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For the first time…Preparations for the upcoming Interdisciplinary Integration course are well underway. I interrupted Ron’s busy day to get his thoughts on how it’s going and what he is most excited about… Foot Integration – Wednesday April 14th Dental Integration – Thursday April 15th Vision-Vestibular-Integration – Friday April 16th Rest Integration – Saturday April 17th
The Importance of Squatting
Check out Lori Thomsen’s first video in a 3 part series that discusses activity to perform in the sagittal, frontal and transverse plane. In this video, Lori goes over the importance of squatting before and after running. For those of you that don’t know Lori, she is an avid runner herself. She is very passionate about the sport of running and making sure runner’s remain injury free. Lori will be a speaker during the Foot Integration course scheduled for April 14th. She will be presenting on the “Selection of Proper Footwear”. Take a look at her video HERE! To learn more about the Foot Integration course, click HERE!
Competing with Stress and Aging and Winning“Competing with Stress and Aging and Winning” is the seminar Ron Hruska is a part of at the University of Nebraska-Lincoln coming up in May. Ron will be presenting with several other individuals including Coach John Cook, Dr. Tedd Mitchell, Coach Bo Pelini, Todd Whithorne, Joe Moglia, Coach Tom Osborne, Dr. Larry Widman and Dr. Todd Stull. This conference will be discussing the effects of aging and stress on middle aged men and how to overcome this process. Ron Hruska will introduce a “Four Step program to Enhance Diaphragmatic Power”. The information presented in this seminar will also be disucssed in our Rest Integration course on April 17th. To learn more about the Rest Integration course, click here!
“Origins of the Left & Right Brain”
“The Origins of the Left and Right Brain” found in the Scientific American Magazine is a must read! This article was introduced to us by Joe Belding, LPT, PRC. This article offers some fascinating information on how the left and right hemispheres have developed in humans and animals. “The authors have proposed that the specialization of the brain’s two hemispheres was already in place when vertebrates arose 500 million years ago”. To read more about this article, click here!
“Change Your Brain, Change Your Life”
This is the latest book that we have spotted Ron carrying EVERYWHERE with him. Following the Cervical-Cranio-Mandibular Restoration course last weekend in Fargo, North Dakota, Ron purchased this latest book on the Brain. You can understand why he hasn’t put it down when the first sentence he read was this:
With the Interdisciplinary Integration course fast approaching, this book couldn’t of been released at a better time! If you are interested in attending this course or would like to learn more about it, CONTACT US!
Dental Integration - April 15thQUESTION: Do you know if there have been any changes to the dental presentation or will it be pretty much the same as last year? ANSWER: This year will be focused on PRI integration more than on dentistry. Last year I had the presentation geared with a lot of info for dentists thinking we would have more dentists in attendance. So this year I’m focusing more on what the PT’s can benefit from a dentist and understanding different training of dentists. Also when to refer and when to wait to refer to a dentist. We are planning on showing more case studies and hopefully a live evaluation by Ron and myself—possibly with a course participant. In the case studies I’m asking the PT’s that co-treated to add their comments on treatment. So my hope is that the course has more practical application for the PT. Also, that they will be able to know what to look for in a dentist and let them know we will are planning the course in Oct for dentists to learn how to help the PT’s. Hope this helps. - Dr. Hoefs
The Importance of Hip Shifting
Check out Lori Thomsen’s latest video on the importance of hip shifting with gait! Click HERE!
Schedule Change!We have moved the course scheduled for May 1-2 in St. Louis, Missouri to Loveland, Colorado! If you are in the Loveland area, you’ll be happy to know that we will be there presenting Postural Respiration on May 1-2! If you would like to register for the course CLICK HERE!
Postural Restoration in India
Joyce Wasserman, PT, PRC is traveling through India and introducing Postural Restoration concepts. She has been kind enough to share with us her experiences… “Since arriving at Christian Medical Center, CMC, I have given nine presentations, a combination of lectures and labs. I am pleased with how both theory and practical aspects of teaching are going. Today’s talk was about myokinematic dilemmas, or what to do, where to look when the basic techniques relating to the pelvis and hips is not enough to get results. On Saturday, I presented Postural Restoration Institute concepts to about 15 physiatrists, doctors of rehabilitation medicine. People here work six and one-half days a week. By Saturday at 11:30 people are more than ready to go home and relax. The extreme heat doesn’t make it any easier. Tomorrow I will teach the introductory PRI talk to the students. Some of them had heard about what I was teaching from the therapists, some were working in the electro-therapy unit and have been asking for me to help with their patients. Others had come to me with their pain problems. On subsequent days I will teach them the myokinematic tests. That is all I will be able to do in the few days I have left. For the main staff I have picked out five exercise techniques that they should do to keep the ability to move reciprocally and to reposition throughout the day. PRI is a radical change from the therapy that is being practiced here. The expression “The crush of humanity” is taken to a whole different level here. In the gym where both outpatients and in patients receive treatment it is hot, crowded, and noisy .It is not conducive to concentration. The therapists often give an exercise that the patient then does with the help of a family member. The exercises are simple, uniplanar, with no consideration to what muscles are substituting or if there is any control of proximal or distal segments of the body. Machine treatment with a nod to a simple home exercise seems to be the norm. None the less certain patients who need more hands on care are routinely given to more senior therapists whose job it is to take more time with the patients for exercise or orthopedic PT techniques. It is with these more senior therapists that PRI can take hold. I am making sure that they are learning as much as they can. Everyone is enthusiastic and pleasant to work with.”
