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What We’re Reading Now
Michael Mullin of OA Physical Therapy Center in Portland, Maine recently shared with us a great article that discusses forced exhalation rather than valsalva maneuver during maximal force productivity. Click here to read more…
Interdisciplinary Integration Course Brochure
For those of you spreading the word about our first annual Interdisciplinary Integration course, the course brochure has been completed. If you would like to print off a copy to handout to a colleague, click here!! If you would like us to mail you or someone you know a brochure, join our mailing list! We are very excited about this upcoming course!!
Breathing In The Gravity Field…...written by Aline Newton, is the latest article added to our recommended reading list for Postural Respiration. To read this article, click here! To learn more about Aline Newton, click here!
Accelerated LocomotionIn the Left AIC patterned individual, harnessing the crossed extensor reflexes on the right and optimizing the crossed extensor reflexes on the left is encouraged. During flexion, activation occurs at the ankle (dorsiflexion), then continues up to the knee joint and the hip. This is usually often seen on the left and why some coaches ask athletes to “cock the toe” or “pull toes up”. The ankle joint is the foundation of flexion. Activation for extension starts at the hip and moves down to the knee and ankle, creating the leg drive commonly referred to as triple extension. This is often seen on the right. Which specific toe would you remove to create a functional obligatory Left AIC pattern? Click here for the answer…
Success with Postural RestorationMegan Bollinger, MPT of Peak Performance in Bemidji, MN was kind enough to share with us her patient’s account of treatment with Postural Restoration. 45 Years of Chronic Pain—Then Postural Restoration Crossed My Path When I was about 5 years old, I fell off a chair and had a brain concussion that affected my vision. I still remember what it looked like to have triple vision, then everything being all white, then all black – all the while feeling nauseous and having a pounding headache. The following year I was riding on the rock wagon in our farm field, kicking at the wheel (which I knew I wasn’t supposed to do), when it caught my foot and the next thing I remembered was seeing the sky come into view as the wagon rolled across my left hip. The field was just plowed, so I was pushed down into the dirt when I was run over, and walked away with just scratches and a tire track across my upper thigh. Read More…
Compensatory FA ER…The other day we received a great question… In Myokinematic Restoration I understood that the left femur is in flexion, external rotation, and abduction (Left AIC pattern). I understand this as being positional AF ER. But I think I learned somewhere that the left leg is oriented in internal rotation and adduction because of the “pull” of the left ilium as it rotates anteriorly in the transverse plane. When I look at my Impingement and Instability manual I see that the left hip can be oriented in internal rotation and compensatory external rotation. Is external rotation a function of position, compensation, or both? You are not wrong in identifying that these concepts are presented differently depending on if you go to Myokin or Impingement. In a Left AIC pattern the femur will be internally oriented and adducted. This is described in Impingement and Instability. This is an assessment made through upright / dynamic evaluation. In Myokinematic Restoration, the femur will be in external rotation and abduction with respect to the acetabular position because of the position you and the table placed them in. When you place the patient on a table to measure ER/IR values, the patient’s lower extremity is positioned by the table and the examiner, not by the acetabulum. So theoretically, this is not a compensatory activity, you passively placed them in that position. Left FA ER is only considered compensatory when it is dynamic. We can’t go into discussion that the femur is actually in an internally oriented and adducted state in Myokinematic Restoration because the attendees taking this course are learning what PRI means by “neutral” and “position”.
Hamstring Muscle - To Stretch or Strengthen?
Check out the latest article written by Dave Drummer, DPT from the Hruska Clinic. This article goes over the role that the hamstring muscle plays in pelvic stabilization and the positive and negative effects of stretching and strengthening. This article is a great article to handout to individuals who would like to read more about one of the fundamental concepts of PRI. To read this article, click here!
PRC Therapist - Christel Parvey
Christel was recently recognized by her company for her achievement of PRC. Crookston, MN – RiverView Rehab Services physical therapist Christel Parvey recently earned the designation of Postural Restoration Certification (PRC). Postural restoration is a physical therapy technique that aims to restore a more neutral posture for individuals. Parvey is one of only 40 physical therapists in the nation to achieve this certification.
Seated Acetabular Soft Tissue Kinematic InfluencesFor those of you that have taken Myokinematic Restoration, page 35 discussing seated acetabular soft tissue kinematic influences on seated FA ER and IR is somewhat confusing. Recently a therapist emailed their question regarding this page and here is James Anderson’s response…
The Agenda is Set!The course agenda for all four days of the Interdisciplinary Integration course is here! Each day will focus on the integration between PRI and podiatry, dentistry, optometrics and the pelvic floor. To read the course agenda for all four days, click here! To register for the course click here or contact us!
Look Familiar…
I’m sure you’ve all seen this before! Want to learn how to treat these common patterns of asymmetry associated with ‘instability’ and ‘impingement’? Come join us in Yankton, South Dakota, February 7-8 for the Impingement and Instability course! Late registration fee has been waived, click here to register or contact us for details!
You’re Invited!
Postural Restoration trained therapists and trainers are familiar with the collaboration that is often necessary for successful outcomes. They work hard to nurture professional relationships in their area for this integration to best occur. If you are a PR trained therapist and are working on developing your relationship with other disciplines further, consider inviting these individuals to attend our first Interdisciplinary Integration course. Click here for our short advertisement to send to a friend, colleague or local professional with whom you are working with or hope to work with in the future!
2009 PRI Course Brochure
If you haven’t recieved the 2009 course brochure, click here for an electronic copy! If you are interested in registering for a course you can register on-line or contact us!
Remember this story…A couple months ago I posted a video of a patient Lisa Bartels, DPT, PRC was working with. Here she is again 2 months later: Although she still has some work to go, her gait has improved dramatically from her first visit! In case you forgot what she looked like before, here she is:
Latest InterviewBe sure to check out our first interview of 2009. Lori Thomsen, MPT, PRC will be speaking at our Interdisciplinary Integration course in March covering the topic of PRI and pelvic floor integration. Click here to read her interview!
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