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Low Back Pain Case Study: by Tina Straub, PT, ATC

Low Back Pain Case Study: by Tina Straub, PT, ATC

Tina Straub, PT, ATC has recently submitted a case study for our website on low back pain. This case study gives you great insight on how to treat low back pain using the PRI approach. Tina does a great job explaining her assessment of the patient based on PRI objective measurements and also provides insight on the reasoning behind the non-manual activities she choose for the patient’s home exercise program. Tina currently works in Brookings, SD at Avera Brookings Medical Clinic. To access the case study, please click here!


PRC Applications

Early applications are now arriving! As the Director of Certification, I review the applications to verify course attendance, ensure that the application is complete and offer any feedback or guidance that may assist the PRC Application Review Committee. I would like to share this early feedback with those of you still finishing up applications:

Please be sure to mail both your article review and the articles themselves.

Consider the following information when answering the questions about your favorite PRI Techniques…
1. What is the purpose of the technique?
2. In your experience, what is the likely outcome of the technique?
3. What techniques would you use before, after or even in the same program in conjunction with the technique you chose.
4. What cues do you find helpful when instructing your patient?
5. What patient diagnoses or objective test outcomes indicate that this technique is appropriate?

Letters of recommendation are welcome. Consider a letter of recommendation from a colleague, PRC therapist or faculty, or professional with whom you integrate with such as a dentist, physician, podiatrist, etc.

Be sure to include copies of any presentations or in-services you have done in the area of Postural Restoration.

Don’t forget the deadline for submission is September 15th! Thank you!

Janie Ebmeier


Only Three More Weeks!

Only Three More Weeks!

Just a reminder that the September 15th PRC application deadline is soon approaching. If you are planning on applying for certification this December, the application needs to be postmarked by September 15th . We are very excited for the 2008 certification process as this will be the first year the process is open to Physical Therapist Assistants and Occupational Therapists.

Mark your calendars:
1. September 15th – PRC application deadline
2. October 15th – November 1st – Applicants contacted with PRC committee review feedback
3. December 4–7 – Advanced Integration
4. December 8 & 9 – PRC written and clinical exam


The Foundation of Postural Restoration Institute by: Ron Hruska

The Foundation of Postural Restoration Institute by: Ron Hruska

“As the Postural Restoration Institute (PRI) approaches the end of its first decade the staff of PRI, Postural Restoration Certified (PRC) therapists, and I, are often asked about the history of PRI. It’s an Institute that is truly built around 30 years of clinical practice associated with re-occurring successes of specific patient treatment programs. Consistent evidence-based correlations, discovered with patient biomechanical, respiratory and neurological functional patterns, as well as predictable functional limitations, allowed us to establish reproducible outcome based programs”. Read more…


Success in the East

Success in the East

Oliver Hall, PT, PRC, who owns and operates Inspire Physical Therapy in Essex, Vermont, recently sent us a story about one of his patients. Oliver has been using PRI for several years and in December of 2005, Oliver’s interest in biomechanics and movement patterns led him to become one of the first twelve therapists in the country to be certified in Postural Restoration.

“These 2 pictures were taken 6 weeks apart and are of a young man who came to therapy with mid back pain from lifting at work. He had long been aware that his chest was different from the rest (pectus carinatum). He presented as a left AIC right BC with significant tightness in his right BC. Despite the right side of his chest being higher than the left in supine, the lateral measurement from sternum to lateral chest wall was 1” shorter on the right side. In 6 weeks of working on a PRI program, he had complete resolution of his symptoms and returned to lifting at work with no problems”.


Call for News!

Call for News!

PRI has been busy these last couple months providing you with news and updates. We would love to hear about any PRI related activity taking place in your clinic! Send us your photos, videos or stories about how you’re integrating PRI in your daily practice. We would love to “feature” you on the PRI website! If you have a story burning a hole in your desk or have questions, please contact us!


PRI National Network

PRI National Network

Weekly, we receive phone calls from patients or healthcare professionals in search of a PRI trained provider. As a result we’ve long offered a listing of those PRI trained health professionals on our website. Our National Network page lists those who have attended 2 or more courses sponsored by PRI and instructed by PRI faculty. This list is a great resource that guides individuals all over the country to a health professional with PRI experience. Along with directing patient care, it also provides exposure to your clinic by linking directly to your website. If you are PRI trained and do not find your name on our National Network or if you would like to learn more about this great opportunity, please contact us!


