In the Pelvis Restoration course the course speaker uses a female pelvis model with moveable SI joint throughout the course to demonstrate concepts of pelvic rotation, internal and external rotation. PRI has purchased several of these pelvis models from Sawbones, and labeled them according to the course concepts you will learn. If you are interested in purchasing a model to be shipped directly to the course location for your use throughout the course and thereafter please fill out the form below.

All courses offered by the Postural Restoration Institute are considered “Advanced” content level courses.  Meaning, the information learned by attending a live or home study PRI course is beyond that which should be received in one’s educational program.

Indicates courses required for Postural Restoration Certification eligibility.

Indicates courses required for Postural Restoration Trained eligibility.

PRI illustrations are now available in print. Artist, Elizabeth Cunningham, has taken the science of PRI and turned it into a visual masterpiece. Her dramatic illustration of asymmetrical patterns is one of a kind. Choose from one of the following unique illustrations specifically drawn for the Institute to compliment your office or home.

Info coming in January.

Why did PRI establish a credentialing process for athletic trainers and strength and conditioning specialists?

The designation of Postural Restoration Trained (PRT) was established in order to:

1. Maintain continuity between sites implementing Postural Restoration Institute concepts and techniques.
2. Recognize individuals with PRI interest, specialization and expertise.
3. Protect the use and application of PRI science, reasoning, processes, techniques, and materials.
4. Provide avenues for professional development, collaboration between multidisciplinary specialists with PRI interests, and enhancement of scientific approaches using PRI concepts.
5. Allow educational institutions, students, and researchers access to PRI specialists.

Is there an application fee? Is there a cost to participate in the credentialing process?

While no application fee is required, a one-time fee of $2000 will be due prior to the one day credentialing process. This is the only monetary requirement and credentialing will not require renewal. This fee directly offsets costs associated with testing, assessing competency and completing the credentialing process. The fee will also assist us in developing the process, advancing individual knowledge of Postural Restoration Institute™ concepts and in growing a network of professional support. Those who earn the designation of PRT will receive Postural Restoration Institute™ course updates, ongoing discussion and dialogue, 50% discounted tuition to PRI courses (excludes Interdisciplinary Integration and PRI Vision Courses), advertising and promotional opportunities, and other benefits to be determined by the Postural Restoration Institute™. 

Is there a deadline for submitting an application?

Yes. Your complete application must be mailed or emailed to PRI by October 15th for testing the following January.

Am I eligible to apply?

You are eligible to apply if you are an athletic trainer with current certification by the Board of Certification (BOC). Verification of current certification status is needed (electronic or written). For more information about certification through the BOC, click here.
OR
You are eligible to apply if you have earned the CSCS credential through the National Strength & Conditioning Association (NSCA).  Verification of current credential status is needed (electronic or written). For more information about the CSCS credential, click here.

In addition to holding certification through the BOC or CSCS credentials through the NSCA, you must also have completed the following PRI sponsored courses: Myokinematic Restoration, Postural Respiration, and Impingement & Instability. Please note that Impingement & Instability is offered immediately prior to PRT testing and you can apply for PRT indicating your intention to complete this course immediately prior to testing.

Is there a minimum number of years practicing PRI before I can apply for PRT credentials?

PRI strongly recommends experience and implementation of Postural Restoration concepts for 2-3 years before applying for PRT.

Does credentialing require renewal?

No. While we encourage and anticipate a high level of involvement from PRT individuals, status will not be affected by future Postural Restoration Institute™ support and involvement. Rather, in good faith we ask that you keep abreast of all Postural Restoration Institute™ activity and development. If other requirements are deemed appropriate in the future they will be determined with the involvement and support of the Postural Restoration Institute Faculty and Director of Credentialing.

When does credentialing take place?

If you choose to complete the PRT application by the October 15th application deadline and are encouraged to proceed through the process, you will be contacted between November 15th and December 1st. Testing will take place for two days following our Impingement & Instability course at the Postural Restoration Institute™  in Lincoln, Nebraska. Upcoming dates for PRT credentialing include January 8-9, 2012 and January 14-15, 2013. Testing is an educational and learning process that will include both clinical and analytical written examination.

Can you recommend any journals for completing the article review section of the application?

Based on previous applications, we suggest the following journals:

• Strength & Conditioning Journal
• Journal of Strength & Conditioning Research
• NSCA’s Performance Training Journal
• Journal of Athletic Training
• British Journal of Sports Medicine
• Journal of Applied Physiology
• American Journal of Respiratory Critical Care Medicine
• Journal of Applied Biomechanics
• Journal of Bodywork and Movement Therapies
• Journal of Orthopaedic and Sports Physical Therapy
• Journal of Neurobiology
• Journal of Neurophysiology
• Spine
• Journal of Vestibular Research
• Journal of the American Podiatric Medical Association
• Thorax – An International Journal of Respiratory Medicine
• International Journal of Osteopathic Medicine

CLICK HERE to view a printable application for PRT

Please send 2 copies of your complete PRT application by mail or email to the address below. Applications must arrive on or before October 15, 2012.
We are unable to accept late applications.

Postural Restoration Institute
Janie Ebmeier
5241 R Street
Lincoln, NE 68504

Once received, your application will be reviewed by our Application Review Committee and you will be notified of their feedback and comments. If you choose to complete the process after consideration of all reviewer’s feedback, practical and analytical testing will take place on January 14-15, 2013 following our Impingement & Instability course scheduled for January 12-13, 2013.

PRT Application Deadline - October 15, 2012

PRT Testing - January 14-15, 2013

The Postural Restoration Institute recently established a credentialing process for athletic trainers and certified strength and conditioning specialists as a way to recognize and identify those individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute. Postural Restoration Trained (PRT) is a credential available to ATs and CSCSs who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRT Application, and successfully participated in both clinical and analytical testing.

If you are a physical or occupational therapist considering referring a patient to the PRI Vision Clinic, please fill out the PRI Vision Program Triage Forms below.  If you are a clinician from another discipline other than physical or occupational therapy (dentist, physician, optometrist, etc.), OR if you are self-referring, please fill out the PRI Vision Self Assessment Forms below.  Fax the completed forms to Kelly at the Hruska Clinic at 402-467-4580.  Once the PRI Vision Triage/Self Assessment Forms are received, Ron Hruska, PT and Dr. Heidi Wise, OD, FCOVD will review the information and determine if the patient is an appropriate candidate for the PRI Vision Clinic.  Kelly will then be in contact with the referring clinician/patient to give them further instructions on scheduling.  Please do not have your patient call to schedule an appointment unless they have already been contacted by Kelly.  Dr. Wise is typically in the PRI Vision Clinic on Tuesdays and Thursdays, therefore it may be a few days before you receive further information after faxing the PRI Vision Triage/Self Assessment Forms.  Thank you.

PRI Vision Referral Recommendations

PRI Vision Program Triage Forms

PRI Vision Self Assessment Forms

Pre-requisites Needed for Successful PRI Vision Intervention

COURSE REGISTRATION FORM - Vision and Body Mechanics: Beyond 20-20

COURSE REGISTRATION FORM - Postural-Visual Integration

2012 BROCHURE COVER PAGES
2012 COURSE BROCHURE

Click HERE to view or print our 2012 COURSE CALENDAR.
To request our 2012 brochure by mail, please contact us!

PRI Vision Program Triage Form
PRI Vision Referral Recommendations
Pre-requisites Needed for Successful PRI Vision Intervention

Q.  What is the PRI Vision Program?
A.  The PRI Vision Program is an interdisciplinary approach to achieving changes in body posture and patterns.  Vision has a tremendous influence in body posture and patterns; over 70% of all the connections in our brains relate to our vision, but only a small portion of these connections are concerned with how clearly we see.  A significant portion of nerve fibers that leave the retina go to the part of the brain that sends signals to the posturing muscles in our back.  The PRI Vision Program looks at this interaction and addresses how this can influence your PRI Physical Therapy Program both positively and negatively.  Just as a physical therapy program requires intermittent changes in activities to continue progress, the Vision Program is a part of the overall process and may require changes and adjustments to your treatment plan as progress is either made or not made at a satisfactory rate.

