I was wondering where PRI would go or what do you guys suggest when there is hip osteoarthritis in the left hip (possibly both) affecting PRI objective testing for the Adduction Drop Test (ADT), Passive Abduction Raise Test (PART) and Pelvic Ascension Drop Test (PADT). Does it have an effect? If it does, what can we anticipate regarding how someone progresses through a PRI program? Are there particular things to look out for but I also imagine this would depend on the level of bony impingement and the effect on the arthromechanics.
I can think of two people at the moment that come to mind. Both have incredibly bony end feels to flexion which I know is not what PRI is testing and in the case of the person with a ring osteophyte of the acetabulum, her L ADT was positive because her lumbar spine was extending. My intention is still to create the sense of shift and closure of the L anterior hip with concomitant referencing, and I guess what I am asking is what is the general prognosis? Are there particular other things we need to pay particular attention to?
Osteoarthritis is a common, degenerative joint disease that affects the cartilage of the joint. It also affects every joint, in every human differently. Meaning there is no predictable degree of impact on range of motion of anyone, or any group of people.
Yes, ADT, PART and PADT testing can be influenced, and more than likely does influence outcomes of any joint testing, including PRI objective testing. Progressing someone with degenerative issues, through any functional training/rehabilitation program, requires close monitoring of symptoms, undesirable adaptation and accommodation to the program one is introduced to.
I believe the cases you presented, can still benefit from PRI techniques and approaches, even if getting them neutral is impossible, because you are correct, it is the creation of “the sense to shift” that will benefit the degenerative joint, and all other joints, that are compromised because of this lack of freedom and flow. The one particular thing that comes to my mind that I would be paying attention to, is the overall impact these efforts can have on the thorax and the neck. You may be improving the joint, in this case the hip, function, but at a detrimental cost to the thorax and cervical function if the head is moving forward or if the anterior rib cage is moving upward.
