Technique Of The Week

60-60 Sidelying Twists

What?

A sidelying PRI non-manual technique used to isolate left IO’s / TA’s through ‘body on legs’ kinetics and functional respiration.  Can also be used as a sidelying PRI non-manual technique to facilitate left EO’s during right trunk rotation.

Why?

This technique is designed to facilitate trunk rotation through appropriate abdominal, respiratory kinetics without facilatory accessory respiratory muscle of the upper thorax and neck.  Its placement requirements ensure abdominal position and proper mediastinal movement while apposition to the active diaphragm is maintained.  The supportive, sidelying position enables synchronous movement of respiratory, oriented muscle without osseous limitation.

When?

A good technique to use when the patient has difficulty performing a posterior pelvic tilt in the supine position without over activating rectus abdominis and other sagittal oriented muscle of the back.  It’s proprioceptive and mechanoreceptor qualities reinforce diaphragmatic slow twisted and sustaining properties for effective respiration while diminishing demands on the accessory cervical muscle.  Since thoracic-lumbar flexion is enhanced by the 60-60 state of the knees and the hips, zone of apposition and IO/TA position is passively maintained. 

Where?

Since this is the first non-manual PRI technique listed in the sidelying section of the integration techniques, it’s order and position reflects PRI principles of specific muscle isolation and integration through inhibition of antagonist and appropriate agonistic muscle that is overused.  This technique maximally inhibits all muscle tone interfering with specific abdominal identification and isolation function.
Its sidelying position instantly reduces demands on sagittal pullers of the neck and back and increases pushers of the pelvic floor resulting in effective diaphragmatic respiration.  Therefore, this technique could follow any of the PRI manual techniques that promote thoracic flexion and maximal end range ZOA. 

Who?

Individuals with limited ability to reduce rectus abdominis activity in supine or back extension with balloon – respiration effort, or cervical strain during all other PRI sidelying respiration or hip flexor use with all four, long seated, seated, standing and prone positions. 

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