Q.  How is a prescription from a PRI Vision Optometrist different than one from another eye doctor?
A.  First, you will have your prescription checked while you are standing and with a trial frame on instead of having you look through two small holes in a machine while sitting.  This allows us to evaluate you in a more natural and dynamic position.  Secondly, we have found that in many cases the lens that the patient subjectively states makes their vision the most clear is not only different in a standing position than in a seated one, but also that it further “locks” their body into its usual posture or pattern.  This is what we are trying to change.  Only a PRI Physical Therapist working with a PRI Vision Optometrist can assess what prescription will help or hinder your PRI treatment program. 

Q.  Why is my vision more clear with my old glasses or contacts?
A.  Although how clearly you see is important, the purpose of your new prescription is primarily to force your brain to “use” your vision differently.  This often requires a change in your prescription that will not allow you to see the same as you did before.  During your evaluation, we frequently ask how you feel about how you are seeing; this is to gauge how easily you will adjust to your new Rx.  Some adjustment is necessary although each patient is different in how long that process will take. 

Q.  How long will it take for me to “get used to” my new glasses?
A.  Everyone is different.  Several factors will increase the time for adjustment, including an aggressive change in prescription from your current glasses, contact lens wear, lack of previous or prolonged time without eyeglass wear, poor compliance with prescribed wearing schedule, and bifocal lenses (either lined or unlined).  Keep in mind the PRI Vision Program is focused on facilitating changes for your long term overall well-being; although changing how you see may not be an easy adjustment, your physical therapist has assessed this to be a necessary process to achieve your physical goals. 
 
Q.  What if the glasses stop working?
A.  Just as you have likely experienced with your PRI program, PRI Vision is also a process.  In some cases, the effect you first experience with your glasses may seem to “wear off”.  This is due to a very natural process, called adaptation.  As humans, we try to avoid discomfort.  Changing to a new body posture or pattern isn’t comfortable, and your brain may learn to stop reacting to the new prescription in the desired way.  Often, your PRI physical therapist may have noted your ability to adapt as they have worked with you.  If so, this will be considered as changes in your eyewear prescription are trialed during your evaluation and the treatment plan is developed.  Ultimately, there is no way to know for sure which patients will experience this or how quickly it may happen.  If adaptation occurs, you will be re-evaluated to determine if eyewear is still needed as part of the treatment program. 

Q.  Will I always need glasses to continue feeling better? 
A.  In most cases, no.  As you continue working through your PRI program, the physical activities are reinforcing your new body posture or pattern, as well as your brain’s ability to adopt and maintain these changes.  The longer the incorrect posture or patterns have been present, the longer it will likely take to achieve and maintain the desired changes.  Our goal is to keep help patients learn and maintain their new pattern so well that it no longer matters if they have on a particular prescription. 

Q.  What if I don’t feel as good with my new glasses as I felt in the office during my evaluation?
A.  Many factors influence the effect your glasses will have.  The accuracy of the prescription, including the lens material and frame size, is the main one.  Additionally, a bifocal lens, whether lined or unlined, may also change how you feel and there is no way assess this prior to receiving your new eyewear.  Keeping your frame properly adjusted, especially the straightness of the frame as it sits on your face, is very important; a frame that sits crooked changes the prescription you are looking through and may hamper or even reverse your progress.  If you suspect there is a problem, you need to first have your prescription verified for accuracy.  Once your prescription has been verified, schedule an appointment with your PRI physical therapist so they may evaluate you with your new eyewear to determine whether re-evaluation by the PRI Vision Optometrist is needed. 

Q.  Why do I need to be seen again by the PRI Vision Optometrist? 
A.  There are a few main reasons:
If you wore glasses before starting the PRI Vision Program to see more clearly, you will need to be re-evaluated to determine your final prescription as you discharge active treatment.  This is to ensure that you are able to maintain the changes you have made in your posture and position regardless of what prescription you have in your glasses. 
If the effect of the PRI Vision Program eyewear prescription is no longer evident, which may mean adaptation has occurred, or you are not progressing in your PRI physical therapy program as expected and your physical therapist suspects your vision is continuing to influence this.
Generally, all patients will be seen for at least one follow-up to gauge whether the vision component has been adequately addressed and to recheck the clarity of your vision. 

Q.  Do I need to still see my regular eye doctor?
A.  Yes.  Regular ocular health evaluations are recommended to check for eye diseases such as glaucoma and macular degeneration.  Most eye diseases do not affect how clearly you see until you have had them for a long time.  This is not part of your PRI Vision Evaluation.  We ask that you do not fill any eyeglass prescriptions from another eye doctor while undergoing your PRI Vision Program. 

PRI Shoe Recommendations

Kliknij, aby wydrukować ulotkę lub otworzyć plik PDF.

Ciało ludzkie nie jest symetryczne. Sytem nerwowy, oddechowy, krążęnia, mięśniowy i wzrok nie są takie same po obu stronach ciała. Różnią sie między sobą jeżeli chodzi o, funkcję, pozycję i zadania jakie mają do spełnienia.  Ta asymetryczność jest optymalna dla funkcji naszego ciała i jest wspaniale zaprojektowana. Ciało ludzkie jest zbalansowane poprzez integrację systemów, które nie są w równowadze. Na przykład tułów, jest w pełnej równowadze z wątrobą położoną po prawej stronie i sercem po lewej. Dominacja kończyny jest równoważona poprzez ruch naprzemienny; ruch lewej kończyny górnej z dolną prawą w czasie chodu i na zmianę.

Terapeuci szkoleni przez PRI są świadomi tych właściwości ciała ludzkiego i typowych wzorców zwiazanych z osłabieniem czynności-funkcji systemów, których przyczyną jest nadużywanie dominujących wzorców. Przyczyną nadużywania jednej strony ciała mogą być asymetryczne przeciążenie funkcjonalne innych systemów ciała. Np. jeżeli mniejsza, lewa przepona nie jest efektywna w procesie oddychania w takim stopniu jak prawa, doprowadzi to do skręcenia tułowia a co za tym następuje całego ciała. Prawa przepona, większa niż lewa, jest zawsze w lepszej pozycji funkcjonalnej ze względu na podparcie strukturalne ze strony wątroby. Dlatego funkcja mięśni brzucha lewej strony jest tak ważna dla równowagi tułowia w czasie ruchów naprzemiennych takich jak np. chód.  Utrzymanie funkcjonalności prawej części klatki piersiowej(jej „otwarcia”) w procesie oddychania jest zawsze bardzo trudne ze względu na brak mięśnia sercowego po prawej stronie. Pozycja stania na prawej nodze w celu skompensowania ciężaru lewej górnej klatki piersiowej, wspomaga przesunięcie lewej miednicy do przodu i prawego kompleksu barkowego do dołu. Ta asymetryczność uzupełnia szczegółowe funkcje dwóch półkul mózgowych. Chociaż obydwie półkule wspóldziałają w pewnych funkcjach organizmu, jednak każda ma swoją „specjalność”. Każda półkula kontroluje przeciwną stronę ciała. Lewa strona mózgu związana jest z mową i dlatego prawa kończyna górna pełni dominującą funkcję w komunikacji, rozwoju i wzroście ciała. Terapeuci szkoleni przez PRI są w stanie rozpoznać, kiedy ten naturalny wzorzec nie jest dostatecznie zbalansowany poprzez neurlogiczną i mięśniową aktywność lewej kończyny.

W momencie kiedy te normalne „zaburzenia” nie są regulowane przez naprzemienny ruch w czasie chodu, oddychania i skrętów ciała, wyłania się silny wzorzec powodując osłabienia, niestabilności i syndromy bólowe systemu mięśniowo –szkieletowego. Zrównoważenie aktywności mięśniowej okolicy k. krzyżowej ( miednica), mostka (tułów) i k. klinowej(część środkowa czaszki) porzez leczenie konceptem PRI najlepiej odbudowuje funkcję  systemów ciała ludzkiego. Wszyscy terapeuci szkoleni przez instytut PRI potrafią użyć naprzemienną funkcję w celu zmniejszenia dominacji lewej miednicy i prawej kończyny górnej oraz funkcji oddechowej ciała w celu osiągnięcia maksymalnego przepływu powietrza z i do prawego płuca.

