorrect movement patterns
  • Failure to understand the mechanics of selected movements
  • Failure to understand demands of patient’s functional activities
  • Failure to involve the whole kinetic chain
  • Failure to rehabilitate deceleration and acceleration components of movement

Scientific foundations and principles of practice in musculoskeletal rehabilitation. Magee, Zachazewski, Quillen. 2007

 


Impingement and Instability Course Notes

For those that attended the Impingement and Instability course in Minneapolis, Minnesota this past weekend and would like the information on Cervical Afferent Reflexes, click here!  To obtain the information on Type I treatment guidelines, click here!


Course Vacancy

We recently re-opened two courses that we’re previously listed as “full”. Our Impingement & Instability course this weekend in Minneapolis now has one opening. Also, our Advanced Integration course scheduled for December 4-7 has 6 openings. Please register at your earliest convenience as space is limited. We hope to see you soon! Thanks.


Discussion with Ron Hruska - Part Two

What are your favorite activities to isolate the left abdominals and to inhibit the hip flexors?

60-60 Supine Twists

60-60 Sidelying Twists

Sidelying Crossovers

Right Sidelying Knee Toward Knee with Balloon

Left Sidelying IO/TA Foot Toward Foot

Sidelying Hip Lift

Sidelying Trunk Lift

Left Sidelying Supported Hip Lift

“These are my favorite activities to give individuals with juvenile kyphosis, scoliosis, spondylolisthesis, PEC patterns, and runners”.

What is the most consistent, reinforced, feed-forward integrated muscle group in PRI?
“Left IO’s and left TA’s.”

What is the most common muscle group missed in a PRI integrated program?
“Left abdominals.”

To learn more about PRI non-manual techniques, click here!


Discussion with Ron Hruska

Discussion with Ron Hruska

The abdominals have been a popular area of discussion at PRI the last few weeks.  When able to catch a moment of Ron’s “free” time, I asked him a couple of burning questions…

What are your favorite activities to find and feel your left abdominals and achieve a left zone of apposition?

Alternating Posterior Pelvic Rotation and Reciprocal Bilateral Wall Leg Lift

90-90 Crossovers

60-60 Sidelying Twists

All Four Belly Lift

Wall Short Seated Left Arm Reach with Balloon

Seated Resisted Bilateral Arm Pull Down with Adduction #4

“These activities are activities I would give for individuals with left rib flairs, someone who has the inability to achieve a left ZOA, for swallowing dysfunction, for PEC patients, for left unilateral neglect, for right upper trap tension and for someone who has an overactive right quadratus lumborum.”

Stay tuned for tommorrow’s question…What are your favorite activities to isolate the left abdominals and inhibit the hip flexors?

To learn more about PRI non-manual techniques, click here!


Left Forearm Pain - A Case Report

Left Forearm Pain - A Case Report

Check out the latest case report written by James Anderson, MPT, PRC and the staff at The Rejuvenation Center!  This case report discusses the treatment of left forearm pain using only PRI techniques“By addressing the postural asymmetries across his rib cage we restored proper biomechanical position and relationships between the rib cage, scapulas, and upper extremities”.  To access this case report, click here!


Temporomandibular Disorder and Dysfunctional Breathing

Temporomandibular Disorder and Dysfunctional Breathing

“Influences of Dysfunctional Respiratory Mechanics on Orofacial Pain” written by Ron Hruska was referenced in an article printed in the Brazil Journal of Oral Sciences titled “Temporomandibular Disorder and Dysfunctional Breathing”.  This article discusses the relationship between respiratory muscles and TMD and presents studies covering respiratory mechanics, breathing syndromes and overuse of accessory inspiratory muscles.  To access this article, click here!

To access “Influences of Dysfunctional Respiratory Mechanics on Orofacial Pain”, click here!


Acetabular Femoral Internal Rotation - AF IR

Acetabular Femoral Internal Rotation - AF IR

Acetabular Femoral Internal Rotation written by Lisa Bartels, DPT is the latest topic being featured in the Performance Conditioning newsletter.  This newsletter is a publication that goes out to coaches and athletes involved in cycling, volleyball and baseball.  This is a great article that describes what AF IR is, the importance of it and how to achieve it!  To access the article, click here!


New Technique

New Technique

Because of the importance of this week’s Technique of the Week, we have created a new activity.  The “Left Stance in Right AF IR Position from the Right AIC Pattern” is the second neuromuscular activity in the PRI integrated standing activities that allows the patient to experience proprioceptive right acetabular femoral internal rotation as he/she shifts their weight from their left non-dominant lower extremity to their right while keeping his/her right leg behind the left. 

Click here to get a copy of this new activity!
Click here to read about the What, Why, When, Where and Who behind this new activity!


Pattern vs. Position

Pattern vs. Position

In the last several weeks the issue of “Left AIC Position” vs. “Left AIC Pattern” has come up.  Although similar, there is a distinct difference between the two.  Once we started discussing the differences between the two, we also realized that there is an additional element…PRI Stance!  Now that we have it all clear, we have updated and added material to the Myokinematic Restoration manual.  To check out the updates…click here!  Also, take a look at the Technique of the Week for additional text referring to this issue!


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