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Mike Cantrell, MPT, PRC

Mike Cantrell, MPT, PRC

There is always something exciting going on at the Cantrell Center! Just ask Mike Cantrell, President and Owner of the Cantrell Center, Faculty of PRI, and Postural Restoration Certified Therapist. He’s gearing up for the 3rd Annual Cantrell Center 5K in Central Georgia. In case you missed it, be sure to check out our interview with Mike where he provides insightful guidance for other PRI trained therapists in private practice and clinical discussion for prospective and current PRI course attendees.


Explaining the Autonomic Nervous System

Explaining the Autonomic Nervous System

Jason Masek has been busy blogging at the Hruska Clinic. CLICK HERE to read his patient-friendly analogies.


PRI Vision Aquatics Pool Coming to Vermont!

PRI Vision Aquatics Pool Coming to Vermont!

After 2 years of planning, Estelle LeClair, MPT, PRC of Essex Physical Therapy in Essex Junction, Vermont is proud to announce her plan for the first PRI Aquatic System!  Planning and design work is well under way with the pool scheduled to arrive this summer and open in the in 2012. We are excited to work with the Postural Restoration team to begin treating patients in the pool using the PRI principles that work for so many on land.  A huge thank you to Ron for bringing the science of Postural Restoration to aquatic design so that we are able to help more patients integrate PRI principles into daily living.  We are thrilled to be bringing this technology to Vermont, where PRI concepts are widely utilized in many physical therapy clinics and look forward to the collaborative efforts to improve patient outcomes through the use of this facility.


An Integrative Experience

An Integrative Experience

Before attending my first PRI course several years ago, I often felt as if my patients were stuck in a revolving door – we often “fixed” one problem only to have them return with a new injury or a different body part hurting.  The Interdisciplinary Integration and Cervical-Cranio-Mandibular Restoration courses provided invaluable insight into when and why our patients need another discipline to accomplish their goals.  The proverbial light bulb switched on.  I began working with a local dentist who has expertise in splint fabrication, and through him was introduced to Herb Blumenthal, DDS, an expert in non-surgical evaluation and treatment of TMD.  Dr. Blumenthal has utilized an interdisciplinary approach in his practice for many years.  He enlists the support of chiropractors, massage therapists, and cranio-sacral therapists in his treatment of complex patients with stomatognathic dysfunction.  Notice that he did not include Physical Therapists in that list.  As he explained to me, he often did not accomplish good outcomes with PTs, as they do not understand the relationships between muscular activity in polyarticular chains and occlusal patterns.  He was so impressed with how PRI evaluation and treatment coordinates with and compliments his dental intervention that he invited me to join him in Arizona, presenting to a group of dentists.  It was a wonderful experience; the dentists made immediate connections between common postural adaptations as described by PRI, and what they see daily in their clinics.  They recognized that a PRI trained therapist can be invaluable in helping them accomplish optimal results with their patients’ splint therapy, and with their own issues of pain and dysfunction.  After all, those in the dental profession have jobs with “attitude” involving strong patterns of sustained and repetitive neuro-motor activity. Surprisingly, only 1 dentist had referred to a PT.  The rest had no idea how to find and make contact with a qualified therapist.  I highly encourage each PRI trained therapist to seek out and promote working relationships with dentists that specialize in TMD.  These individuals have experience with splints in addition to the flat plane splints most commonly made by general dentists, and will be open to how splinting can be used in the treatment of not only TMD, but other types of head and neck pain.  I am grateful that my PRI training has enabled me to change that revolving door into an open door of cooperation with others as we strive to attain the best possible therapeutic outcomes for our patients. - Kathy Johnson


Introducing…

Introducing…

Addalyn Renee Rappl! Addy was born on Saturday, January 8th, 6 lbs. 12 oz. 19 1/2 in.
Bobbie, Mark and Addy are doing great! Thank you for all the emails and calls wishing them well. We look forward to Bobbie’s return in March and in the meantime we are enjoying their occasional visits and photos:)


2011 Sports Rehab to Sports Performance Teleseminar

Ron Hruska was invited to participate in the 2011 Sports Rehab to Sports Performance Teleseminar. The teleseminar is launching on January 11th with a new interview going up every week through March 15. Ron’s interview is scheduled for January 18th. The interviews are FREE to all, but you do need to SIGN-UP in order to receive links to the interviews.  Here is the complete speaker line up this year:

