What
This is the first neuromuscular activity in the PRI integrated standing activities that allows patients to experience proprioceptive left acetabular femoral internal rotation as they shift their weight from their right, dominant lower extremity to their left while keeping their right leg behind their left.
Why
Many individuals who have a strong left AIC pattern find it difficult to fully understand what the PRI therapist is trying to accomplish with a PRI Right AIC oriented program. The patient may have the ability to internally rotate their femur on their acetabulum, but not be capable of rotating their acetabulum internally on their femur. It’s designed to inhibit right weight bearing and left acetabular femoral extremity rotation when the right arm reaches forward or upon left heel strike in the left mid-stance phase of gait.
When
This non-manual technique could be used immediately before any of the other standing abdominal integrated facilatory techniques because of it’s proprioceptive and loaded mechanoreceptor properties. A great technique to use when a patient has difficulty transferring weight to the left or with vestibular and balance re-training for left ‘unilateral neglect’. Also could be used with individuals who have difficulty with right apical expansion, left posterior acetabular capsular restriction, left overactive acetabular femoral external rotators, left calcaneal instability, right tibial external rotation or right femoral acetabular abductor hyperactivity. Allows the patient to achieve left AF IR from a right AF IR position and stance by placing the patient first in a Left AIC pattern. It also allows you the capability to teach them how to get out of right AF IR and into left AF IR before their right foot leaves the ground. This activity helps teach the patient how to get out of right AF IR during late stance. Consider the PRI Left AIC Stance technique to transition from active right AF IR to left AF IR by transferring 50% of the patient’s weight through the left leg before moving forward.
Where
Early on in the dynamic phase of PRI rehabilitation where left internal obliques, transverse abdominis and right external obliques are needed to integrate thoracic-lumbar stabilization for future right upper trunk rotation and concomitant left acetabular femoral internal rotation.
Who
Individuals with limited ability or capability to maximize left AF IR and begin to shift their weight to the left as right heel comes up in early right swing phase of gait. Individuals who can’t maintain a right adduction lift test with increased upright reciprocal activity. Individuals who cannot appreciate the PRI left squat or left single leg dynamic techniques without resorting to pre-mature left acetabular femoral external rotation. Often seen with patients walking up stairs and losing pelvic neutrality or reciprocal Left AIC and Right AIC patterns.
This technique can be found on the 2nd Edition Non-Manual Techniques CD-Rom. To order, click here!