Revolutionary Approach to Physical Medicine

Find a PRI credentialed provider near you and explore additional resources to help you address your asymmetrical imbalances.

About Us

Education & Services For Improved Pathways of Physical Medicine

The Postural Restoration Institute® (PRI) was established in 2000 to explore and explain the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles. 

The Postural Restoration Institute® (PRI) is a continuing education institute that was established in 2000 to explore and explain the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles. We offer 12 post-graduate level courses, in addition to an annual PRI Interdisciplinary Studies Summit, and we welcome any licensed healthcare or certified fitness professional to attend our courses. Professional credentialing opportunities (PRC, PRT and PRP Japan) are available to qualified professionals.

The human body is not symmetrical. The neurological, circulatory, muscular and visual systems (just to name a few) are not the same on the left side of the body as they are on the right. The Postural Restoration Institute® was established in 2000, to help healthcare and fitness professionals recognize this underlying asymmetry of these systems in our body, and the postural imbalances and patterns associated with dominant, unconscious or conscious overuse, of one side of the body; our right side.

PRI credentialed providers offer a unique approach to physical medicine called Postural Restoration®. This approach addresses underlying biomechanics which can often lead to symptoms of pain and dysfunction. All mechanical influences on the body that restrict movement and contribute to improper joint and muscle position are considered, examined, and assessed. Non-manual and manual techniques are utilized to restore proper alignment of the body while proper respiratory dynamics are considered. Management encompasses prevention and lifetime integration for long-term successful outcomes.

PRI credentialed providers have completed multiple advanced PRI courses, demonstrated a thorough understanding of the primary concepts through completion of an in-depth application process, and successfully participated in both practical and analytical testing onsite in Lincoln, Nebraska.

We do not see patients here at the Postural Restoration Institute, however we can help you Find a Provider near you (see map below)! 

Patient Guide

This 16-page guide outlines several daily activities which are commonly performed in dominant or patterned positions, and demonstrates alternate ways and instruction to perform them.

PRI Living

Learn how PRI can help with everyday tasks such as breathing, eating, office work, sleeping, speaking, standing, and walking. 

Articles

PRI has been featured in numerous magazine articles, newsletters and peer reviewed journals.

Athletics

If you are an athlete, PRI can help you maximize your performance.  We have general athletic performance tips as well as tips for specific sports.

Webinars

Learn more about foundational concepts related to PRI with our collection of free webinars with founder, Ron Hruska. 

Postcasts

The PRI podcast features professionals from various Healthcare and Fitness settings, discussing the use of the science of Postural Restoration® and how it is implemented within these fields.

Find a Provider

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Keitaro Abe

Postural Restoration Certified

Yoshikatsu Abe

Postural Restoration Trained

Gina Aicardi

Postural Restoration Certified

Kasey Aikin Ratliff

Postural Restoration Certified

Hironobu Ajiro

Postural Restoration Provider

Yusuke Akiba

Postural Restoration Provider

Postural Restoration Certified (PRC) professionals are Physical Therapists, Physical Therapist Assistants, Chiropractors and Occupational Therapists who have completed the Postural Restoration Certified credentialing program. 

Postural Restoration Trained (PRT) professionals are Athletic Trainers and Strength & Conditioning Coaches who have completed the Postural Restoration Trained credentialing program. 

Postural Restoration Provider (PRP) professionals are healthcare and movement professionals in Japan, who have completed the Postural Restoration Provider credentialing program, offered through PRI Japan. The professional backgrounds of these healthcare and movement professionals are notably different than the individuals going through the available PRC and PRT Credentialing pathways here in the U.S. and the Postural Restoration Provider (PRP) Japan Credential is available to various healthcare and fitness professionals in Japan, who are appropriately applying the science of Postural Restoration®

A Postural Restoration Center is a place of business where at least one individual is PRI Credentialed (PRC or PRT) and all other individuals on staff who are eligible for credentialing (which includes PTs, OTs, PTAs, Chiropractors, Athletic Trainers, Athletic Therapists, Strength & Conditioning Coaches with CSCS or SCCC credential, CSPS, and Exercise Physiologists), have completed two or more PRI-sponsored courses.

*To ensure that credentialed providers are keeping up with the progressive science and growth of Postural Restoration®, those listed on this page have taken a course or completed credentialing within the past 5 years. You can view the PRI® courses that each provider has completed by clicking on their individual page. 

**If you are unable to find a PRI® credentialed provider in your area, please contact us to see if there is anyone who has taken PRI® courses near you. 