Wzrok, wymagania zawodowe, pozycja w łonie matki, itp, mogą wpłynąć na asymetryczne tendencje i wzorce ciała. Wieloryby na dnie oceanów odżywiaja się na prawym boku, lemury w większości sa leworęczne, ropuchy używają prawej łapy częściej niż lewej, szympansy trzymają gałęzie w lewej dłoni i chwytają owoce prawą,  a ludzie zwykle utrzymują środek ciężkości na prawej nodze dla lepszej równowagi i ze względu na łatwość osiągnięcia tej pozycji. Terapeuci szkoleni przez Instytut są w stanie rozpoznać zintegrowane wzorce ludzkiej postawy, używania kończyn, funkcji oddechowej, zaburzenia równowagi, orientacji żuchwy i dynamiki stopy; i zrównoważyć te wzorce w maksymalnym stopniu poprzez specyficzny program ćwiczeń, który integruje funkcjonalne, poprawne procesy oddychania lewej strony ciała poprzez inhibicję prawej lub jej współdzialanie.

The case studies provided have been submitted by PRI trained therapists, PRI faculty or PRI associate faculty.  Each case study has been posted in its entirety and has not been edited for content. Therefore, the concepts presented may not be a direct reflection of the application of PRI principles as instructed through PRI courses. Rather, they are provided only as a resource for those practicing and learning Postural Restoration.

Welcome to the Postural Restoration Institute®!

We invite you to explore our revolutionary approach to physical medicine. Within these pages you will find a wide scope of information about our science, course offerings, and educational resources designed for healthcare professionals, coaches and athletes of all ages and abilities. We are dedicated to education, research and the ongoing search for improved pathways of physical medicine. Thank you for visiting and please contact us if we can assist you in any way.

To order a course manual presented in one of our five course listings, please fill out the information below.  Additions and updates are continually added to all course material.  If you register for a course, you will be given an updated manual at the time of the course. 

Dr. Kim and Dr. Chang of Kim and Chang Spine and Chiropractic Clinic hosted a three day course covering both Myokinematic Restoration and Postural Respiration.

Over 20 attendees were present at this course.  The majority of the class didn’t speak English, however, Dr. Kim was there to translate. 

By the end of the three days, Ron had all the attendees checking Adduction Drop Tests, performing 90-90 Hemibridges, and performing a manual Left AIC technique!

While not teaching, Ron was able to learn about Dr. Kim and Dr. Chang’s practice and their current method of treatment.  The majority of the physicians present were Oriental Medicine Doctor’s.  While there, Ron received two vitamin injections, which he said “were excellent”.  Below is a picture of Ron with two Doctors and behind them is the area where the herbs are stored.

These are the herbs before they are extracted into a substance you drink.

In the evenings, Dr. Kim and Dr. Chang entertained Ron with dinner.

Prior to leaving, Ron captured a few “Kodak” moments.

This is a fitness park (look at that thoracic abduction)!

Downtown Seoul!

History of Passion

As the Postural Restoration Institute (PRI) approaches the end of its first decade the staff of PRI, Postural Restoration Certified (PRC) therapists, and I, are often asked about the history of PRI. It’s an Institute that is truly built around 30 years of clinical practice associated with re-occurring successes of specific patient treatment programs. Consistent evidence-based correlations, discovered with patient biomechanical, respiratory and neurological functional patterns, as well as predictable functional limitations, allowed us to establish reproducible outcome based programs.

My passion for cranio-dontics, the respiratory system’s influence on neuro-mechanics, bi-pedalism, and pathokinesiologic patterns of tri-planar organization and muscle integration, autonomic nervous system influences on the stomatognathic and somatosensory systems, neuro-optometric effects on the vestibular system and multi-sensory control of posture relating to primitive and developmental reflexes, has resulted in an examination process of the asymmetrical human body and an intervention process called Postural Restoration.

Asymmetrical Function

My clinical orientation and methodology of intervention has and will always be guided by practical experience and a predictable, objective outcome approach rather than precepts or theory, since the complexity of diagnostic classification, complexity of diagnostic language and labeling, and the complexity of professional consensus regarding treatment intervention exists across many, if not all, health care professions. We live in an evidence based society that still believes the left appendages of our musculoskeletal system are in the same symmetrical position as the right, or vice versa. Research methodology, evaluation guidelines and treatment intervention do not include steps or measures that need to be taken into consideration because of our asymmetrical architecture, fluid-dynamics, gaseous diffusion and cerebral function.

The pre-dental and pre-medical classes, as well as the dental and medical program classes, that I attended were not taught with text-books that differentiate the uniqueness of a right lateral pterygoid muscle of the face, from it’s counterpart on the left, because of typical human organization of cranial torsion, sidebending and sagittal rest in the right dominate oriented human.

I was not informed about the unique qualities of the human roborant left hamstring, left femoral adductors, left gluteus medius, left diaphragm leaflet, right gluteus maximus, left inferior oblique of the eye, left subclavius, left transverse abdominis and triangularis sterni, and the right peroneals as a family of muscle that is needed to counteract forces produced by their counterparts in the typical asymmetrical pattern of the upright human.

Hypertonicity

Overuse of anti-gravitational muscle on one side leads to C1 C2 mal-alignment, dental malocclusions, facial, cervical, thoracic, lumbopelvic, acetabular–femoral, femoral-tibial, etc…torque, scoliosis, cervical hypolordosis, lumbar hyperlordosis, and most importantly system hypertonicity.

Recognition of Altered Systemic Muscle

These neuro-mechanical issues can be initiated or compounded by visual and vestibular paradoxical function, tooth and mandibular functional limitations, respiratory patterns of dysfunction or pulmonary dysfunction, and improper foot proprioceptive feedback, leading to altered force and timing of systemic muscle contraction. All of the above associations can now be included and integrated in the design of a treatment program that uses PRI algorithms.

There is, has been, and always will be strong evidence that supports the predictability of human posture and the ability to manage human intrinsic forces associated with human primitive and developed reflexes. Typical or normal imbalances of muscle strength, normal muscle length discrepancies associated with visible typical pelvic torso and facial torsion, standard human patterns of strategic compensation, and modeled patterns of neuromuscular anxiety, however, is not referenced or outlined in current literature.

Polyarticular Muscular Chains

The human develops strong usage of his or her left Anterior Interior Chain (Left AIC), right Brachial Chain (Right BC), right Temporal Mandibular Cervical Chain (Right TMCC) and Posterior Exterior Chain (PEC) early. Consistent patterns of cervical torticollis, scoliosis, femoral-patellar compression and cranial-thoracic asymmetries are a few examples of early-adaptation to gravity and human asymmetry. Naming these chains seemed so appropriate and empirically easy. No one, nationally or inter-nationally had ever looked at or addressed this issue of human integrated asymmetry or put together physically, physiologically, or psychologically issues at multi levels or with multi systems, in the manner PRI does.

Synergistic Mentors

I’ll never forget, as a former dental student, who dropped out of the dental tract to pursue reasoning behind teeth being chewed up on one side, the impact Brunnstrom, Knott and Voss had on me in my early stages of didactic understanding of synergistic patterns of function. However, Gindler and Buckholz empowered me, through their European philosophy of hyperinflation association with hypertonicity early on in my career of physical therapy. Janda, Chaitow, Gracovetsky, Borch-Jacobsen and Myers were never mentioned or referred to at any of the myriad of post-graduate courses I took regarding myofascial release, mobilization, cranial-sacral, muscle energy, strain- counterstrain, etc. I never fully gravitated toward these post-graduate concepts because of their familiar “syndrome” or “symptom” approach and application.

