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Pelvic Floor DysfunctionPelvic Floor Dysfunction will be presented for the first time on October 9-10 in Minneapolis. Lori Thomsen discusses the course and what you can expect.
PEC demands for quadricep reducing hip flexion and improving quad/glute ratio in the PEC patientHere is our latest teleconference! This video reflects the treatment of a PEC patient who overuses her hip flexors. Read her history HERE!
Question about the Standing Serratus Stomatognathic Squat
**To review the exercise technique mentioned below, click here! I was reviewing the blog section and I saw that the Standing Serratus Stomatognathic Squat can be used to determine bite position. When I took The Cervical-Cranio-Mandibular Restoration course, we did not discuss this technique. Could you give me some information? The first picture is taken with her weight through her heels and her scapulas supported by the wall. Her levator scapulaes, upper traps and SCM’s are relaxed. Her thoracic lumbar and cervical lordosis will be placed in the end range of her normal lordotic range of these 2 areas of her spine. Her teeth should be able to make uniform contact on both sides of her mouth and through the posterior teeth. The last picture shows the end range of normal thoracic and cranial flexion. She should be able to touch her teeth evenly on both sides and through her posterior teeth. If she cannot feel uniform closure in both of these positions she may need a splint to re-orient or support her occlusion and cervical-cranial imbalances. An open bite on one side is indicative of possible frontal plane asymmetry at the cranium or cervical spine. If she can’t touch front teeth together (incisor to incisor and then close with good posterior molar contact and then back to incisor to incisor, etc) in the first or last position as reflected by the above 1st and last pictures, cranial mandibular, cranial cervical and cranial thoracic muscle cannot rest during resting bite, regardless of cranial or cervical position or the degree of cranial or cervical flexion or extension. This is why I did not talk about this bite issue in great detail. It will be reviewed and discussed in greater detail at the Orthognathic Dentistry and PRI integration course this fall. There is still plenty of room to register for the Orthognathic Dentistry and PRI Integration course. PRI will be sponsoring Dr. Michael Hoefs, DDS and Ron Hruska, MPA, PT. Reservations are required for this unique course offering, specifically designed for teams of physical therapists and dentists. In order to attend, team registration must be received before Friday, September 24th. Please CONTACT US to register!
Can you find and feel your right arch?
Listen to Lori Thomsen, MPT, PRC give a demonstration and explanation on why it’s so important to “find and feel” your right arch. Click HERE!
Summer Reading!We received this article from Brad Runia. Brad recently attended the Cervical-Cranio-Mandibular Restoration course and thought the Institute would find this article interesting. “Recently, several investigators have reported that mastication produces an antinociceptive effect. The present results support our hypothesis that the rhythmic behavior of chewing suppresses nociceptive responses via the serotonergic neurons descending inhibitory pathway.”
Frequently asked questionWe often have people ask us about the use of the words PRI and Postural Restoration Institute. Most recently we received this email and decided to take the opportunity to educate everyone on this issue. “I have been hearing the phrase ‘doing PRI with my patients’ being used by some therapists for a while now. I am not sure this is correct. To me it sounds like the therapist is saying ‘doing Postural Restoration Institute with my patients’. I could understand ‘using PRI methods’, or ‘PRI techniques’, but the active verb of ‘doing PRI’ doesn’t seem like the proper use of the PRI initialism. I highly respect this approach but I also understand how language sometime evolves incorrectly (for example: ATM machines, PIN numbers, ITB band).” “I have been doing PRI on my patients for years and the PRI has helped me teach PRI!” This statement was said correctly. PRI is a tradename, a brand, a label, etc. that reflects position, process or approach. PRI is also an acronym. The Postural Restoration Institute is the name of an Institute. Our attorneys are well versed in these issues. You use Kleenex to blow your nose. It is a branded soft tissue. Its acronym stands for nothing, that I am aware of. PRI is a brand name, a “Kleenex” of an approach to restore posture or perform postural rehabilitation. It’s acronym in this form, grammatically, is meaningless. Instead of calling this method or approach a different name, we decided to use the acronym of the Institute to “brand” it. “Postural Restoration” does not brand an approach. “Pilates” is a form of postural restoration, as is “Feldenkrais”. There are hundreds of different approaches that could be used to restore posture. Hope this helps you understand the legal world and world of PRI as an acronym and as a brand.
PEC Footwear Considerations - Follow UpWe received these QUESTIONS regarding the video and shoe recommendation for PEC: Are you trying to pronate the feet? ANSWER: When someone is in a PEC position their pelvis is forward, hips are in ER, and they are in a supinated position. The video was used to demonstrate that by allowing the patient to get in a more pronated position it assisted her to inhibit extensor tone and shift in her hips to be neutral. Remember we don’t want our patients to be supinated or pronated…we want them to be somewhere in the middle during mid-stance phase of gait. In the video, the patient was in a supinated position with the Asics Foundation due to weak glutes. Allowing her to pronate more with a less supportive shoe allowed her to stay neutral in her pelvis. She still needs glute work. Some PEC patients can overly pronate and have laxity with their feet too. - Lori Thomsen
”...severe kyphosis was also related to pulmonary death.”“Vertebral Fractures and Mortality in Older Women” is the article where this statement was taken from. The study conducted in this article looked at women with osteoporotic fractures and the rate of mortality. Their conclusion found that “women with radiographic evidence of vertebral fractures have an increased mortality rate, particularly from pulmonary disease and cancer.” To read this article click HERE!
PEC Footwear ConsiderationsLori Thomsen, PT, PRC shares with us another great patient case. This patient has an overactive Posterior Exterior Chain (PEC) pattern and Lori discusses and demonstrates the importance of appropriate footwear and objective testing.
Instability of the Feet in Running
Lori Thomsen, PT, PRC discusses instability of the feet while running in her latest video. She covers what to look for in a shoe to help provide the runner with good support and stability. Check it out HERE!
Bilateral trochanteric bursitis and anterior VMS syndrome, secondary to horse or rider?Check out another Video Consultation performed by Ron Hruska and Oliver Hall, PT, PRC. Olly had been consulting via email for a while prior to scheduling a Video Consult. Read the dialogue from his correspondence HERE before viewing the video!
The Importance of Hamstrings!In our most recent staff meeting, we reviewed an article that was published in the Journal of Orthopaedic and Sports Physical Therapy in February 2010. The title of the article is ”The Architectural Design of the Gluteal Muscle Group: Implications for Movement and Rehabilitation”. This is a great article that discusses the architecture of the hip muscles and what muscles are actually firing during specific movements. The area that caught our eye was on the “squatting motion”. This study clearly reveals that the two muscle groups that are most active during squat activity is the adductors and hamstrings! We can’t emphasize enough the importance of hamstring control during proper heel rise, especially when working with contralateral glute activity. Check this article out HERE!
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