PRIME WeekRead below to see what happens during a typical week at PRIME
Click Through to See What Happens on a Typical Initial Week at PRIME
On the first day you are here your Clincial Integration Specialist will spend 1-2 hours with you reviewing your history, obtaining some objective data, and finalizing which specialists you will need to see based on those findings. Commonly, shoe recommendations and orthotic needs will be made at this session.
Following comprehensive assessment by your Clinical Integration specialist you will see Dr Heidi Wise, OD and Ron Hruska, PT at PRI Vision for approximately 2 hours. Through a consistent, progressive assessment by both the PT and OD, lenses will be prescribed to automatically change the way you recruit muscle to function in an upright stance in an optimal postural position. This optimal position will allow the greatest freedom of movement with the greatest sense or awareness of this position (Neutrality). How this eye prescription fits in with the shoe, and oral appliance recommendations will be discussed. Some physical activity recommendations may be initiated at this stage as well.
Day One - Clinical Integration Specialist / PT Visit
On the first day following your PRI Vision assessment you will often meet for an hour with your Clinical Integration Specialist/Physical Therapist who will visit with you to answer any initial questions you may have and discuss how and when to utilize the orthotics you will be given. If time permits some instruction in base-line activity recommendations will begin. On occasion, particularly if you have not been seen by a Postural Restoration Institute® (PRI) trained therapist, this initial visit with the PT is before the PRI Vision assessment to assist us in gaining some more objective data about you and to answer any questions about the process you may have. This visit will lay the roadmap for the activity recommendations for the rest of the week.
Day 2: Physical Therapy Treatment
Typically you will have up to 2 hours of time on Day 2 with the Physical Therapist. At this time the majority of the activity and exercise recommendations will be given. You will receive instruction in, and assistance with performance of each exercise recommended until you feel comfortable with them. Handouts and/or videos of each exercise can be given to you to assist with remembering how to perform each activity. Continued education in use of glasses and other orthotics will be reinforced as well. Your PT will also instruct you in progression ideas so you have exercises to progress to as you develop strength and endurance to perform the initial set of activities. As always ask questions of your PT/Clinical Integration Specialist as needed.
Day 2 : Dental Bite Registration
Day 3: Dental oral appliance seating appointment
On day three, one of the Clinical Integration Specialists will meet you at the dental office where you will receive the oral appliance manufactured based on the tooth models from day 1 and the bite registration taken on day 2. As the Dentist ensures proper fit and function of the appliance, the Clinical Specialist will ensure it matches the position of neutrality that was established on day with with PRI Vision. This co-treatment ensures that all of your orthotics will work as a team to give us the best ability to maximize our outcomes with these appliances. This teamwork is what makes our program unique and successful.
(This picture is a sample splint and not a representative of all splints used)
Day 3: Physical Therapy /Clinical Integration visit
2 more hours are usually scheduled with your Physical Therapist to ensure all questions are answered and you feel confident with performance and progression of therapeutic activities prescribed. The opportunite to fine tune your technique and ask any questions in regards to the activities is encouraged. Time is taken at this visit to ensure orthotic wear and use is understood and the patient is comfortable integrating this program into their daily life including adjunct PT and non-PT related activities and treatments. By the end of this session you should feel confident with when and why to use each of your orthotics, what activities to begin doing as well as what activities to progress toward as you get stronger. We will also try to give you ideas of what your progress whould look like in terms of improved function, return to prior activities, and when/if you may need to return for follow-up treatment. Summaries can be given or sent to you at anytime. We encourage each patient to feel confident and ready to engage your program before leaving Lincoln.
Day 3: Wrap up with Patient Care Coordinator
On the last day, an optional wrap up session with one of our Patient Care Coordinators may be set up. This is a great time for both sides to make sure that all questions and concerns have been addressed and gives you a chance to decompress your experience with someone who has been on both sides of the table. Our coordinators will be able to answer questions and facilitate any communication needed. If you would like to provide some advice or testimonials to future patients we would love to get your feedback so we can continue to make our program better. Thank you for any and all information you may have for us.
Day 4: (If needed) Discharge appointment with PT
See What Happens on a Typical RETURN Week to PRIMEIf your progress plateaus or halts, which is typical, or you have met certain goals spelled out at your initial PRIME week, you may need to return for a follow up visit. Typically, the second visit is much less intense and for a shorter duration than the first. Since you have all the pieces needed, they may just need to be adjusted to assist you in moving forward in your program. New recommendations to address continued issues will be given as needed. Some people underestimate the need to return and often feel as if they just got the most out of the first session that they could. We anticipate needing to update and progress your program to gain optimal results, and strive to give you anticipated progression and return time tables at your initial PRIME week. A shorter return trip to Lincoln will help you continue to improve if your progress plateaus.
Prior to returning to Lincoln
Prior to coming back to PRIME we will collect information from you, and any therapists or practitioners you are working with to ensure we make the most of your return trip. Contact our PRIME Patient Coordinator to allow us to assist you in getting all needed information to us.