What Patients are Saying

Erin Rajca
Erin RajcaPostural Restoration Certified
"I trust Dr. Erin implicitly and I recommend her to everyone I know for physical therapy! She is so thoughtful and thorough and is amazing at identifying the postural restoration techniques to make life changing adjustments. She listens to you and explains how shifts in your body mechanics ease pains and sets you up for success going forward. I am a busy professional, and I was getting frustrated by the constant aches and pains caused by my physically demanding job, Dr. Erin has helped me through many events, relieving my discomfort and empowering me to a healthier, more sustainable version of myself."
- Jackie
Alex Maag
Alex MaagPostural Restoration Certified
“As my daughter, Jenna, and I write this, we cannot speak highly enough about how Alex provided excellent care for Jenna. Jenna had Pectus Excavatum surgery at Cincinnati Children's Hospital in April 2023. We live 2 1/2 hours from Cincinnati and Jenna needed PT before and after surgery. Alex was recommended to us and honestly, we would have been lost without him. Having him in our area is a lifesaver. I sent his credentials to Cincinnati Children's PT and they said this would be great fit for Jenna. He focused on her posture, breathing, lung expansion and strengthening as well as adapting to her needs. Jenna is a swimmer on multiple swim teams as well as a high school soccer player. With Alex's help, she was able to return to competition in the pool and on the soccer field in a shorter amount of time.”
- Anne
Torin Berge
Torin BergePostural Restoration Certified
“I came to the Hruska Clinic last November diagnosed with extreme anxiety and difficulty breathing. Torin became my PT, and he demonstrated such warm compassion and patience for my condition. I was having difficulty breathing deeply, and he started me slowly on a program that over two and half months helped me restore my ability to breathe deeply. I felt safe and confident in the exercises he demonstrated and gave me to do at home. I am so appreciative of his knowledge and care. Definitely five-star service.“
Lori Thomsen
Lori ThomsenPostural Restoration Certified
“The best way I can describe what Lori and the Hruska Clinic did for me is that they gave me my life back. I came to them with pain, migraines and a list of issues that to me, would never get better. Over the course of less than a year, Lori gave me a solution to every single issue and best of all, my pain and migraines went away entirely. I was able to get strong enough to learn how to downhill ski and start running again! Best of all, I know I have people on my team and strategies in my pocket when I need them again in the future. Thank you, Lori!”
Jason Masek
Jason MasekPostural Restoration Certified
“Jason is great. He helped me reach nearly pain-free status very quickly, after a different provider told me it would take a long time. Highly recommend.”
Paige McNerthney
Paige McNerthneyPostural Restoration Certified
“Paige has been the first physical therapist that I've had to actually connect the structural pain I was feeling to my chronic illness (POTS). Being seen as a whole person rather than just distinct aches and illnesses has been so instrumental in helping me work towards long-term wellness versus just quick fixes. I have gained so much insight into how my body is working through her extremely knowledgeable care. Her joyful personality and love for her work shines through in every appointment! I have loved working with her and am excited to continue.”
- Betsy N.

Our Community

Follow Us On Social Media

Calling all Canadians! 🇨🇦

Join us on June 6-7th at Concordia University of Edmonton hosted by @isaacphysiotherapy for Myokinematic Restoration with @jenpoulinpt

Ron’s looking forward to meeting you in Alberta!
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Interdisciplinary Trust is represented by each of these speakers and their upcoming presentations over the next two days!

“You just don’t see this level of diverse collaboration everyday”

Stayed tuned over the next two days for more highlights from these speakers!

Dan Houglum, MPT, ATC/L, PRC and Donna Parise Byrne, PT, PRC, NCPT
Colby Mamigonian, CSCS, CPT, PRT
Debra Giordano, Dance & Movement Instructor and
Samantha Dauer, Dance & Pilates Instructor
Deanna Elliott, PT, DPT, PRC
Liz Larson, Cognomovement Co-Founder & Master NLP Practitioner
Lori Thomsen, MPT, PRC and Dr. Heather Elton, DC, DCBCN
Julie Blandin, PT, ATC, CSCS, PRC
Jason Masek, MPT, ATC, CSCS, PRC
Ryan Leary, DDS
...

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No better place to be during March Madness than Chapel Hill NC teaching Visual Vestibular Refinement. Especially for a couple of guys from Lincoln, NE. Ron and I were welcomed and graciously hosted by all the great practitioners from Advance Physical Therapy in Chapel Hill. Their support and dedication to PRI over the years has been amazing. Along with the staff of Advance PT, the rest of the North Carolina contingent and their years of experience with the science of PRI led to a wonderful weekend of diving deeper into the role of the visual and vestibular system and its interaction and impact on upright function. We were able to discuss the role of upright podal sense in the processing of orientation and visual perception and prescription that we hope will be helpful to all of our attendees.

