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June 2008 Newsletter

Featured article
POSTURAL RESTORATION:

-adapted from Australian Journal article

INTRODUCTION

Two Olympic curlers with spine and pelvis injuries almost see their dream disappear but are able to compete successfully. Two patients with low back pain almost undergo surgery but cancel it. Two patients with sciatica and fatigue are considering an injection, but never get one and regain their energy. What helped them? They all received physical therapy from PT�s using the Postural Restoration approach.

HISTORY:

Postural Restoration has been developed over 27 years by a physical therapist from Lincoln, Nebraska named Ron Hruska MPA, PT. He founded the Postural Restoration InstituteTM (PRI). The mission of PRI is to explain the science of postural adaptations and asymmetrical patterns in the body.

POSTURAL RESTORATION DEFINED

Postural Restoration (PR) is a holistic posture based approach to the management of patients and clients that considers and focuses on the influences of the skeleton, muscles and dental occlusion on posture. It also considers the influence of multiple systems on posture, including respiratory, nervous, musculoskeletal, oral motor, circulatory, reproductive, digestive, immune and sensory. PR is practiced by physical therapists, physical therapy assistants and athletic trainers. The primary focus is to restore faulty posture that may be the cause of complaints. The clinician�s goals are often to decrease unwanted hypertonicity via muscle inhibition and to improve muscle balance for better function and decreased pain.

TREATMENT TECHNIQUES:

Treatments include about 350 manual techniques, non-manual techniques (exercises), external supports, activity modification, and patient education. The techniques are very specific and sophisticated, requiring patient/client instruction for desired results.

An example of an exercise used to restore position, activate and inhibit muscle and improve breathing is the "90/90 hemibridge with a balloon blow". This exercise activates some muscles (abdominals, hamstrings, adductors, diaphragm, and transverse thoracis) and inhibits others (hip flexors and paraspinals) to improve overall balance and function of the postural muscles. Note that all exercises incorporate a respiration component to them (ie. 90/90 balloon blow) to reflect the value and focus of respiration as the cornerstone of Postural Restoration. Treatment duration is usually 2-15 visits typically every 2 weeks.

VALIDITY AND EFFECTIVENESS

Literature evidence supporting the basic science and didactic anatomy, biomechanics, physiology, and motor control have been used by Hruska for the creative development of the techniques for repositioning, altering or restoring position/posture and retraining or maintaining it.

To see the full version of this article email us to request a copy, and to learn more about postural restoration visit www.posturalrestoration.com

article provided by Kyndall Boyle, PT, PhD, OCS