Interdisciplinary Integrative Cause

For every effect there is a cause, and the question of ‘cause’ motivates my passion for integrative thought and reason. I will always be appreciative of individuals, including and like, Zink or Pope, ‘The Common Compensatory Pattern’, Previc, ‘Cerebral Lateralization’, Mezieres, ‘The Mezieres Method’, Isogai, ‘Dynamic Therapy’, Fonder, ‘The Dental Physician’, Schomberger, ‘The Malalignment Syndrome’, James and Stokon, ‘Cranial Strains and Malocclusions, Padula, ‘Visual Midline Shift’, Magoun or Gehin, ‘Cranial Osteopathy’, and Rubin, ‘Voice as Related to Handedness’, because of their search for the integrative cause.

Hemispheric Plasticity

We all appreciate the fundamental differences in the neural organization of the left and right cerebral hemispheres. My first real orientation to plasticity of the motor cortex occurred while working with patients who had cerebral vascular accidents. It was always more difficult to establish a center of gravity with the right lower extremity with a patient that lost the Broca and Wernicke area of the left hemisphere, than on a person with a right cerebral vascular accident. As I worked with non-cerebral vascular accident amputees in the same practice setting I saw the same trend. Limited left hip extension, adduction and stability with left lateralization, limited left thoracic abduction and left abdominal facilitation exists to some degree in all of my patients when compared to the right side regardless of neuromuscular or orthopedic etiology. In essence it was actually easier to functionally rehabilitate the right cerebral vascular accident patient than the left lower extremity amputee, because of left cerebral plasticity and difficulty in reducing left lower motor hip flexor and abductor tone on the left lower extremity amputee.

Regulatory Functional Lateralization

Functional lateralization, fundamental differences in the neural organization of the left and right cerebral hemispheres and cyto-architectural anatomic brain asymmetry was also recognized in the patients I worked with at a hospital outpatient based physical therapy department. Young women especially, who presented difficulty with left lower extremity adduction and experienced right knee pain, did immediately better mechanically and symptom wise, using the same left extension, adduction and hip internal rotation program I used on my patients who had amputations, cerebral vascular accidents or chronic obstructive pulmonary disease. Patients with anterior knee pain, regardless of the side, who went through countless hours of rehabilitation with little success, had a reduction of pain immediately with the establishment of left acetabular femoral and femoral acetabular internal rotation as they had on the contralateral side. I knew from these types of experiences that the left pelvis and lower thorax was consistently forward, unstable, more often anteriorly rotated, and more restrictive than the right. The right cerebral vascular accident patient needed left hamstrings for return of reciprocal gait, keeping in mind he or she probably didn’t have full extension or adduction on the left prior to his or her cerebral accident. The left lower extremity amputee with similar gait issues needed a left hip flexor inhibition program. Anterior knee pain patients needed the same rehabilitation approach on the left side as the above patients, regardless of the side their knee pain existed.

Unilateral Compensatory Patterned Function

The unilateral orientation of organs and the vagal system, unilateral diaphragmatic function, unilateral neglect, unilateral lymphatic emptying, and unilateral binocular dominance all contribute to predictable, measurable and ineluctable patterns of vestibular-ocular, cranio-mandibular, cervical-thoracic, thoracic-lumbar, lumbo-pelvic, pelvic-femoral, femoral-tibial, tibial-calcaneal and rear foot-fore foot upright, synergistic, reflexive and non-reflexive compensatory function.

Multifaceted Approach of Non-Linear Treatment

To reduce the nature of unilateral influences on compensatory neuro-mechanics or the possible compensatory neuro-mechanical influences on our unilateralization; empiracle experiences and a balanced, cross-linked mind-set is needed. The day after I graduated from physical therapy school, I started classes in public administration to balance my years of biology with business, economics, human-resource development, gerontology, public and private organization classes, etc…and quickly realized that success in the clinic depends on multifaceted, integrative and intuitive approaches. The Omaha Veterans Administration Medical Center and their rehabilitation process in the seventies and eighties allowed me to integrate closely with speech therapists, orthotic and prosthetic specialists, physiatry based neurologists, occupational therapists, and social workers who empowered the most handicapped to levels that no sole specialist would ever achieve. I soon realized balancing a budget using zero-based methodology or balancing muscle around a proximal joint requires input from many sources that stimulate or inhibit specific measures for successful outcomes and self-regulation. Our bodies are far from being in equilibrium. They may be stable but they can only maintain this stability by a constant ongoing process of adjustment and self-regulation. Prigogine, a Nobel Prize winning physicist, described organisms as “non-linear, complex, dynamic, self-regulating systems that are far from equilibrium”.

Imbalanced Inhibition vs. Balanced Strengthening

The capacity for self-healing and self-regulation provides me the basis for new paradigms. For example, the ventilatory process was never made clearer to me than when I worked in a burn unit. My respect for the diaphragm, it’s dermis healing abilities, and it’s influence on the lumbo-pelvic-femoral complex would not have been realized if I did not take advantage of opportunities that existed in a hospital setting. As a director of the physical and occupational therapy department, I had achieved the ability to reduce use of isokinetics for functional rehabilitation and increase the use of hamstring, gluteal, adductor, abdominal and hemi-diaphragm unilateral postural oriented programs. I developed a system that isolated left hamstrings, independent of speed, gravity or position to balance the pelvic femoral sagittal forces and pelvic biomechanical planes. Protonics® Neuromuscular Repositioning allowed me to finally maintain a neutral lumbo-pelvic position during low back or lower extremity retraining through hip flexor inhibition. The quintessence of health is an active, on-going attempt to inhibit imbalancing force. Every time I see a teeter-totter on a playground I’m reminded of this essential element. The body is full of active teeter-totters constantly being challenged with purposeful asymmetries and dynamic imbalances.

PRI Guidance

After 16 years of hospital and outpatient based care, I knew I had reached a climacteric in my life, when a majority of my patients with temporo-mandibular dysfunction, shoulder impingement, cervicalgia, low back strain, epicondylitis, anterior cruciate ligament repair, pelvic floor dysfunction, etc., were reaching optimal functional outcomes through the incorporation of left acetabular femoral internal rotation, the isolated facilitation of left femoral adductors and left thoracic abductors, the establishment of a left zone of apposition and the enhancement of right brachial expansion. It was often difficult to convince physicians and physical therapists to reposition a pelvis and a femur before stretching out an iliotibial band or performing an iliotibial band release, surgically. Because of these common rehabilitation measures and other aforementioned issues I developed a private practice and established the Postural Restoration Institute®. My clinical experiences and outcomes and my former and present patients continue to guide PRI educational endeavors.

Unorthodox Gratification

The gratification on a patient’s face or tears that follow the manual application of a PRI right subclavius technique to restore full right humeral glenoid internal rotation or left cervical rotation or to reduce thoracic outlet symptoms, reinforces the need for assiduous attention given to the development, formation and application of each PRI manual or non-manual technique. The heterodox beliefs of PRI application and Left AIC, Right BC and Right TMCC principles are usually quickly accepted because of the objective, consistent success of reducing tri-planar pattern restrictions and multi-level symptomatic pain or discomfort.

PRI Neuromuscular Orthotic Principles

Acceptance of PRI theory allows the therapist to use PRI neuromuscular orthotic principles to reduce right femoral adductor tone and improve left lateralization with right medial longitudinal arch contact, or bi-nasal optical occlusion to improve mid-brain, ambient, parasympathetic activity, or an elastic functional abdominal support across the left abdominal region to help maintain a left zone of apposition, or a maxillary sagittal or pivotal oral appliance to reduce internal rotation of the right temporal bone, or motion controlled footwear with calcaneal stability to reduce TMJ compression or clenching, or first metatarsal head proprioceptive contact on the right side to improve arm swing, or gait retraining through left arm-right leg lead to reduce right sacral-iliac joint dysfunction, etc., with other complimentary non-manual and manual PRI techniques.

