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New JOSPT Article Relating Postural Function and Position of the DiaphragmWe have heard from several individuals commenting on a recent article published in this month’s edition of Journal of Orthopaedic & Sports Physical Therapy discussing the relationship of position and function of the diaphragm among patients with and without low back pain. Ron has also read this article and recently included it as a reference within his presentation at the Interdisciplinary Integration course this past week. Click here to check out this article!
Introducing Postural Restoration to the Sports Clinician
Zach Nott, CSCS, SCCC, PRT and Julie Blandin, PT, ATC, CSCS, PRC provided THIS article to SportsRehabExpert.com. Be sure to check it out!
Recent Article on the Jaw
Jason Masek, MSPT, ATC, CSCS, PRC recently wrote an article on the jaw. You can read it HERE!
Keeping Up with Foot Drop
This article was recently published in the Physical Therapy Products magazine. This particular area of the article compliments our Impingement and Instability course: The foot and ankle biomechanics are improved, and the ability of the LE function is improved, because as the foot unlocks and pronates through loading response into midstance, the knee absorbs the ground reaction forces with flexion and the hip adducts and internal rotation to also absorb and accept the weight of the body in single-limb stance. As the center of gravity continues to move over the foot, and the foot and ankle begin to resupinate to propel the body forward off of a rigid lever, our LE as a whole begins to external rotation. This article compliments our Impingement and Instability course! To read the full article, CLICK HERE!
From the desk of one who is obsessed
For the past several months I’ve been obsessed. I’ve been obsessed with a need to explain the actions of the muscles of the upper half as they relate to the typical Left AIC and Right BC pattern. It started when I was teaching Postural Respiration in Washington DC last year. One of the course attendees said “Mike, you need to make a document like the one in myokin”. She was referring to the document titled “Positional and compensatory influences of the Left AIC pattern on muscles of the lumbo-pelvic-femoral region” that’s on pages 18, 19 and 20 in the Myokinematic Restoration manual. I helped James Anderson edit that excellent document of his on a cold winter day in Nebraska a couple of years ago. Anyway, this was something that she wanted: a document that explained in a similar fashion, the actions of the musculature of the upper half. I agreed that that was a great idea and thus began the obsession. I didn’t realize how bad it was until folks at my office began to mention my desk being a mess. Well, it’s always a mess, but this was a little worse than usual. I wonder if that course attendee remembers asking and I wonder if she’s aware of what she’s done. As I have been working on this device, I came across some issues with regard to the levator scapula. I labored over this muscle (and a few others since I’m not exactly the sharpest tool in the shed) and continued to run into walls. I was stuck. No problem, I thought. I’ll call my buddy James! He and I have spent many an hour laboring over more-complicated stuff than a simple levator scapula. Together I knew we could reconcile good old levator. End result: hmmm. A non-definitive conclusion; although I think James had it but I kept throwing a wrench in the works. We both agreed that I should call Ron. Surely Yoda himself could square this away. So as I continued laboring over the big document I called Ron. “Ron”, I said, “I’m having some trouble with levator scapula”. Well, little did I know that he was in the middle of a big meeting with Bobbie Rappl regarding the new exercise CD. Bobbie just loves it when I call. Ron began explaining as I wrote notes and eventually Bobbie signaled to him that he was supposed to be in a meeting with her. We said our good byes and I began anew with my new thoughts on levator scapula. Not five minutes had passed and I discovered a new obsession. Not mine, Ron’s! My phone rings: “Mike, its Ron”, he said. “Bobbie is pretty upset because I’m calling you back when we should be in our meeting but I just had to. I couldn’t let go of this levator scapula thing. I want us to nail it down and I want you to create a document on levator scapula. We need it and it’s more important than the document you’re currently working on”. So for the next 30 minutes we focused our attention on levator scapula. The end-result is the completed treatise available to you now. As for Washington DC…Don’t worry, I’m on a roll. I’m having a few issues I need to deal with right now though. I know…maybe I can call Bobbie and Ron again. To read the article on the Levator Scapula CLICK HERE!
New ArticlesTwo new articles were added to the PRI Library and to the Myokinematic Restoration course reference list. The JOSPT published an article on the relationship of hip strengthening and patellofemoral pain in August and Sports Health also published a similar article on this same subject. To read the article from JOSPT, click here! To read about the article published in Sports Health, click here!
