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In Case You Missed It
These last few weeks have been filled with discussion on shoes. Now that you’ve been guided on which shoe to buy, let’s put them into use. Alternating Gait Recommendations is a handout found on PRI’s website educating patient’s on appropriate gait sequence complimenting a Right AIC pattern. This handout is a great way to incorporate PRI activity into an upright dynamic program! To access this handout, please click here!
Top 10 Recommendations for the Office
Lori Thomsen, PRC has given several community talks around Lincoln, Nebraska. One popular topic of interest is office ergonomics. In the world of Physical Therapy, office ergonomics, is a trendy topic covered by many clinics and organizations. Here at PRI, we have taken your typical office recommendations and applied PRI related concepts to them. Along with a list providing you with the top ten recommendations, there is also a coordinating image. To access the Top Ten Office Recommendations, please click here!
Standing Right AF ER with Right Glute Max
While working with a patient who lacked right glute max activity in a standing right AF ER position, we came up with a new activity. This new activity not only places the patient in standing right AF ER, activating the right glute max, it also provides resisted right FA ER. This is a great activity to promote left AF IR with concomitant right AF ER / FA ER activity. To access the complete exercise, please
Class is always in session
Providing patient care is not only a learning experience for the patient but also for the therapist. Each patient has taught a lesson, sent a message and left an imprint that has helped develop our approach to treatment. This week Ron Hruska was working with a patient who had seen another therapist at the Hruska Clinic prior to this visit. She mentioned that a specific cue from Lori Thomsen made all the difference in her ability to breathe into her right chest. Lori asked her to “breathe into the heel of my right hand” during an Infraclavicular Pump and Subclavius technique. Ron brought a couple of us into the treatment room to feel the upper right ribs externally rotate upon inhalation using this particular cue. The next time you perform these PRI Manual Techniques consider using this instruction to maximize your patient’s ability to achieve right apical expansion. Contact us to share your own patient-directed discoveries!
Functional Squat Test
In addition to the Hruska Adduction Lift Test and the Hruska Abduction Lift Test, we have created the Functional Squat Test. Similar to the tests mentioned previously, The Functional Squat test is graded by levels. Level 1 is the inability to perform the test and level 5 represents maximal performance. This test helps the clinician determine whether the patient demonstrates hyperactive hip flexors, back extensors, and femoral rotators. It also helps establish whether or not the patient has the ability to perform a posterior pelvic tilt and if they can achieve maximal AF IR. To view the complete Functional Squat Test, please click here!
Going Up or Going Down?
Retro Stairs has been a popular activity for the last decade of PRI. It is one of the first upright activities given to patients when teaching them how to achieve left AF IR. During the dawn of the squat program, taught in the Impingement and Instability course , we have found other great ways to utilize the stairs. Heel Stair Descents is a new activity designed to eccentrically lower your self down the stairs. This activity is an excellent way to activate the quads, promote controlled hip extension and inhibit the gastrocs. To view the complete technique, click here!
Yet Another Way to Achieve Left AF IR
You can never have too much of a good thing, here is another technique for Left AF IR! This activity was developed after working with a patient who had difficulty achieving Left AF IR while in a standing position. This is a great integrated abdominal technique to instruct patients on who have a difficult time “turning their left hamstring on”. The technique also promotes Left AF IR with Right Glute Max activation while attempting to maintain complete dominance over the torso. For the complete handout, please click here!
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