Phone: 802-878-3600 • Fax: 802-879-3041 • www.CornerstonePhysicalTherapy.com
277 Blair Park Road, Suite #110 • Williston, VT 05495
Call us to start feeling better! (802) 878 3600
What is Postural Restoration?
Postural Restoration is an advanced treatment approach used at Cornerstone Physical Therapy. It is an approach based largely on the work of Ron Hruska, MPA, PT founder of the Postural Restoration Institute™ in Lincoln, Nebraska. Cornerstone Physical Therapy is proud to be one of only 36 Postural Restoration Certified Centers in the United States. All of the clinical staff at Cornerstone have advanced training in Postural Restoration and have studied directly under Ron. We have seen first hand the effect that this type of treatment brings about in our patients, and have adopted its concepts as an integral and essential part of the rehabilitation process.
How does it work?
An easy way of understanding Postural Restoration is to think a car which has a problem with tire wear on one side. No matter how many times the tire is replaced, it keeps wearing out. The underlying issue in this case is not the tire itself but the alignment of the car’s frame that needs to be addressed. Postural Restoration works in much the same way. Ultimately, by improving a person’s postural symmetry at the pelvis and trunk, the underlying conditions and stresses that lead to joint pain and soft tissue pain are solved.
Postural symmetry is improved by eliminating unwanted muscle tension in the body. Trauma, stress, habitual movement patterns, respiratory patterns, and right or left handed patterns can all create muscle tension. When present, there is a contraction or shortening of the muscle. This places abnormal forces on the joints and the soft tissue that supports them (muscle, tendon, cartilage, ligaments, etc). This is observed during a physical therapy examination as a reduction in flexibility, ROM, strength, and poor posture. As a result, pain may develop at the site of muscle tension or at some distant location as the body attempts to compensate for it.
Postural Restoration techniques are used to eliminate unwanted muscle tension and to achieve neutral posture, full ROM, strength, and flexibility, which ultimately leads to soft tissue healing and pain relief. This is achieved by techniques that activate the muscles in the body that oppose the muscles that are contracting unnecessarily. Activating this antagonistic muscle will shut down the unwanted muscle contraction through reciprocal inhibition. For example, if the quadriceps are overly active, the hamstrings can be used to help them relax because they work in opposition.
What does the treatment consist of?
There are two main categories of treatment that are generally used in Postural Restoration. The first intervention, and the most important for success, is the home exercise program. Your therapist will work with you to create a tailored exercise program which addresses your individual needs. Functional and integrative exercises are progressed from lying down, to sitting, and then to standing as neutral posture is achieved and maintained. These exercises MUST be done frequently in the beginning (2-4 times per day) as it is necessary for motor re-education to take place. As the pattern of muscle tension is eliminated, the frequency and number of exercises can diminish.
The second approach is manual therapy. This involves the therapist guiding the body into the new positions as you engage the muscles to hold those positions. Most of these techniques work the ribcage/torso to help with realignment. The muscles that are often found to be in a state of tension are accessory muscles of inhalation (breathing in), and the diaphragm. Most of the home exercises and manual therapy techniques incorporate breathing, and specifically exhalation (breathing out) because they work in opposition.
There are generally five common goals with the Postural Restoration approach:
1) Achieve full flexibility and range of motion indicating full muscle length after treatment in the clinic.
2) Return to the clinic with full flexibility and range of motion.
3) Relief of symptoms/pain to promote healing.
4) Increase strength of postural stabilization muscles.
5) A return to all functional activities without symptoms.
Postural discrepancies will lead to muscle and joint stress and ultimately to pain. These pain syndromes can involve the entire body (neck and shoulder pain, low back pain, hip and lower extremity pain, etc. . .). Faulty posture is often the origin of insidious pain and overuse injury, and it can delay healing when there is a traumatic onset of pain. Postural Restoration can help alleviate common pain syndromes and restore function in individuals of all ages.
Carpal tunnel syndrome Burlington
Carpal tunnel syndrome essex
Carpal tunnel syndrome Shelburne
Carpal tunnel syndrome south Burlington
Carpal tunnel syndrome Williston
Custom orthotics Burlington
Custom orthotics Essex
Custom orthotics Shelburne
Custom orthotics south Burlington
Custom orthotics Williston
Exercises for low back pain burlington
Exercises for low back pain essex
Exercises for low back pain Shelburne
Exercises for low back pain south Burlington
Exercises for low back pain Williston
Fall prevention Burlington
Fall prevention essex
Fall prevention Shelburne
Fall prevention south Burlington
Fall prevention Williston
Hip pain Burlington
Hip pain essex
Hip pain Shelburne
Hip pain sout Burlington
Hip pain Williston
Joint pain Burlington
Joint pain essex
Joint pain Shelburne
Joint pain south Burlington
Joint pain wiliston
Kinesio tape Burlington
Kinesio tape essex
Kinesio tape Shelburne
Kinesio tape south Burlington
Kinesio tape Williston
Knee pain Burlington
Knee pain essex
Knee pain Shelburne
Knee pain south Burlington
Knee pain Williston
Low back pain Burlington
Low back pain Shelburne
Low back pain south Burlington
Low back pain Williston
Low Back Pain essex
Lower back pain Burlington
Lower back pain essex
Lower back pain Shelburne
Lower back pain south Burlington
Lower back pain Williston
Manual therapy Burlington
Manual therapy essex
Manual therapy Shelburne
Manual therapy south Burlington
Manual therapy Williston
Massage therapy Burlington
Massage therapy essex
Massage therapy Shelburne
Massage therapy south Burlington
Massage therapy Williston
Neck pain Burlington
Neck pain essex
Neck pain Shelburne
Neck pain south Burlington
Neck pain Williston
Pain management Burlington
Pain management essex
Pain management shelburne
Pain management south Burlington
Pain management Williston
Physical therapist Burlington
Physical therapist essex
Physical therapist Shelburne
Physical therapist south Burlington
Physical therapist Williston
Physical therapy Burlington
Physical therapy essex
Physical therapy Shelburne
Physical therapy south Burlington
Physical therapy Williston
Postural restoration Burlington
Postural restoration essex
Postural restoration Shelburne
Postural restoration south burlington
Postural restoration Williston
Shoulder pain Burlington
Shoulder pain essex
Shoulder pain Shelburne
Shoulder pain south Burlington
Shoulder pain Williston
Treatment for arthritis Burlington
Treatment for arthritis essex
Treatment for arthritis Shelburne
Treatment for arthritis south Burlington
Treatment for arthritis Williston