PRI Mission

PRI now has 47 Postural Restoration Certified (PRC) physical therapists, 24 PRC centers, 5 educational courses (Myokinematic Restoration, Postural Respiration, Cervical-Cranio-Mandibular Restoration, Impingement and Instability, Advanced Integration and Interdisciplinary Integration.  PRI has produced three editions of a CD-Rom comprised of Non-Manual Techniques and most recently finished the first edition of a Manual Techniques DVD.  PRI’s website (posturalrestoration.com) continues to be the number one resource for information regarding courses, location of nationwide PRI health professionals, educational materials, and references.   Most recently, the website has developed into a dynamic resource providing its audience with daily news and dialogue direct from PRI.  PRI concepts continue to grow both nationally and internationally.  The PRI mission is to explore postural adaptations and asymmetries and their influence on the polyarticular chains of the human body.  Our mission is based on the development of an innovative treatment approach that explains the primary contributors of postural kinetic and kinematic movement dysfunction. 

Commitment to Lifelong Learning

Reading journal articles, books, research and curricular material from other professions, almost on a daily basis, has increased my voracious appetite and my insatiable curiosity for information on anatomical and physiologic imbalance. My pedagogic mind is a reflection of my commitment to test knowledge through experience, persistence and willingness to learn from mistakes. The Anterior Interior Chain of our bodies is a reflection of pedagogic reasoning, leading to a PRI experience. By continuing to commence with PRI experience in aquatics and PRISM pool design and application, with optometrists and vision retraining, with dentists and cranial alignment and with my patients and their sincere desire for guidance, I will continue to connect links.

Commitment to Service

My mindset for non-linear linkage existed long before serving on the Model Practice Act Task Force of the Federation of State Boards of Physical Therapy, or serving as the youngest president of the Nebraska Physical Therapy Association, or serving on the American Physical Therapy Associations reference committee and judicial committee, or serving on the State Board of Examiners in Physical Therapy. As Leonardo da Vinci recognized and appreciated “interconnectedness of all things and phenomena”, so do I. Long before the Guide to American Physical Therapist Practice was written, I embraced ambiguity, paradox and uncertainty with a passion. Passion for PRI application, education and integration reduces the insecurities and instabilities of those with the same embrace.

About Postural Restoration Institute

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Posture is a reflection of the “position” of many systems that are regulated, determined and created through limited functional patterns. These patterns reflect our ability and inability to breathe, rotate, and rest, symmetrically with the left and right hemispheres of our axial structure.

“Limited functional patterns” refers to movement that is restricted in directions, planes or normal boundaries of functional range, as a result of improper joint, muscle, and mediastinum rest position. Function is therefore limited because soft tissue and osseous restrictions prevent one from using muscles and joints in their normal range. Adaptation and compensation for these limitations require neuromotor encoding and hyperactivity of muscle that is placed in improper positions that exceed normal physiological length, or in positions that make them a mover or counter-mover in planes and directions that are not observed when one is in a neutral or more symmetrical state of rest. This compensatory activity and hyperactivity usually becomes dysynchronous in the accessory muscles of respiration and at the appendicular flexors and axial extensors, thus limiting functional rotation at the trunk and through the lumbo-pelvic-femoral and cranial-mandibular-cervical complex.

- Ron Hruska Jr., MPA, PT

The Postural Restoration Institute Terms and Conditions of Use

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These Terms of Use will be governed in all respects by and construed in accordance with the laws of the State of Nebraska, USA, without regard to its conflicts of law principles. These Terms of Use, as they may be amended from time to time, completely and exclusively state the agreement between you and PRI with respect to the PRI Web Site, and no other terms that may have been communicated to you orally or in any other manner shall have any force or effect. Any cause of action you may have with respect to the PRI Web Site must be commenced within one (1) year after the claim or cause of action arises or such claim or cause of action is barred. Exclusive jurisdiction over any cause of action arising out of these Terms of Use or your use of the PRI Web Site shall be in the state or federal courts located in Nebraska. You agree to submit to the jurisdiction of such courts.

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Postural Restoration Institute
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Or call us at 1-888-691-4583
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Copyright © 2008 Postural Restoration Institute™ (PRI). All rights reserved.

Restore

pelvic position and muscular balance

Restore

apical chest wall expansion

diaphragmatic breathing

Restore

abdominal opposition to diaphragm

Restore

chest wall flexibility

Ulotka PRI

Wprowadzenie
Seria pięciu kursów organizowanych dla klinicystów pragnących rozwijać swoje umiejętności i pogłębić wiedzę w dziedzinie patobiomechaniki.

Nacisk będzie kładziony na poprawę postawy, procesów oddychania, nerwowo-mięśniowego kodowania i torowania prawidłowych wzorców ruchowych. 

Kursy te są kierowane do fizjoterapeutów, lekarzy, trenerów i pracowników służby zdrowia. Uczestnictwo dwóch lub więcej pracowników tej samej placówki pozwoli na lepsze zrozumienie i zastosowanie w/w materiału (części teoretycznej i praktycznej) po zakończeniu kursu.

Certyfikat ukończenia kursu będzie przyznany każdemu uczestnikowi po drugim dniu szkolenia.

Kurs pierwszy:„Miokinematyczna odbudowa wzorców zespołu lędźwiowo – miedniczno – udowego”.

Kolejne kursy („Poprawa funkcji kompleksu piersiowo – brzusznego” „Odbudowa kompleksu szyjno-czaszkowo-żuchwowego, „Niestabilności stawowe”, „Zaawansowana integracja”) planowane są w latach 2010-2014.  Egzamin końcowy - Certyfikat PRI przewidziany jest na rok 2014-2015.

Ron Hruska, fizjoterapeuta, magister zarządzania i administracji publicznej, absolwent Uniwersytetu w Nebrasce, założyciel Postural Restoration Institute (Instytut Odnowy Postawy), właściciel Hruska Clinic w Lincoln, Nebraska, USA.

Dwudziestosiedmioletnia praktyka oraz zdobyte doświadczenia oparte na miokinematycznej i biomechanicznej analizie postawy ciała i wzorców ruchowych, pozwoliły Ronowi Hrusce na opracowanie unikalnego, funkcjonalnego systemu diagnozowania i leczenia.  Szczegółowej analizie poddawane są: symetria tułowia, funkcja i stabilność kończyn, równowaga oddechowa.

Ron Hruska bezpośrednio współpracuje z fizjoterapeutami, lekarzami, personelem para-medycznym oraz pracownikami naukowymi.  Osiągnięta reputacja w dziedzinie terapii neurodynamicznej zaowocowała konsultacjami z zawodowymi sportowcami oraz z zawodnikami uniwersyteckimi różnych dyscyplin sportowych.  Hruska systematycznie prowadzi wykłady w USA na temat zaburzeń wzorców ruchowych i odbudowy całościowej funkcji ciała.

Aktualnie jest członkiem wielu stowarzyszeń medycznych działających na terenie USA, m.in.: American Academy of Orthopedic Manual Physical Therapists, American Academy of Orofacial Pain, American Academy of Craniofacial Pain, Neuro-Optometric Rehabilitation Association oraz American Physical Therapy Association.

Więcej informacji zawartych jest na stronie internetowej: www.hruskaclinic.com.

Michał Niedzielski, mgr Rehabilitacji Ruchowej, absolwent AWF w Warszawie, rocznik 1992.

W latach 1990 do 1994 członek założycielski Integracyjnego Klubu Sportowego „Charpentier”
oraz dyrektor Ośrodka Aktywnej Rehabilitacji dla Osób Niepełnosprawnych przy AWF, w Warszawie.
Od 1994 do chwili obecnej przebywa w USA. W 1996 roku założył i jest współwłaścicielem Physical Therapy Center of Horseheads, klinika dla pacjentów ambulatoryjnych.

Profesjonalne doświadczenie i zainteresowania zawodowe.

