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“The Sick Scapula”
Want to read a great article that discusses types of scapular patterns? Check out “The Disabled Throwing Shoulder: Spectrum of Pathology Part III: The SICK Scapula, Scapular Dyskinesis, the Kinetic Chain, and Rehabilitation” by Burkhart S, Morgan C, and Kibler B. The authors discussion of scapular mal-position and it’s relationship to pain patterns is very similar to the content presented in Impingement and Instability. Although the treatment approach is different from PRI, the muscles identified as being weak are main muscles of the BC chain. To get a copy of this article, contact us!
The Importance of the Abdominals
We have all been lectured and given the lecture on the importance of our core stabilizers, the abdominals. Although everyone needs their abdominals, one patient population in particular needs an abdominal program instructed on their first visit, the PEC patient. Someone who demonstrates a PEC pattern lacks the ability to “turn off” their hip flexors which positions their pelvis forward bilaterally. A typical abdominal program would probably increase their symptoms and increase the strength of their already overdevelped hip flexors if the abdominal program didn’t first focus on pelvic position! When using integrative non-manual techniques for treatment of a PEC pattern, one must always consider choosing an exercise that isolates the abdominals and minimizes hip flexor involvement!
No Measurement Needed!
Recently, a therapist at The Hruska Clinic had a patient in the office with complaints of low back pain. All of the objective measurements taken were reflective of a Left AIC, Right BC pattern. When the patient was positioned in supine, the apical expansion test wasn’t necessary in determining whether or not this patient could apically expand on the right. His prominent left rib flair paints the whole picture!
„Miokinematyczna odbudowa wzorców zespołu lędźwiowo – miednicznego”Today it is with much excitement and pride that we unveil our first international web pages. If you’re like me, the words themselves make little sense but the overall picture of PRI concepts and courses spreading further outside our national borders is very satisfying. We have much work ahead of us but the great deal that has already been accomplished could not have been at all possible without our Polish colleagues, Michal Niedzielski and Gregory Parfianowicz. Michal and Gregory will travel to Poland in March 2009 to present two courses covering material from our Myokinematic Restoration course. This endeavor has been a commitment of their time, expertise and energy and for that we are grateful. So, be sure to forward this link to all your friends in Poland!
Topic of Conversation
At our weekly Wednesday morning meeting the “topic of conversation” on Lori Thomsen’s agenda was footwear! Since our gathering with The Lincoln Running Company and Dr. Paul Coffin, DPM, Lori and her fellow colleagues have been testing patient’s objectively while wearing different shoewear. The results…Asics Foundations are the best!! This shoe is a great shoe to use with patients that don’t require an orthotic. The calcaneal stability and medial arch support in the shoe provide enough stability for a patient to maintain neutrality while performing a PRI program!
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