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As the occiput rests more on the right atlas foramen, the incongruence of aligned sets of paired cranial bones usually creates resistance on the surfaces of one of these paired bones, that reduces the friction at the same suture sites of the other side of the face. This illustration reflects the presentation of mutually incongruent eye orbits, where the sphenobasilar flexion on the left side widens, protrudes, and everts the right orbit, as the left orbit remains narrow and retruded. Unlike binocular rivalry where the presentation of mutually incongruent images to the left and to the right eye alters perceptual alternation of the two eyes stimuli, thus reducing perceptual fusion, orbital rivalry exists where there is presentation of mutually incongruent paired orbital bones (zygomatic, lacrimal, maxilla and palatine) thus altering positional alternation of these bones on the non-paired orbital bones (frontal, sphenoid, and ethmoid) and reducing aligned proprioception fusion of the two bilateral maxillae for centric mandibular occlusion.
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The pterygoid medial and lateral plates of the sphenoid fit into the grooves on the posterior surface of the vertical portion of each palatine base. These palatine surfaces are smooth in order to allow for free gliding movement of the pterygoid plates within the grooves of the sphenoid. This illustration shows the relationship of these three bones to each other as the paired palatine bones are positioned between the sphenoid’s pterygoid plates. In this position, the palatine bones may slide and spin on one side, allowing the other side to be raised or lowered, while the horizontal plate of the palatine bones communicates with the support offered from the other side. This act of movement, or spin, is one that you would see a dancer use to perform a pirouette on one foot, as the other foot is raised and touching the supporting leg’s knee.
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This illustration is displayed with the pubis inferiorly positioned, the sacrum superiorly positioned, and the coccyx forwardly positioned so that the presentation is of the pelvic floor outlet. One can see the sacral base oriented to the right reflecting ischial sacral internal rotation on the right and ischial sacral external rotation on the left. One can also see the torsion going through the pubic symphysis with left ischial pubic external rotation and corresponding right ischial pubic internal rotation. I believe that this particular illustration reflects where the Institute has come from and where it has gone over the last decade. It also reflects the last course that has been put together by the Institute on the pelvic floor by looking at the myokinematics of the inlet and outlet, neuro-oriented respiration through the inlet and outlet and soft tissue malalignment. The word “peroration” reflects rhetoric. It’s often referred to as ‘the conclusion of a speech or discourse in which the points made previously are summed up or recapitulated with greater emphasis than was made in the body of the speech’. This section of our body speaks to us loudly and lets us know when things are not being regulated correctly. Everything from pubic pain, SI joint pain, and pelvic floor pain reflect this oration and final remarks that the body can make with respect to imbalance. Many of our ascending problems do not necessarily start at the feet but actually in this pelvic floor region and therefore, I think the word “peroration” best recapitulates the principle points of PRI and urges those who use PRI to use greater effort and earnestness in reducing these poorly managed and irregular forces that are generated because of poor pelvic floor symmetry.
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This illustration demonstrates the type of scapula you would see on a Right BC patient. The right scapula is abducted, depressed and upwardly rotated on the thorax. Its internal rotation or orientation makes it look like it’s winging at the vertebral border around a vertical axis. It’s resting in a protracted state and often compliments the rib hump on the posterior thoracic wall on this type of a patterned patient. The subclavius is having a direct impact on its forward pull at the distal spine and at the acromion junction. On the left side you will see an abducted or elevated orientated scapula on the thorax. Its downward rotation results in an overactive and shortened pectoralis muscle on the left side that is active because of the limited amount of sternal rotation to the left. It’s externally rotated and resting on a rib cage that is more posteriorly positioned with respect to the right, therefore, appearing to be in a retracted state. I like the word “prodromal” because it’s a word that describes precursory function. It relates to pre-activity that is associated with the Right BC pattern that precedes symptoms and dysfunctional discomfort that is often described as shoulder bursitis, upper trapezius hypertonicity, levator scapula strain, T4 pain, and snapping scapular syndrome, and curvature of the spine. Prodromal is an early situation that is indicating possible or early onset of an attack of the above mentioned symptoms or by dictionary definition “a disease state”. I like the word because it reminds us of premonition, precursory, and pre-position.
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During the expansion (uptick) or flexion phase of cranio-sacral motion, the anterior portion of the maxillae rises superiorly coming up to meet the frontal bone that is arching forward and down, as the second illustration suggests. This uptick of the facial complex slightly spreads the posterior part of the intermaxillary suture as the back teeth move slightly apart. The maxillary-palatine-vomer complex also pushes slightly anterior with each expansion phase, as it also arcs upward to meet the frontal bone, during sphenoid counterrotation on the occipital, or during the narrowing of the angle between the posterior palatine and the anterior mastoid process. From the inside view of the skull, on the side where cranio-sacral flexion commonly is found, the left sphenoid arcs forward and downward, during the expansion phase, moving the ethmoid forward and up, hinging around the sphenoid. This illustration is in contrast to the upper illustration where cranial-sacral compression (downtick) of the anterior occiput on the posterior sphenoid is depicted.
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This guide has been put together to help bring awareness to the activities that we perform regularly in our daily lives. This 16-page guide will outline several daily activities which are commonly performed in dominant or patterned positions, and demonstrate alternate ways and instruction to perform them. Copies of this guide can be purchased through the Institute, to provide and discuss with your patients and clients, the importance of decreasing the over-dominance of one side of the body, and using both your left and right sides with alternation and balance. This listing is not customizable. *Pricing includes shipping and handling for U.S. orders only. If you would like to place an order for this Patient Guide and are ordering from outside the United States, please contact us directly to place your order.
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