Sue Falsone PT, Athletes’ Performance and LA Dodgers
Ron Hruska - PT, Postural Restoration Institute
Dr. Mike Leahy - DC, Active Release Technique
Thomas Myers - LMT,  author “Anatomy Trains”
Brian Grasso - International Youth Conditioning Association
Greg Roskopf - Muscle Activation Technique
Brian Mulligan - PT, Mulligan Concept, Mobilizations with Movement
Dr. Warren Hammer - DC,  Graston Technique, Fascial Manipulation
Dan John - Strength Coach, author “Never Let Go”
Gray Cook - PT, FMS,  author “Movement’ Book”

Click HERE to read more about each speaker and the topics they will discuss.


Looking forward to next week!

Looking forward to next week!

Looking forward to Advanced Integration.  We had so much fun last year…..learning, pizza study parties, and even a Nebraska football game party!

Happy turkey day to all!
Liz Wheeler


OSMA 2010 Symposium

OSMA 2010 Symposium

Eric Pinkall, PT, PRC was among the speakers to present at the Omaha Sports Medicine Alliance - 2010 Symposium held on November 13th. Eric discussed “Evaluation of the Hip: A Postural Restoration Approach” and was kind enough to share a outline of his presentation with us. Click here to read more! Thank you Eric for your support of PRI through clinical education in our community!


Food for thought…

This is an email we received from a Physical Therapist last week…

History:

  • 38 year old female with history of allergies (fall season is worst), 2 back surgeries, right knee arthroscopy
  • Being seen for low back pain – PRI effectively eliminating pain
  • Meanwhile, neck problem - went to a NUCCA practitioner
  • Noticed sinus cavities would change post NUCCA treatments (sometimes better, sometimes worse)
  • Manually worked on the sphenoid and had great results – learned the right sinus cavity is an “indicator” for this patient
  • Noted that bed positioning was knocking the atlas out of position: when turning, she would lean & pivot on her head – stopped doing that
  • Began identifying other things that would gradually pull atlas out of position: including a “subconscious” jaw left protrusion (sustained contraction) she identified whenever she laid down – especially on left side (left jaw received feedback from the pillow and pressed into it)
  • Performing regular left lateral pterygoid strengthening

Results:

  • Whenever right sinus cavity is closed/restricted, all she has to do is activate left lateral pterygoid and the right sinus cavity will re-open.  If left lateral pterygoid doesn’t work within a few minutes, then she goes to the NUCCA person…afterwhich, the left lateral pterygoid exercises work like a charm
  • Have been testing this theory now for 2 months: initially, it wouldn’t hold very long (just like a weak muscle), but now right sinus cavity can be restored within minutes (first thing in AM), and left lateral pterygoid can be strengthened as needed throughout the day – but really, it’s now >6wks that this person is able to breathe through both nostrils
  • OH, and I forgot to mention: she has NO allergies anymore?  And, this year is particularly bad.  Two years ago she was so desperate re: how bad the fall allergies are to her that she spent $3500 on experimental allergy drops, dreads the fall…  now… no allergies!

Theory:

  • The ability to hold the position of the atlas (and therefore decrease the need to go to NUCCA appointments) is directly related to the rest of PRI: if left lateral pterygoid is strong and not pulling it out, then what about the other asymmetrical influences further down the chains?  As soon as we laid off the other areas of weakness (emphasis = low traps, thoracic rounding & left IO, left adductor/hamstring, right glute), the # NUCCA appointments also began increasing.  After the next NUCCA, those exercises were re-emphasized… and voila!  It was about a month before she went to NUCCA again (vs every 2 weeks).

