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New Featured Interview!This month we are featuring Julie Hereford, DPT. Julie will be presenting at the Rest Integration course on April 17th! Julie will be teaming up with Dr. J. Paul Rutledge to cover sleep disorders! To read about Julie, click here! To register for the course, click here!
New Featured Interview
Read all about Estelle LeClair, MSPT, PRC from Essex Junction, Vermont in our Featured Interview section!
“Postural Restoration has been a Godsend”A lot of great therapists are out there doing great work and seeing impressive results. Thanks to Sangini for sharing this testimonial! “Postural Restoration has been a Godsend. I used to run marathons and lift weights daily until I injured my back in Iraq, resulting in multiple herniated discs and constant severe muscle spasms in my entire back. For two years I could not move without literally gasping in pain. I tried drugs, chiropractic, acupuncture, steroid shots, and every other type of physical therapy there was. At best, these didn’t help; at worst, they increased the pain. I was on the verge of getting discharged from the military and had resigned myself to a life of pain and extremely limited mobility. Finally, I moved back to NC and my primary care doctor recommended me to Apex Physical Therapy. Within THREE visits, I no longer needed to take my pain medication daily! I am infinitely better now, and am even training to swim the Ironman this year with the NC National Guard team! I honestly love everything about Apex Physical Therapy. Sangini gives me exercises to do at home, and customizes them for me based on what I need, so that I can use them on the road with no equipment when I need to. I never thought I’d sound like such a commercial, but I enthusiastically recommend that every single person with pain comes in to experience the transformation from just enduring every minute, to actually looking forward to each day!”
New Featured Interview!
Read all about Mara Brandsoy, OTR/L, PRC this month! Mara was the first occupational therapist to become certified in PRI! To read her entire interview, click here!
New Case Study - Lateral Femoral Cutaneous Neuropathy
Raulan Young, MPT, PRC has written a case study about the treatment Lateral Femoral Cutaneous Neuropathy using PRI! To read this case study, click here!
PRI and Breast Cancer Rehabilitation
This was the topic of the presentation given by Jeanna Viramontes, MPT, PRC to a breast cancer support group at United Hospital in St. Paul, Minnesota. “What better lymphatic pump is there than a ribcage and pelvic floor with ZOA”? To access this presentation, click here!!
Sanford Sports Medicine Symposium
May 8-9, 2009 is the date for the Sanford Sports Medicine Symposium. Among several individuals speaking at this conference, two of our certified clinicians, Joan Hanson MPT, PRC and Jill Honermann MPT, PRC, will be presenting “Evaluation of the Lumbar Spine: The Postural Restoration Approach”. We are so excited for them and anxious to hear the feedback! To check out the brochure for this course, click here!
News from James
Earlier this month James Anderson was invited to present at the 2009 (CCHA) Central College Health Association Annual Conference held at Creighton University, sponsored jointly by The Creighton University Center for Health and Counseling and Creighton University School of Medicine Continuing Medical Education Division. The stated purpose of this conference is to feature nationally recognized experts presenting topics relevant to college health. Those attending included College Health Personnel, Physicians, Nurse Practitioners, Physician Assistants, Nurses, Public Health Personnel and other interested healthcare personnel associated with college health across the Midwest United States. James shared with us his feedback… “My presentation focused on the form, function and positional influence of the respiratory diaphragm and breathing on the collegiate back. The title of my presentation was “Caring for the Collegiate Back”, but it was a PRI presentation on respiratory influences from start to finish. This diverse group of medical professionals were overwhelmingly positive about the material and many stayed after the presentation with additional questions and comments. They wanted to know things like, “where can I find someone in my area that practices PT like this?” and “how can I help local rehab professionals in my area get the needed training to evaluate patients like this?”. It turned out to be a great experience that had implications across many different disciplines and certainly put PRI in a favorable light in terms of being viewed as a specialized solution for evaluation and treatment of chronic difficult misunderstood cases.”
PRI Travels to Mumbai, India
January 22-25, 2009 was the date for the World Confederation Physical Therapy (WCPT), Asian Western Pacific region (AWP), and India Association Physiotherapy (IAP) meeting. PRI’s very own Kyndy Boyle, MSPT, OCS, PRC and Sangini Rane, PT, PRC presented a poster case study titled: Postural Restoration Management of a Female with Right Pelvic Floor and Proximal Hamstring Pain. The objective for this case study was to ”to describe unique therapeutic exercises (Postural Restoration) and the use of a Protonics Neuromuscular System® for a female soccer player with right sided pelvic floor and proximal hamstring pain”. Congratulations Sangini and Kyndy!!
What do you see?Mike Cantrell, MPT, PRC recently sent us a video of a patient he is treating. Here is what he had to say about her: “I have been treating this patient for bilateral knee pain. Her right knee pain has decreased but the left still persists. She is in a set of PRI orthotics and wearing appropriate shoes. She had a significant ankle sprain back in the fall of last year and it continues to hurt. She is an Irish dancer and feels knee and ankle pain when dancing. She is not sure if ankle bracing helps or hurts the knee. Hruska Adduction Lift scores are excellent, she has full HG IR and FA IR/ER. Here is a video of her gait pattern.”
After looking at the video you will see that this patient still has no control of her left glute med. She collapses with gait and falls to the right. She will need to be on a program where she feels her left adductor co-contract with her left glute med.
Great Example
This picture is a great example of an individual who appears to have a lot of right FA ER but when you sit them up to measure their ROM, they have limited right FA ER. They have actually subluxed their right hip because of the position of their pelvis. Even though this patient visually appears to have a lot of FA ER, they actually need a right glute max program to stabilize their right pelvis and help maintain pelvic neutrality and right AF ER so that appropriate, non hip flexor oriented, hip rotational strength can occur.
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”.
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.
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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