The high level interaction of a group of attendees that understand the science of PRI and the need for interdisciplinary management was inspiring to us all. Special thanks to Tracy-Lynn Schuster and Molly Miller for their spontaneous discussion on the benefits and process of integrating with optometrists and their personal experiences with it. Your 5-minute discussion was a master class we wish we had on tape for others to hear.

I also would like to specifically thank the trio of Vestibular Certified Therapists from the Atlanta area. Ann, Jennifer and Allison were able to help us link the role of upright podal sense and visual processing with the vestibular system, which is a piece that they reminded us is not part of the several Vestibular Certifications they have already received. We look forward to seeing how they utilize the information in this course with their expertise in the vestibular rehab world.

We also cannot thank enough our Optometric attendees for their open-mindedness and contribution to this course. Having people with their background engage and learn with us helps us all out. Alecia, Jackie, Nancy, and Sandy, it was a pleasure having all of you with us!

….cont. in comments.

- @torinberge
- @yoshi.mitsuyama 🎥
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“How many continuing education courses have you been to that teach you how to turn muscle “off”? We are really good at turning muscle “on”.

I first heard the “Three R’s” from Ron when I was new to PRI years ago, so I continue to repeat them every time I teach”

Reposition
Retrain
Reciprocate
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14 Hrs. one way, 7 different planes round trip. From Naples to Nebraska…….meet @allenamente_academy and @davide_giaiotti

These guys were a blast to hang out with for two days discussing Pelvis Restoration!

Join us in Europe this June for Impingement & Instability and Forward Locomotor Movement at @lindebergs.academy with @danhouglum or maybe in Naples someday soon 🤷‍♂️🤞

PS, Francesco told me to tell you it was worth it for the breakfast alone 😂
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Two Weeks Away!

“Weaving Miniscrew-Assisted Rapid Palatal Expansion (MARPE), Unilateral Bite Blocks and Postural Restoration® to Boost Airflow, Balance Occlusion and Bring 3-Dimensional Breath to Life”

Presented by Dr. Lupita Roca, DDS, QOM & Heather Carr, DPT, PRC, MTC, OCS, NTP

It’s not too late to join us online or in-person!

Link in bio.
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Join @robertskipgeorge in San Diego for the 2026 @calchiroorg Sports Symposium.

Skip will be presenting, “The Role of Asymmetrical Breathing Patterns in Posture, Movement and Sports Performance.”

Paradise Point Resort & Spa
May 1-2, 2026
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For the first time ever, you can attend our April Interdisciplinary Studies Summit online from anywhere!

#notanaprilfoolsjoke

We are so excited to see many familiar faces and some new to PRI, from all over the world later this month!

Summit info and registration available in bio link!

🌱🌷🪻🌺🌼🌦️
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Join us for Brain vs. Body Part 2!

Interdisciplinary Studies Summit
April 23-24th
Live or Live Stream

Early Registration ends this Friday at midnight!
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We are now an Approved Provider by the NASM and AFAA for all three Primary Courses available In-Person or Online, as a self paced Home Study or Live Stream!

We are now an Approved Provider by the NASM and AFAA for all three Primary Courses available In-Person or Online, as a self paced Home Study or Live Stream! ...

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“Hole Control” 🧗‍♀️

“Hole Control” 🧗‍♀️ ...

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It’s the only thing you will ever produce.

VOICE Box Resonation - Recap

@torinberge
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I was happy to bring some North Carolina sunshine to Lincoln, Nebraska in February a few weeks ago for an unseasonably warm offering of the Human Evolution course via live stream. We had a wonderfully interactive experience as we allowed any of the interested participants from 6 countries and 13 US states to unmute at will to ask questions or to comment. It was almost like you were right there in the room with me!

Topics of conversation included participants’ comments about their own developmental experiences, those of their children, and of course of their patients. We emphasized the critical importance of crawling- at any age, how our brains process visual and auditory space when we walk behind an object that we impart motion to, and how something as simple as a stairwell can offer such rich sensory motor stimuli for pattern re-programming, to name a few.

A few participants commented about how a developmentally informed therapeutic approach to movement was immediately having an impact on how they were thinking about their patients. They appreciated the many avatars used in over 120 videos of direct patient care that helped to demonstrate concepts and therapeutic improvements. Further, considerations about our daily processing of specific sensory information cross referenced with our ability for alternating reciprocal movement when we are horizontal (rolling for bed mobility, and crawling), to the transitions of becoming upright, followed by more sophisticated movements while upright (pushing something, standing on one leg and negotiating stairs forward and backwards) can be powerful tools for non-manual technique selection, especially for patients and clients who are more complicated.

@lisamanginopt.ndt.prc
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