Results:
It has now been 10 months since NUCCA has started and some conclusions that I’m drawing:

  • Position of atlas is vital to overall health
  • Atlas & sphenoid relationship is vital to overall health – and something very specific as related to allergies/allergic reactions
  • Sphenoid position directly relates to sensation of “clear nostrils”
  • NUCCA alone only puts the atlas back into place… what’s going to hold it there?
  • When the atlas is placed in the ideal position, left lateral pterygoid (for this individual) can effectively reposition/and hold the sphenoid in its ideal place, which in turn holds the atlas in place
  • When the sphenoid doesn’t reposition easily, the atlas is not in its ideal position
  • If NUCCA appointments occur frequently because the person isn’t “holding their position,” then the answer is PRI – there is likely a subconscious muscle tension / a part of the asymmetrical influences identified by PRI that is ultimately pulling atlas out of place

Really, I’m just wanting to share this with Ron – it’s quite amazing!


Success Story

Success Story

We are excited to share this success story with you sent to us by Mike Cantrell, MPT, PRC.  His patient describes her journey through Physical Therapy and how PRI saved her running career.  Check it out HERE!


Athletes Love PRI!

Athletes Love PRI!

This email and photo from Lynne Ellen Kershaw in my Monday morning inbox - it’s sure to be a great week!

“Hey Janie- I have a class for athletes on Sunday afternoons. We always start off with PRI exercises before we do Pilates. They absolutely love blowing up the balloons! The guys in the picture are playing football right now and heading into basketball. Thought you might like! - LE”

Curious about the balloons? Click HERE.


Great question on the Hruska Adduction Lift Test

For the Hruska Adduction Lift Test, one thing I want to ask about is the patient to therapist size ratio.  I’m a tall guy, when I perform this test I really try to keep the upper leg at a “reasonable” height for the patient’s body.  It also seems that the passive hip abduction test will highly correlate.  Can you comment on this?

I have frequently been asked this question in classes across the country.  In short, the height of the examiner is not a significant issue up to a point.  There appears to be range of tolerance with regard to ability to perform the test and the height of the examiner.  Normal abduction is in the order of 45 degrees.  If the examiners’ height takes the LE well-beyond 45 degrees then height might become an issue.  I am 6’1” and have yet to discover anyone that I felt was adversely affected by my height. However if I were Shaquille Oneal and my patient was less than 5 feet then height could become an issue.

At that point I still have some options:
1. call in another examiner
2. place the top most lower extremity on the wall (which I hate to do since I
like to feel what the top LE is doing)
3. use the Abduction Lift Test since there is a good correlation between the
two
4. all of the above!

The test is helping us understand how well the patient can recruit and inhibit multiple muscles so we want to be sure that we score accurately.  In fact, another name for the test could be the: “How Well Do You Shift Into Acetabular Femoral Internal Rotation And Recruit And Inhibit Muscle Test” but it’s kind of long and that acronym HWDYSIAFIRARAIT just doesn’t flow.

- Mike Cantrell


ATC & CSCS Integration

The Postural Restoration Institute has long been recognized as an approved provider of continuing education for certified athletic trainers and more recently a few select PRI courses have been approved for strength and conditioning coaches through the NSCA. In response to the growing interest in PRI amongst these two different groups, we recently formed a Committee of five respected individuals.

Mike Arthur, Jason Masek, Michael Mullen, Chris Poulin and Jerry Weber met for the first time on Friday, August 27th to discuss avenues for advancement of Postural Restoration concepts in these specific professions. Their input is invaluable and their commitment commendable. I encourage you to read each member’s biography and learn of their exemplary experience and involvement. They have been pioneers in their professions and are now assisting us in furthering our vision for integration.

We look forward to sharing with you the Committee recommendations as they continue to collaborate in their unprecedented integration of PRI in athletic training and strength and conditioning.


New Featured Interview

New Featured Interview

Our latest interview features Michael Cantrell, MPT, PRC.  Currently, Mike is one of the instructor’s for the Myokinematic Restoration course.  Next year he will also be instructing Postural Respiration.  If you’ve had the opportunity to be taught by Mike, you’ve experienced the fun, energetic personality that Mike brings to the course.  We are so fortunate to have such a wonderful speaker!  Read more about Mike HERE!


Interdisciplinary Integration - Case in Point

Interdisciplinary Integration - Case in Point

Postural Restoration Certified Therapist, Jeanna Viramontes, was recently featured in the newsletter of Health Centered Dentistry. Jeanna and Dr. Laughlin exemplify a successful model for Interdisciplinary Integration. Click here to read Jeanna’s interview on the second page of the The Whole Tooth!


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