Postural restoration

Postural restoration is a posture based approach to physical medicine. Its advocates claim that it improves postural adaptations, the function of the respiratory system and asymmetrical patterns. They claim that the treatment aims to maximize neutrality in the body through manual and non-manual exercise techniques designed to reposition, retrain, and restore these asymmetrical patterned positions.^[1] It is used by some physical therapy and athletic trainers., Kyndall, L. (book)">Boyle, Kyndall, L. (2006). Ethnography of the Postural Restoration Subculture: a Posture Based Approach to Patient/Client Management. Nova Southeastern University.{{cite book}}: CS1 maint: multiple names: authors list (link)</ref>

Despite common preferences among physiotherapists for certain postures, there is little strong evidence that any specific posture leads to better medical outcomes.^[2]

Mechanism

Advocates for this technique claim that it can improve breathing mechanics, including diaphragmatic function. They use the term "zone of apposition" to describe where the diaphragm attaches to the rib cage.^[3] The diaphragm's mechanical action and respiratory advantage depends on its relationship and anatomical arrangement with the rib cage.^[4]^[5]

History

Physical therapist Ron Hruska developed his method postural restoration in the early 1990s. In 1999, he founded the Postural Restoration Institute, located in Lincoln, Nebraska, to train other healthcare professionals in his method.^[1]^[6]

References

^ ^a ^b Spence, Holly (April 2008). "Case study report: postural restoration: an effective physical therapy approach to patient treatment". Techniques in Regional Anesthesia and Pain Management. 12 (2): 102–104. doi:10.1053/j.trap.2008.01.003.
^ Korakakis, Vasileios; O'Sullivan, Kieran; O'Sullivan, Peter B; Evagelinou, Vasiliki; Sotiralis, Yiannis; Sideris, Alexandros; Sakellariou, Konstantinos; Karanasios, Stefanos; Giakas, Giannis (February 2019). "Physiotherapist perceptions of optimal sitting and standing posture". Musculoskeletal Science & Practice. doi:10.1016/j.msksp.2018.11.004.
^ Boyle, Kyndall L.; Olinick, Josh; Lewis, Cynthia (September 2010). "The Value of Blowing up a Balloon". North American Journal of Sports Physical Therapy. 5 (3): 179–188. PMC 2971640. PMID 21589673.
^ Goldman, M.; Mead J. (1973). "Mechanical interaction between the diaphragm and the rib cage". Journal of Applied Physiology. 35 (2): 197–204. doi:10.1152/jappl.1973.35.2.197. PMID 4723027.
^ Mead, J. (1979). "Functional significance of the area of apposition of diaphragm to rib cage". The American Review of Respiratory Disease. 11 (31).
^ Boyle, Kyndall, L. (2006). Ethnography of the Postural Restoration Subculture: a Posture Based Approach to Patient/Client Management. Nova Southeastern University.{{cite book}}: CS1 maint: multiple names: authors list (link)

[Spence,_Holly-1] Spence, Holly (April 2008). "Case study report: postural restoration: an effective physical therapy approach to patient treatment". Techniques in Regional Anesthesia and Pain Management. 12 (2): 102–104. doi:10.1053/j.trap.2008.01.003.

[2] Korakakis, Vasileios; O'Sullivan, Kieran; O'Sullivan, Peter B; Evagelinou, Vasiliki; Sotiralis, Yiannis; Sideris, Alexandros; Sakellariou, Konstantinos; Karanasios, Stefanos; Giakas, Giannis (February 2019). "Physiotherapist perceptions of optimal sitting and standing posture". Musculoskeletal Science & Practice. doi:10.1016/j.msksp.2018.11.004.

[Boyle_2010-3] Boyle, Kyndall L.; Olinick, Josh; Lewis, Cynthia (September 2010). "The Value of Blowing up a Balloon". North American Journal of Sports Physical Therapy. 5 (3): 179–188. PMC 2971640. PMID 21589673.

[ZOA(2)-4] Goldman, M.; Mead J. (1973). "Mechanical interaction between the diaphragm and the rib cage". Journal of Applied Physiology. 35 (2): 197–204. doi:10.1152/jappl.1973.35.2.197. PMID 4723027.

[ZOA(3)-5] Mead, J. (1979). "Functional significance of the area of apposition of diaphragm to rib cage". The American Review of Respiratory Disease. 11 (31).

[Boyle,_Kyndall,_L._(book)-6] Boyle, Kyndall, L. (2006). Ethnography of the Postural Restoration Subculture: a Posture Based Approach to Patient/Client Management. Nova Southeastern University.{{cite book}}: CS1 maint: multiple names: authors list (link)

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