„Ogromny wpływ jaki wywarł na mnie promotor prof. Seyfried ukierunkował moje zainteresowania początkowo ku biomechanicznym wpływom na rozwój postawy ciała oraz formowaniu się poprawnych i patologicznych wzorców ruchowych. Poszukiwania te miały na celu znalezienie właściwych procedur egzaminacyjnych, odzwierciedlających prawidłową funkcję ciała poprzez zrozumienie symetrii tułowia, kontroli mięśniowej,nerwowej i oddechowej tułowia i kończyn. W ostatnich latach, wiedza nabyta głównie dzięki Postural Restoration Institute - Instytut Odnowy Postawy, umożliwiła mi stworzenie pełnego neurodynamicznego wizerunku funkcji ciała oraz możliwości jej odtworzenia w wyniku procesu rehabilitacyjnego. Zapoczątkowało to współpracę z działami medycyny takimi jak: neuro-okulistyka, ortodoncja, stomatologia i gastroenterologia. Relacje moich kontaktów zawodowych również uległy zmianie; jako referujący klinicysta stałem się jedną z podstawowych osób w procesie leczenia pacjenta”.

Od roku 1998 związany z PRI; jeden tylko z 47 certifikowanych terapeutów w USA.

Główne założenia PRI opierają się na zgłębieniu wiedzy w kierunku zagadnień zwiazanych z patologicznymi adaptacjami postawy, wzorcami asymetrycznymi i wpływami wielostawowych łańcuchów mięśniowych na funkcję ciała ludzkiego.

Kluczowe podyplomowe kursy doskonalenia zawodowego.
Wszystkie kursy oferowane przez PRI zakończone egzaminem certyfikujacym.
Seria kursów (pięć) dotyczacych leczenia zaburzenia balansu zakończonych egzaminem sponsorowanym przez University of Miami.
Seria kursów (sześć) sponsorowana przez National Institute of Cranio-Sacral Studies, Inc.
Seria kursów (cztery) sponsorowane przez University of St. Augustine, Institute of Physical Therapy (Paris School).
Seria kursów (dwa) sponsorowana przez Cayuga Profesional Education Association – “Maitland”.
Seria kursów (trzy) dotycząca medycyny pracy, sponsorowana przez Iserhagen Work System.
Liczne pojedyncze kursy dotyczce strategii ćwiczeń rehabilitacyjnych, mobilizacji układu nerwowego, pogłebiania wiedzy anatomicznej i radiologicznej.

Obecny cel zawodowy: połączenie pracy klinicznej z pracą dydaktyczną.

Motto „Ruch jako lek nie ma substancji ani opakowania, podanie go choremu wymaga zarówno wiedzy jak i sztuki w aplikacji”.

Mgr rehabilitacji ruchowej i wychowania fizycznego, trener piłki ręcznej (aktywny zawodnik przez 11 lat) ukończyl Akademię Wychowania Fizycznego w Warszawie w 1992 roku.

Od 1993 roku na stałe zamieszkały i pracujący w USA.

Zainteresowania zawodowe - rozwój leczenia rehabilitacyjnego traktującego organizm ludzki jako całość. Połączenie kompleksowej diagnostyki i profilaktyki z leczeniem ruchem, wspomagającym homeostazę ciała.

Doświadczenie zawodowe:
1. Praca z pacjentami ambulatoryjni ze schorzeniami narządu ruchu, układu nerwowego (ortopedia,neurologia).
2. Wykłady dla studentów i pracowników służby zdrowia.

Cele zawodowe:

1) wspópraca z innym dyscyplinami medycznymi a w szczególności dentystyką, ortodontyką, okulistyką, medycyną chorób wewnetrznych                                                  
2) rozwój w kierunku dydaktycznym

PODYPLOMOWE KURSY DOSKONALENIA ZAWODOWEGO

1994 - Maitland - Ewaluacja i leczenie stawów kończyny górnej, kończyny dolnej i kręgosłupa
2002 - Certyfikat Terapii Manualnej zatwierdzony i wydany przez Uniwersytet w Saint Augustine, Floryda (dr Stanley Paris) - rok 2002 po ukończeniu serii siedmiu kursów
2005 - Certyfikat wydany przez McKenzie Insitute – rok 2005 (seria czterech kursów)
2005 - Mulligan - wprowadzenie do koncepcji NAGS/SNAGS
2006 - Institute of Physical Art (Greg Johnson) - terapia manualna
2007 - Postural Restoration Institute (Ron Hruska)-ukonczone 4 kursy
2008-  Certyfikat wydany przez Postural Restoration Institute
“Miałem okazję uczestniczyć w wielu kursach organizowanych na terenie USA, jednak żaden z nich nie zainteresował mnie tak, jak te przedstawiane przez Pana Rona Hruskę.
Nakreślony przez Rona Hruskę kierunek, umożliwił mi kontynuowanie zainteresowań w dziedzinie patobiomechaniki, z którą styczność miałem w latach 1988-1992 na warszawskim AWF-ie.

Pan Hruska stworzył całościowy system leczenia człowieka, który najlepiej odzwierciedlony jest w definicji postawy.

Jestem przekonany, że informacje, które przekazywane będą w czasie naszych kursów, okażą się ciekawe dla każdego, kto poszukuje nowych kierunków w pracy z pacjentami.”

Głównymi celami PRI ( Postural Restoration Institute - Instytut Odbudowy Postawy) są: opis postawy i jej adaptacji do wymagań życia codziennego, opis asymetrycznych wzorców ruchowych, wpływ wielostawowych łańcuchów mięśniowych na ciało ludzkie.

Innowacyjne metody leczenia oferowane przez PRI zwracają szczególną uwagę na wpływ kinematycznych dysfunkcji ruchowych na postawę oraz leczenie sfery oddechowej, miokinematycznej i nerwowo-mięśniowej.

Działania Instytutu koncentrują się na klinicznej edukacji, badaniach oraz poszukiwaniach prostrzych rozwiązań w procesie terapii.

Kontakt w języku polskim—

Przedstawiciel PRI w Polsce—dr Andrzej Gryglewicz
Kontakt—

Postawa jest odzwierciedleniem powiązań pozycji pomiędzy wieloma systemami organizmu.  Są one tworzone i regulowane poprzez ograniczające wzorce funkcjonalne. Wzorce te, symetrycznie w prawej i lewej części ciała, związane z oddychaniem, trójpłaszczyznowym ruchem i pozycją końcową kreują możliwości i restrykcje.

Ograniczające wzorce funkcjonalne odnoszą się do ruchu, który jest zablokowany w zakresie, płaszczyźnie i kierunku w wyniku nieprawidłowej pozycji spoczynkowej mięśni, stawów i śródpiersia. Funkcja jest zatem limitowana przez układ kostny i tkanki miękkie uniemożliwiając wykonanie prawidłowego ruchu. Adaptacje i kompensacje dla powyższych limitacji wymuszają: nowe neuromotoryczne kodowanie, hyperaktywność mięśni, które znajdują się w nieprawidłowej pozycji powodując nadmierne niefizologiczne   rozciągnięcie, lub błędną rekrutację jako agonistów/antagonistów, zmuszając je do pracy w nietypowych kierunkach i płaszczyznach, nie występujących w neutralnej lub zbliżonej symetrycznie pozycji. Ta kompensacja i hyperaktywność mięśni zazwyczaj staje się dysynchronizmem dla dodatkowych mięśni oddechowych, zginaczy kończyn i osiowych prostowników ograniczając funkcjonalną rotację tułowia, jak i zespoły lędźwiowo-miedniczno-udowy oraz czaszkowo-żuchowo-szyjny.

The Postural Restoration Institute established a certification process in 2004 as a way to recognize and identify those individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute. Certification is available to physical therapists, physical therapist assistants, and occupational therapists who have attended PRI courses (click here for course requirements), demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing. To date 79 Therapists have earned the designation of Postural Restoration Certified (PRC) under the direction of Ron Hruska.

PRI Right AIC Reciprocal Alternating Gait Recommendations

Top Ten Progressive PRI Techniques to Facilitate Left AF IR Position

Top Ten Integrative Activities for L AF IR with Right Trunk Rotation

Shoe Recommendations

PRI Shoe Recommendations

PRI Breathing Techniques

PRI Positioning Program

PRI Mattress Recommendations

90-90 Hip Lift with Ballon

The following list of clinical products are occasionally used in conjunction with PRI treatment. PRI does not endorse, sell or benefit from the sale of any product listed. Rather, this list is provided as a resource to clinicians who have attended PRI courses.