“Every Runner Needs Good Glutes”
Check out the latest video by Lori Thomsen, MPT, PRC on the importance of glutes while running! You can view it HERE!
Anterior Rotation of the Right Innominate vs. Left…
We received this great question last week from a clinician who has attended a PRI course. He brought up an interesting perspective… During a conversation with a colleague a confusing issue came up. PRI stuff is interesting and one of the things that is most interesting to me is that they pretty much say “everyone has this presentation” (left anterior, tension in right hamstring, anterior tilt, etc…). If you have ever read Wolf Schamberger’s “Malalignment Syndrome”, he actually talks about the most common presentation being people anteriorly rotated on the right, posterior on the left - which is opposite to PRI’s thought process. Who is right? I think it is okay to notice trends (I have actually seen more people fall in the presentation from the Malalignment Syndrome - anterior rotation on right), but to group everyone into the same presentation is a bit strange. It’s all a matter of perspective, which is what PRI challenges the most. Humans lateralize their center of gravity to the right more than to the left because of many objective reasons. If one establishes a neuromuscular pattern of stable, secure foundation through the right lower extremity, utilizing the right vastus lateralis, right hamstring, right adductors and right gluteus medius, you will find an anteriorly positioned or oriented innominate on the right. Subsequently, the left ASIS may “feel” more anteriorly rotated on the left and possibly the evaluator may “find” the right innominate more posteriorly rotated on the right. Inter-rater reliability in these situations, without further integrated objective testing is poor at best. In this case, in standing, the evaluator would find more lumbar-thoracic lordosis on the left.
I am fairly certain, this compensatory activity associated with the human characteristic pattern of bilateral innominate anterior rotation (lumbar-thoracic lordosis) is what the “Wolf Schamberger’s Malalignment Syndrome” is all about.
PRI Illustrations by Elizabeth Cunningham
Over the past 10 weeks we have had the privilege to work with an incredible illustrator, Elizabeth Cunningham. In her short time here, she has finished several amazing illustrations that were inspired by the science behind the Postural Restoration Institute. She has also developed images for the coloring sections of our Myokinematic Restoration and Cervical-Cranio-Mandibular Restoration courses. We are sad to announce that this will be her last day here at PRI but we are happy to know our relationship will continue while she pursues a career in Boston.
A Day in the Life of a PRC Therapist
Today I received a call from a college student who lives in New Hampshire. He was referred to me for consultation from a therapist in Omaha, NE who had treated this young man with PRI techniques while he was living in Nebraska. The student currently goes to school at Wash U in St. Louis. His parents moved to New Hampshire and he was home visiting his parents over spring break. It was closer for him to drive to Vermont for treatment than wait until he returned to school and fly to Nebraska to seek PRI treatment. I called his original therapist who now lives in Oregon to get some history on this young man’s hip problems prior to his appointment. We collaborated on his case and had established continuity in his plan of care. He was seen at Poulin Performance and I discovered his hip imbalances had reemerged. I educated him on how to realign his hip and sent him back home to New Hampshire. He will continue working with his therapist in Nebraska when he returns to school and now has made a connection via the PRI network in Vermont. This is the strength of the PRI network and obtaining certification in postural restoration concepts. I am seeing more and more patients from surrounding areas that do not think twice about driving to Vermont to seek care when other remedies have failed. This young man felt comfortable driving the distance because of my certification and collaboration with a fellow PRC.
PRI Course Hosted by Back9Fitness®
Jeffrey Banaszak, PT, CSCS, Founder and President of Back9Fitness® will be hosting our Myokinematic Restoration in Fort Worth, TX on April 24-25. Back9Fitness® is a recognized industry leader in golf fitness & performance. We are excited for the upcoming opportunity to collaborate with this organization. To read more about the integration of postural restoration with golf in an article titled The Biomechanical Link Between Low Back Pain and Golf written by Allen Gruver, click here. To learn more about Back9Fitness®, click here!
Introducing Dr. J. Paul Rutledge, NeuropsychiatristDr. Rutledge will be presenting at our Rest Integration course being held April 17th, 2010. He will be presenting on his clinical experience with sleep disorders and treatment. Read more about Dr. Rutledge below: Dr. Rutledge is board certified by the American Board of Psychiatry & Neurology with over 35 years of clinical experience. He has taught medical and nursing students as well as psychiatric residents at St. Louis University. In addition to office practice, he has had a special interest in complex cases that involve neurologic, endocrine, and sleep disorders which complicate anxiety and depressive illness. He obtained his MD degree at St. Louis University. Residency training was at the University of Pennsylvania Hospital and St. Louis University Hospital. His training was based on psychodynamic therapy with extensive additional study in psychopharmacology. Dr. Rutledge credits his experience with both for his ability to identify sleep disorders at the rate of two to three per month. He believes that sleep disorders are the most overlooked cause of treatment resistant depression. In his free time, he and his wife enjoy time with their three married children and four, soon to be five, grandchildren. As time allows, he enjoys DIY home projects, yard work, or just relaxing with his wife and Old English Sheepdog.
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