Orthotics May Not Be Appropriate for Everyone

Over the last few years we have been fortunate to develop a strong relationship with Paul Coffin, DPM. His monthly visits to the Hruska Clinic have provided us a great avenue to learn about him, his practice and his amazing knowledge of the foot. As time goes on, we are getting better at determining when PRI activity will succeed without Dr. Coffin’s expertise and when a referral to him is necessary. Last night when I got home from work I was greeted with the warmest welcome I have ever received from my adorable dog, Miles. As I sat my things down and began to walk to the bedroom, his habitual behavior of following my every step ceased. Ignoring this bizarre behavior I continued my path to the bedroom. Once I opened the door, I realized why my shadow had chosen to stay 10 paces behind me. Although my experience with orthotic referrals is elementary, I am fairly confident that he will not be able to help me?


Postural Restoration Moves Into Sanford Health

Postural Restoration Moves Into Sanford Health

Sanford Health in Sioux Falls, SD has welcomed Sanford Physical Therapy Services to their family.  Their specialty…Postural Restoration!  Formerly known as Physical Therapy Solutions, Sanford physical therapy has embraced Joan Hanson and Jill Honermann’s expertise on the PRI approach.  Traditional physical therapy services will be offered but their main focus will be postural restoration.  To read more about the collaboration of Sanford Health and Physical Therapy Solutions please click here...and here!


Introducing the Newest PRC Center

Introducing the Newest PRC Center

Jeanna Viramontes, MPT, PRC recently opened her own clinic in Hudson, Wisconsin and was featured by the local newspaper, Hudson Star-Observer. She’s doing exciting work in the area of pelvic floor dysfunction using Postural Restoration techniques!  Read more about Jeanna!


Meeting of the Minds

Meeting of the Minds

Last week, the staff of The Hruska Clinic and Dr. Michael Hoefs joined together to discuss treatment of TMD. Although PRI is an effective treatment to TMD, there are occasions when a referral to a dentist is appropriate and necessary, as outlined in Advanced Integration and Cervical-Cranio-Mandibular Restoration . During an initial evaluation, Dr. Hoefs uses several objective measurements to properly assess his patients. Range of motion (ROM) is the first objective test used to guide him in his plan of care; based on the following:

1. Full ROM (>48 mm) with a noticeable click – Easiest to diagnose and treat.
2. 42 – 46 mm ROM with >12 mm of lateral opening – Probably a muscular restriction with a reducing disc. Patient will need supportive therapy.
3. 35 – 42 mm ROM with

<10 mm of lateral opening

– These symptoms would reflect a chronic closed lock position with most ligaments being stretched out.
4.

< 35 mm ROM

– Patient is more than likely in an acute closed locked, but not always. Can be myospasms!

To learn more about Dr. Michael Hoefs please visit Lincoln TMJ Therapy. If you’d like more information on PRI and TMD integration with dentists and orthodontists like Dr. Hoefs who respect the need for proper mandibular condyle and temporal fossa position, please contact us!


Success In The South

Success In The South

Mike Cantrell, PRC and presenter of Myokinematic Restoration recently sent us a success story from his clinic.

“We are forever in your debt! Thank you so very much! In just 9 weeks he was at the top of his game again.
He finished the year as the most dominant pitcher in middle school and 2nd in the league in home runs with 5 and had a .390 batting average. He won the 8th grade baseball championship game in front of about 500 people. He hit a monster 2 run home run in his last at bat as an 8th grader and threw a 5 inning complete game, 2 hitter with 8 strike outs.”

Take a look at the before and after picture in just 9 weeks!


PRC Deadline Soon Approaching

PRC Deadline Soon Approaching

Only 3 ½ months are left before we reach the deadline for the Postural Restoration Certification (PRC) application . For those of you that are considering certification this year, now would be a good time to make your final decision as the deadline of Septemeber 15th will be here before you know it.
PRC provides avenues for professional development, collaboration between multidisciplinary specialists with PRI interests, and enhancement of scientific approaches using PRI concepts. Please note PRC is now open to Physical Therapist Assistants and Occupational Therapists.

Mark your calendars:
1. September 15th – PRC application deadline
2. September 19th – PRC application committee review meeting
3. October 15th – November 1st – Applicants contacted with PRC committee review feedback
4. December 4–7 – Advanced Integration
5. December 8 & 9 – PRC written and clinical exam


PRC 2007

PRC 2007

PRC 2007


2006 PRI Certification

2006 PRI Certification

The Postural Restoration Institute™ announces that Larry A. Gruver, MPT, ATC, PRC of The Rejuvenation Center in Chandler, Arizona; Michael Cantrell, MPT, PRC of The Cantrell Center in Warner Robins, Georgia; and Roberta Delfun, PT, PRC of Impact Physical Medicine and Prism Aquatic Center in St. Paul, Minnesota have earned the designation of Postural Restoration Certified (PRC). Certification is a result of advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute, LLC. The certification process of both clinical and analytical examination took place on December 11th and 12th, 2006 at the Postural Restoration Institute™ following four-days of advanced training. We congratulate these three on their outstanding achievement! Fifteen individuals are now recognized as the only physical therapists nationwide to be Postural Restoration Certified.


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