PRI Manual Techniques are available on DVD!  Nearly two hours of video including demonstration, instruction and explanation of each manual technique is provided by Ron Hruska.  This information compliments PRI course instruction and desired PRI clinical application, progression and outcomes.  Written instruction for each manual technique will also be provided in a printable format.

PRI Manual Techniques DVD

• Left Anterior Interior Chain (AIC)
• Right Brachial Chain (BC)
• Posterior Exterior Chain (PEC)
• Right Temporal Mandibular Cervical Chain (TMCC)

Pricing

• $125 + $5 shipping

PRI Aquatic Systems

PRI has expanded to PRI Aquatics!

PRI has teamed up with Vision Aquatics, Inc. to develop and offer a range of aquatic systems designed specifically around the patented science of PRI.  These innovative systems are designed to integrate unrestricted tri-planar movement and diaphragmatic respiration with patterns of aquatic feed-forward resistance to isolate and inhibit specific muscle function.  Patented revolutionary aquatic design and composite material compliment PRI’s philosophy and uniqueness in the rehabilitation industry.  PRI Aquatics is not just the best technology for applying PRI science, but it also offers substantial profit potential for your clinic.

To learn more about PRI Aquatic Systems and PRI Aquatics contact us!

PRI Non-Manual Techniques are now available on CD-ROM! Both 2nd and 3rd Edition CD’s are organized by position, specific muscle, and specific sequence of possible progressive application. This information compliments PRI course instruction, desired PRI clinical application and progression, and desired PRI patient education and instruction. A master index of each program illustrates this progression through a numbering system. It is our intention to provide the clinician with an effective and efficient tool for specific patient clinical and home PRI programs. Each technique is patient-ready with detailed written instruction and digital photos. CD’s are Windows compatible.

2nd Edition CD

Over 200 techniques from the following categories:

• Repositioning
• Left Adduction
• Right Abduction
• Right Gluteus Maximus
• Left Gluteus Medius
• Integration

3rd Edition CD

Over 200 techniques from the following categories:

• Right Low Trap & Right Tricep
• Left Low Trap & Left Serratus Anterior
• Right Serratus Anterior
• Right Subscapularis
• Inhibition & Stretching
• Left Squat
• Right Squat

Pricing

2nd Edition CD: $89 plus $4 shipping ($12 international shipping)
3rd Edition CD: $89 plus $4 shipping ($12 international shipping)

Order both CDs for $149 plus $4 shipping ($24 savings!) ($12 international shipping)

FULL TIME PHYSICAL THERAPIST and PHYSICAL THERAPIST ASSISTANT
Kinetic Physical Therapy Institute is seeking energetic full time Physical Therapist and PTA for expansion at our Clinic in Woodbury, MN.  We are a PRI Certified Clinic.  Certification or related Training is a plus, but not a requirement.  We will train you!!!  As PRI requires more time to implement with patients, we see our patients for 1 full hour.  We are the official Physical Therapy of the Minnesota Swarm as well as providing services to U of M, University of St. Thomas, and other local collegiate Men’s and Women’s sport teams.  For more information, please contact Karen at 651-730-7771or

FULL TIME/ Part Time PHYSICAL THERAPIST
Redden Total Therapy, a private practice outpatient physical therapy clinic in Jackson, Tennessee, is excited to offer a full time or part time PT position in one of three clinics in the area. We are a manual based outpatient clinic looking to add someone to lead the development of PRI at our three locations. We are currently staffed with PTs specializing in Maitland, PRRT and McKenzie based programs but looking to expand with PRI. Competitive salary/benefits offered with emphasis on continue education opportunities. If interested please contact Payton Redden at 731-217-4653 (cell), 731-512-0302 (clinic) or e-mail resume to .

FULL TIME PHYSICAL THERAPIST
Eagle Rehab Physical Therapy is seeking a full-time physical therapist. Send resume to Scott Pruitt:
Eagle Rehab PT
44 Hughes Rd, Suite 1050
Madison, AL 35758
Phone 256.325.5400

FULL TIME PHYSICAL THERAPIST
The Hruska Clinic has an excellent opportunity available for a full time outpatient physical therapist.  The Hruska Clinic was the first clinic in the nation to be designated as a Postural Restoration Certified (PRC) Center and is the driving force behind the science of the Postural Restoration Institute.  They are looking for a PRC physical therapist (or able to sit for certification in the near future) that is passionate about PRI – living it and practicing it.  You must be highly motivated with a strong desire to learn.  You will be working with a knowledgeable team of PRI physical therapists and contributing daily to the successful outcomes of the Hruska Clinic. Requirements include: Enthusiasm for educating patients, physical therapists, physicians and other healthcare providers in PRI; openness to integrating with other healthcare professionals for a team approach to patient care; eagerness to promote, grow and expand the science of PRI; and flexibility to work a full schedule consisting of a variety of patient populations from all across the country. CLICK HERE to apply.

FULL TIME OR PART TIME PHYSICAL THERAPIST
Advance Physical Therapy is a Postural Restoration based PT owned private practice. We have an opportunity for another PT to join our practice located in the heart of Chapel Hill, NC. Five years experience is preferred as well as a strong interest or skills in Postural Restoration. We are looking for someone who is comfortable with autonomy, creative and energetic and interested in participating in collaborative investigation into the most advanced treatment techniques and concepts. Please call 919 932 7266 or email: .

FULL TIME PHYSICAL THERAPIST ASSISTANT
Husker Rehabilitation and Wellness, PC in Lincoln, NE is seeking a full time physical therapist assistant with Postural Restoration training.  We will also consider the right individual with interest in learning Postural Restoration.  Generous benefits and continuing education offered.

Please contact:
Mike Zalman, MSPT
Husker Rehabilitation and Wellness, PC
4911 N. 26th St, Suite 100
Lincoln, NE 68521
(402) 477-3110

FULL TIME PHYSICAL THERAPIST
Chiropractic Associates in Lincoln, Nebraska is seeking a full time physical therapist. For more information contact: Ryan Christoff at 412.670.4435

FULL TIME PHYSICAL THERAPIST
The Rejuvenation Center (a PRI certified clinic) in Omaha, Nebraska is excited to offer a fulltime PT position working with a fabulous team of PRI trained and certified therapists. Job opening available June 1, 2010 or earlier. Competitive salary/benefits offered. If interested please contact Dr. Jim Staheli at 402-650-3424 (cell), 402-391-2635 (clinic) or e-mail resume to .

PHYSICAL THERAPIST ASSISTANT
The Cantrell Center for Physical Therapy and Sports Medicine in Warner Robins, Georgia is currently looking for a PT Assistant.  The Cantrell Center is a PRI Certified Center and is looking for a PTA with interest in PRI principles and concepts.  You would be training with skilled PRI clinicians who are currently seeking certification in PRI.  The Cantrell Center has built in to the daily schedule plenty of mentoring hours with Mike Cantrell MPT, PRC so there is ample opportunity for quality training in the field.  Please contact us at http://www.cantrellcenter.com or   for more information if you’re contemplating a move to the southeast.

CERTIFIED PILATES INSTRUCTOR
7602 Pacific Street, Suite 301
Omaha, Nebraska 68114
Phone: (402) 393-3077
http://www.theworkoutinc.com

The Workout Inc. is currently looking for a Pilates Instructor with National Certification. For more information or to apply, please contact John Macy at the address or phone number above.

FULL TIME PHYSICAL THERAPIST
Physical Therapy Options
P.O. Box 106
Newport Center, VT 05857
802-334-8882

We are looking for a physical therapist who has a physical therapist license in the State of Vermont or is eligible to sit for licensure required.  They should be able to perform a patient evaluation and develop a treatment plan for a variety of diagnoses and across the age span.  We prefer a therapist who has had experience with, or is willing to learn, Postural Restoration techniques.  Flexible hours and a good benefit plan available including paid vacations, education, uniforms, and more.

