Postural Restoration Institute Practice Test

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What describes the four-phase treatment sequence in a Left AIC Myokinematic patient?
Correct Answer:
Reposition, retrain left stance, and finish with retraining right stance function to restore alternating reciprocal motion. Start with left leg in left AF IR; then the right leg in left AF IR (or right AF ER); then the left leg in right AF IR; lastly the right leg in right AF IR.
Explanation:
In Left AIC myokinematic restoration, the four phases are a progressive re-education of how the stance legs and pelvis work together to create alternating reciprocal motion. The pattern starts with repositioning to set the pelvis and hips for effective training, then retrains the left stance, then retrains the right stance, and finishes by consolidating with the right stance again so both sides can cycle properly. The sequence begins with the left leg in left AF IR to bias the pelvis toward the starting orientation that supports the left AIC pattern. Next, you retrain the left stance in that same left AF IR position to reinforce stable loading and correct left-sided stance mechanics. Then you move to retraining the right stance, described as the right leg in left AF IR (or the left AF ER) to encourage the pelvis to shift and rotate in a way that supports reciprocal motion. Finally, you finish with the right leg in right AF IR to complete the bilateral retraining and lock in the corrected pattern, with both legs in right AF IR promoting symmetrical function. This exact progression—repositioning, left stance retraining, right stance retraining, then finishing with right stance retraining and the corresponding leg orientations—best matches the four-phase approach for a Left AIC pattern. The other sequences either mix in dual-stance training, start with the wrong leg orientation, or end with an incomplete pattern, which undermines the goal of restoring alternating reciprocal motion.

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