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Recent RequestWe received a request from a therapist involved in a Pectus Carinatum clinic. She asked us “which PRI activities would we use to treat Pectus Carinatum”. We have formulated a list of our favorite activities: Supine Hooklying T8 Extension Sternal Positional Stretch Supine Hooklying Restorative Synchronized Resisted Glute 90-90 Hip Lift with Balloon PRI Wall Squat with Balloon Standing Un-Resisted Wall Reach 80-80 Chair Seated Left Arm Reach Standing Resisted Wall Reach All of these activities can be found on our 2nd and 3rd Edition Non-Manual Techniques CD Rom!
New Technique of the Week
We have posted a new “Technique of the Week”! Check it out!
Standing Serratus Stomatognathic Squat
The Standing Serratus Stomatognathic Squat is a brand new activity that is being introduced in the Cervical-Cranio-Mandibular Restoration course! This activity is not only used for a home program, it is also used to help the clinician determine bite position! Learn all about this activity in our next Cervical-Cranio-Mandibular Restoration course being offered in Lebanon, NH!
Right Adductor Hyperactivity
Have any of you ever noticed this wear pattern on the left shoe? If you have, this is a good indicator of right adductor hyperactivity. When the right adductor is overly hyperactive, the left heel will come out of the shoe when beginning to initiate the swing phase. Another good indicator of right adductor hyperactivity will be no right arm swing. These patients will need a right adductor magnus inhibition program along with verbal cues to maintain heel contact with gait!
Helpful HintMichael Mullin, ATC, LAT, PTA from Portland, Maine recently sent us this helpful hint to use with our patients that enjoy running! I just had a patient come back to see me and she stated: “I just returned from Everest and it was the hardest thing I have ever done in my life. There were times when I was having a really hard time breathing above 17,000 feet, and without oxygen, you are trying to find air. There were others that needed to be evacuated, but I practiced the diaphragmatic things you taught me about full exhalation and re-oxygenation and I swear it saved me—literally saved my life when I did not think I was going to make it”. I have been having my runners work on a breathing cycle with quite good results: inhaling on 2 strides and exhaling on 3 strides. This reinforces not only good respiratory control and reducing hyperinflation, but it also allows them to push off on exhalation on alternating legs to maintain symmetry.
New Technique of the Week!
Read all about Seated Reciprocal Quad Sets with IR HERE! This technique can be found on the 2nd Edition CD Rom in the Left Gluteus Medius section!
Exercise Correction - Two Point Stance
If any of you use the Two Point Stance activity found on the 2nd Edition Non-Manual Techniques CD-Rom you may want to make this correction on your handout! Roberta Delfun, PT, PRC found a mistake on the original exercise! When performing this technique in left sidelying, the right arm should move back on INHALATION and come forward on EXHALATION. The first row of pictures has the 2nd and 3rd picture reversed. To print a new copy, click here!
Great Question!
We recently received this question: Here is our response:
Can You Do This?
Can you achieve a Level 5 Functional Squat grade while also keeping your low traps engaged? Learn more about this new activity in our Impingement and Instability course! Our next course will be in August right here at PRI! To register, click here!
New Technique of the Week
Check out our latest “Technique of the Week”! To read all about it click here!
Integrating PRI and The McKenzie MethodWe recently received an email asking us how to integrate the McKenzie method with PRI. We were so excited to answer this question! To read our response click here!
PRI Repetition RecommendationsIf you have been to a PRI course before and are using PRI Non-Manual Techniques, you have probably noticed a common theme through each technique. Almost every technique instructs the patient to “hold for 4-5 deep breaths in through the nose and out through the mouth and relax and repeat 4 more times”. So…why 4-5 breaths in and out, why 5 times? To read the rationale behind this, click here!
Differences Between PRI and MSIA while back we received an email from someone asking “what is the difference between PRI techniques and MRI (Sahrman) techniques”? We were excited to have the opportunity to answer this question because it gave us a chance to really express why PRI is so unique! To read this email, click here or go to “Recent Emails”!
Power of Squatting
If you attended day four of our Interdisciplinary Integration course, you learned about Pelvic Floor Dysfunction and the positive effects squatting can have on treatment of this condition. Following the course, one of the attendees sent us this email that confirmed PRI’s position on the power of squatting… I wanted to share something else with you all, especially Lori and Ron. Lori highlighted the importance of squatting and it’s impact on constipation. My 3 year old, has struggled with constipation since birth. She literally will go poop once to maybe twice a week if she is lucky and it is always with tears and an all day event. We have tried everything, from suppositories, Miralax, Benefiber supplements, high fiber diet, Flax oil, Mineral oil, infant tummy massage, etc. Anyway when I got home Sunday night she was still awake. After the excitement of seeing each other again, I put her on the toilet in the squat position and she immediately started pooping! I was ecstatic! We did the same thing yesterday and today with the same results! This makes arecord three days in a row of her pooping without tears or pain! I truly feel that God brought me down to Lincoln for many reasons and this is definitely one of them. Thanks to you all for all of the work you do to help people. This simple thing will be life changing for everyone in my daughter’s life, as it was always so hard to watch her be so uncomfortable and not be able to help her. Thanks again!
Technique of the Week OverviewFor those of you that have had the chance to read the technique of the week I thought I would share my discussion with Ron Hruska. I’ll be honest, at first I was a little puzzled when he started discussing GH movement and upper trap contraction promoting GH abduction? After we talked about it, I was able to visualize the glenoid being similar to the acetabulum. I was able to pull together the muscular influences of FA and AF in comparison to GH and HG. After more discussion I realized that this technique could quite possibly be a functional upper extremity test similar to the Hruska Adduction Lift Test. If the patient can’t perform this technique without activating on their neck, they still do not have their frontal plane. You, as a clinician would need to go back to the integrative sidelying techniques that incorporate a left internal oblique with right thoracic adduction and left femoral adduction before your patient is capable of performing a Sidelying Hip Lift. It took me a while to absorb the complexity of this technique and I’m still not 100% there, but I now have a better understanding of the integrative tri-planar control this technique offers our patients and the objectivity this technique offers us as clinicians in assessing and progressing our patient’s programs!
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