We have a view of Jay Peak and are within close driving range for access to skiing. The clinic’s location is centered between Memphremagog and Willoughby Lakes as well as the Missisquoi, Black, Barton and other rivers.  We are positioned in a beautiful community about 10 miles from the Canadian border.

Please Email to , fax to
802-334-8882 or mail your resume to the above address for further information.

FULL TIME OR PART TIME PHYSCIAL THERAPIST
Pinnacle Physical Therapy & Sports Medicine is seeking to find a
passionate and energetic physical therapist!   
We offer competitive salary and benefits packages plus growth opportunities as Clinical Director. 

We look forward to hearing from you!  Check us out at pinnaclephysicaltherapy.org

Contact:  Chanel Hughes, or call
(208) 777-4242

FULL TIME PHYSICAL THERAPIST
Spine and Sport Physical Therapy and Aquatics is seeking a PRI trained / or interested to learn physical therapist. 
Full time position in outpatient setting with excellent salary and incentives.  Located in St. Joseph, Missouri 30 min. North of Kansas City. 
Contact Fred Shonkwiler,MPT at   / or (816) 279-7778. 

FULL TIME PHYSICAL THERAPIST
Poulin Performance is a Certified Postural Restoration Clinic located in So. Burlington, Vermont. We are currently seeking a full time, energetic physical therapist to join our private practice.
Three to five years of outpatient experience is preferred and a strong sports and orthopedic background is desired. Experience in Postural Restoration is a plus, but not necessary. We will train the right individual and offer excellent pay, benefits and a working environment.

Please send your resume to:
PPRC
PO Box 486
Williston, VT 05495
Phone: 802-658-0949
Fax: 802-658-1436

Why did PRI establish a certification process?

Certification was established in order to:

1. Establish and maintain continuity between clinical sites in areas of research, practice and student affiliation.
2. Recognize individuals with PRI interest, specialization and expertise.
3. Protect the use and application of PRI science, reasoning, processes, techniques, and materials.
4. Provide avenues for professional development, collaboration between multidisciplinary specialists with PRI interests, and enhancement of scientific approaches using PRI concepts.
5. Allow educational institutions, students, and researchers access to PRI specialists.

Is there an application fee? Is there a cost to participate in the certification process?

While no application fees are required, a one-time certification fee of $2000 will be due prior to the 2-day certification process. This is the only monetary requirement and certification will not require renewal. This fee directly offsets costs associated with testing, assessing competency and completing certification. The fee will also assist us in developing the process, advancing individual knowledge of Postural Restoration Institute™ concepts and in growing a network of professional support. Certified individuals will receive Postural Restoration Institute™ course updates, ongoing clinical discussion and dialogue, discounted tuition to all courses (50% off the regular tuition rate), advertising and promotional opportunities, and other benefits to be determined by the Postural Restoration Institute™. 

Is there a deadline for submitting an application?

Yes. Your complete application must be mailed to PRI by September 15th for certification the same year.

Am I eligible to apply for certification?

You are eligible to apply if you are a physical therapist, physical therapist assistant or occupational therapist who has completed the following PRI sponsored courses: Myokinematic Restoration, Postural Respiration, Cervical-Cranio-Mandibular Restoration, and Advanced Integration.

I attended an APTA state sponsored PRI course. Does this attendance fulfill the course attendance requirement for applying for PRC?

No. PRI does not have access to attendance records outside PRI sponsored courses and agendas are often modified per sponsor’s time schedule. Therefore, courses must be sponsored by PRI and therefore presented by PRI Faculty or Associate Faculty using PRI materials.

Course must be a full 15 contact hours in length for Myokinematic Restoration, Postural Respiration and Cervical-Cranio-Mandibular Restoration. Course must be a full 30 contact hours in length for Advanced Integration.

Is there a minimum number of years practicing PRI before I can apply for certification?

PRI strongly recommends clinical experience and implementation of Postural Restoration concepts for 2-3 years before applying for PRC.

Does certification require renewal?

No. While we encourage and anticipate a high level of involvement from certified individuals, certification status will not be affected by future Postural Restoration Institute™ support and involvement. Rather, in good faith we ask that certified individuals keep abreast of all Postural Restoration Institute™ activity and development. If other requirements are deemed appropriate in the future they will be determined only with the involvement and support of the Postural Restoration Institute Faculty and Director of Certification.

When does certification take place?

If you choose to complete the certification application by the September 15th application deadline and are encouraged to proceed through the process, you will be contacted between October 15th and November 1st. Certification will take place on Monday and Tuesday following our annual Advanced Integration course at the Postural Restoration Institute™  in Lincoln, Nebraska. Testing is an educational and learning process that will include both clinical and analytical written examination.

Can you recommend any journals for completing the article review section of the application?

Based on previous applications, we suggest the following journals:

• British Journal of Sports Medicine
• Journal of Applied Physiology
• American Journal of Respiratory Critical Care Medicine
• Journal of Applied Biomechanics
• Journal of Bodywork and Movement Therapies
• Journal of Manual and Manipulative Therapy
• Journal of Orthpaedic and Sports Physical Therapy
• Journal of Neurobiology
• Journal of Neurophysiology
• Behavioral Neuroscience
• Spine
• Journal of Vestibular Research
• Journal of the American Podiatric Medical Association
• Thorax – An International Journal of Respiratory Medicine
• Journal of Neurology, Neurosurgery, & Psychiatry with Practical Neurology
• American Journal of Obstetrics and Gynecology
• Cephalalgia – An International Journal of Headache
• Journal of Clinical Pediatric Dentistry
• International Journal of Osteopathic Medicine

“I feel I have been using a PRI - like approach (of course not to this extent) since my graduation in 1992 from the Academy of Physical Education in Warsaw, Poland which had a very strong Biomechanics Department. I continued my quest for more knowledge through continuing education courses offered by the University of St. Augustine (Manual Therapy Certification -2002) and the McKenzie Institute (Certified MDT-2005). Both of them, however, fell short in explaining human biomechanics, relating one body part to another, treating our body as a whole unit, etc. Ron Hruska was the first teacher/practitioner who was able to correlate the left side to the right in a logical, biomechanical way which I have been looking for since my graduation in 1992.”  - Gregory Parfianowicz, MPT, MTC, Certified MDT, PRC

Click HERE to view a printable application for PRC.

Please send 2 copies of your complete PRC application by mail or email to the address below. Applications must arrive on or before September 15, 2012. We are not able to accept late applications.

Postural Restoration Institute
Janie Ebmeier, Director of Credentialing
5241 R Street
Lincoln, NE 68504

Please find above a printable application for Postural Restoration Certification (PRC). Your completed application is due by September 15th for Certification the same year. Once received, your application will be reviewed by our Application Review Committee and you will be notified of their feedback and comments. If you choose to complete the process after consideration of all reviewer’s feedback, certification of both clinical and analytical testing will take place for two days following our Advanced Integration course in December.

You are eligible to apply if you are a physical therapist, physical therapist assistant or occupational therapist who has completed the following courses and can successfully demonstrate an advanced understanding and clinical integration of PRI principles. :
Myokinematic Restoration
Postural Respiration
Advanced Integration

In addition, choose one of the following courses
Cervical-Cranio-Mandibular Restoration
Pelvis Restoration
Impingement & Instability

PLEASE NOTE: Beginning in the year 2013, Pelvis Restoration will be a required course for PRC.

While no application fees are required, a one-time certification fee of $2000 will be due prior to the 2-day certification process. This is the only monetary requirement and certification will not require renewal. This fee directly offsets costs associated with testing, assessing competency and completing certification. The fee will also assist us in developing the process, advancing individual knowledge of Postural Restoration Institute™ concepts and in growing a network of professional support. Certified individuals will receive quarterly updates, ongoing clinical discussion and dialogue, discounted course tuition (50% discount; excludes Interdisciplinary Integration), advertising and promotional opportunities, and other benefits to be determined by the Postural Restoration Institute™.

This section contains products originated by PRI as well as information regarding supportive clinical materials that may be considered for use in conjunction with PRI treatment.

 

PRC Application Deadline - September 15, 2012

PRC Testing - December 10-11, 2012