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The way I have thought of this, correct me if I’m wrong, is when the ribs are wide/flared the individual is being pulled forward and extended. When the ribs move down towards a zoa the spine is flexing. Just like when the pelvis is fwd rotated the L spine extends. The dowagers hump occurs due to position of head moving forward when ribs elevate.
Hi Jay, You are correct!
Thank you so much for this. I have been using a box for clients to dig the back of their heels into so they can only feel hamstrings; but this helps me to understand the visual component of linking hamstrings, which will be necessary for gait once the client goes back to standing. I will now only use the wall and get them to feel heel, ball, and toes.
Thank you so much for the further explanation! I too have been using an “Open chain” position to try and get more ham and less calf use for knee flexion. I took the phrase “Do not press your feet flat into the wall instead dig down with your heels” from instruction # 2 on the Myokinematic Restoration Repositioning (2) handout too literally. Thanks again Jen and Ron for all your hard work in trying to disseminate this wonderfully complex information!
As someone previously mentioned we used the terms “Dig down with your heels”in step 4 of supine left hamstring (8) (90-90 hip lift with balloon). We have Plexiglass against our walls in clinic but people’s feet slide down the wall unless they press into the wall which lead to difficulty isolating hamstrings. Is using the box wrong if they still sense the wall and maintain reference centers ? Responses will be helpful!
Regarding the reference to the ground and feeling feet/toes flat on the floor. In the Standing Supported Bilateral IO/TA activity (Standing anterior neck Inhibition #3) We are instructed to “Pull toes up, keeping your weight through your heels and squat down”. What is the purpose of toe extension here vs. 90-90 hip lift where we want the feet flat? I assumed it was related to gastroc inhibition in this exercise but does that eliminate some of the reference points discussed in this video?
Hi Jay,
Thanks for the comments. For your first question, using a ledge is a great way to make sure that they aren’t sliding down the wall and still maintaining full contact with the foot.
For your second question we are trying to activate an anterior tibialis musculature while you are keeping your weight on your heels during co activation of the hamstring. This ensures glute and hamstring activity as quadriceps extension of the knee is initiated at the time of heel contact or early stance phase. Vs anterior tibialis co activiation with back extensors at the same phase of the gait cycle.
It would be nice to have the names of the precursor and the follow up exercises specifically designated. For example, there are several L sidelying R gmax choices…were you referring to #10? Thanks!
Hi Kelly, the precursor activity that we recommend is Supine Right Glute Max #3 (90-90 Resisted Right Glute Max with Weighted Right Serratus Anterior) and the follow-up technique we discussed is the Sidelying Right Glute Max #4 (Left Sidelying Right Glute Max). We will post those techniques to this privy as well. Thanks!
PRIVY has increased my understanding of PRI concepts (and my own personal PRI experience) immeasurably since its inception. In fact, I think I have two different PRI careers: pre-PRIVY and with PRIVY. It’s been that important to me. Thanks for everything.
Wow! Episode 100!!!
Thank you! It wouldn’t have been possible without PRI Nation!
Congratulations on #100! This format is a great blessing to me and my learning style and I am so grateful for Jen’s insight to begin this. Thank you. It’s like having Ron and Jen and others as my personal tutors. I am grateful too for the interview podcast series. How cool to know the faculty member stories this way and to get to know RJ through that format too. Thank you, thank you!
Cheryl- thank you so much for your kind words. I have relayed them to Ron and we are happy to hear that you are gaining so much through PRI. We appreciate you – please let us know if there’s anything further we can do to help you.