Dry Bones by Dr. Gerald Murphy
If you are a member of the Journal of Cranio Mandibular Practice you have probably read the July issue titled “Multidisciplinary”. This issue covers how crucial it is to integrate with other disciplines to achieve the most desirable outcome for the patient. In addition, there is a spectacular editorial written by Dr. Gerald Murphy on how necessary he has found the multidisciplinary approach to be in his practice. After reading the editorial Ron Hruska felt compelled to write the author and share a few comments with him: Read the editorial HERE!
Article on Lower Body Mechanics
Jennifer Poulin, PT, PRC sent us an article today that was published in the Lower Extremity Review magazine. “There is a nice article on lower body mechanics of softball pitching. I just read it and it is all about obtaining a neutral pelvis and powering the pitch with the glutes as well as the importance of lumbo-pelvic stability as a foundation of rehab and injury prevention in athletes. Although the focus is on neutrality via the core not the hamstrings it does support a myokin model of securing the pelvis before the scapula can be in the proper position.” You can read this article HERE!
A PRI Analytical Overview of Functional Thoracic Positioning and Thoracic-Scapular Stability
Check out this article that Mike Cantrell, MPT, PRC wrote on thoracic positioning and thoracic scapular stability. You can read it HERE!
Nonsurgical Treatment of Acetabular Labrum Tears: A Case Series
This is the most recent article being added to PRI’s library. This article was just published in the JOSPT journal in May. “This article reported on patients with clinical evidence of an acetabular labrum tear, confirmed with MRI. All patients responded well to a nonsurgical program that emphasized hip and lumbopelvic stabilization, correction of muscular imbalance, and sport-specific functional progression.” If you are a member of the JOSPT, you can access the article HERE!
Balanced Regeneration - Series #7 and #8
Lisa Bartels, DPT, PRC has finished her eight part series on “The New Off-Season - Balanced Regeneration”. Her seventh installment discussed weekly programs and the eighth and final installment featured an overview of the entire program. You can click on the last two articles below: Series # 7 - Weekly Programs
“Breath Control May be a Relevant Area of Focus in the Management of LBP”
If you have a chance, check out this article, “Individuals with low back pain breathe differently than healthy individuals during a lifting task” published in JOSPT this month. This article found that individuals with low back pain inspire more lung volume than individuals without low back pain during a lifting task. These finding indicate that breath control may be a relevant area of focus in the management of low back pain.
Integrating AF IR and AF ER into Single Leg Dynamic Training
“Integrating AF IR and AF ER into Single Leg Dynamic Training” is the latest article written by Lisa Bartels, PT, PRC for the Performance Conditioning newsletter. You can read it HERE!
Food for thought…We received this email from a PRI trained clinician in Minnesota: “I just thought I’d pass on some information from a Nova program that was on television recently. A doctor was researching genetic abnormalities associated with muscular dystrophy. He was interested in this field because both his older and younger brothers suffered from the disease. He found an area in the genetic sequence where muscle genes had been “turned off”. He then tested himself and others who didn’t have the disease and determined that normal individuals also had these genes “turned off.” He then studied the genetic code of chimpanzee’s and the great apes and discovered that their genes were still “on.” He then discovered that the genes in question controlled the size and strength of the masseter (jaw) muscle. Human masseter muscle has been on the evolutionary decline for some time now and is a fraction of the size found amongst the apes. In fact, the great apes have a masseter approaching the size of our quadriceps muscle. I thought perhaps our muscles have declined because we eat more marshmallows than they do but the doctor had a better explanation. He reasoned that the greater the size and strength of the masseter muscle, the earlier in life the skull articulations must fuse in order to oppose the muscle’s pull. Ape skull articulations apparently fuse at about 3-4 years of age whereas human skull articulations don’t fuse until approximately 30 years of age. The delayed fusion has allowed our brains (and skull) to expand over the years in contrast to the apes. The moral of the story is that improving human intelligence and brain size is more important than eating a tough steak.” Mark Wolf, PT
Should you reach with the right or left hand?
Deciding which arm to reach with during PRI Non-Manual Techniques is a common topic that comes up. Kurt Weidauer, DPT recently wrote an article that discusses this very topic. You can read this article HERE!
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