Common Myokinematic Restoration Dilemmas
For those of you tuning in the last few days, we have been discussing common dilemmas that occur with a PRI program. Today we will highlight dilemmas that occur when instructing a Myokinematic Restoration program and offer suggestions on how to correct the dilemma:
1. Can’t find and feel left hamstring
- In a 90-90 position use the isotrainer ledge or similar set up to disengage paravertebrals
- Blow up a balloon in a 90-90 position with right arm reach and toes off the wall
- Protonics
2. Can’t find and feel left adductor
- Allow the patient to ‘roll’ entire torso and hip back upon Right Sidelying Left Adductor Pull Back during inhalation. Upon exhalation, contract the left abdominals - left knee into right thigh or ball
- Right Sidelying Knee to Knee – we often forget about this co-contraction adductor technique
- Left Sidelying Knee Toward Knee with Left Trunk Rotation – move knee with left abs on and during state of inhalation
3. Can’t find and feel right glute max
- Single Leg Wall Left AF IR with Right Glute Max
- Standing Supported Right AF ER with Right Glute Max
- Left Retro Stairs with left AF IR Stance, left foot one step higher than the right. Focus on right AF ER / glute max facilitation
4. Can’t abduct right leg without right low back activity
- Un-Resisted Single Leg Lateral Dip - emphasis on simultaneous right cervical and left thoracic abduction
- Sidelying Swiss Ball with Passive Apical Expansion - focus on contracting left IO/TA’s upon inhalation, hold and then attempt to raise right leg with hip abductors
- Standing Resisted Adductor Pull in -left leg in left thoracic abduction
5. Can’t inhibit left TFL or left hip flexors
- Single Left Leg Kneeling with right hip flexion
- Right Sidelying Left Glute Med in Hip Extension - push left knee into the wall above
- Right Sidelying Left Anterior Glute Med with TFL Inhibition - push left thigh into post
Tommorrow we will highlight common dilemmas that take place with a Postural Respiration program!
