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

Kasey Aikin Ratliff

Postural Restoration Certified

Hironobu Ajiro

Postural Restoration Provider

Brent Albrecht

Postural Restoration Trained

Christie Amundson

Postural Restoration Certified

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
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"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
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“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
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“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
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“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
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“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
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“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.
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“Results: The results showed a significant difference between the QoL, pain intensity, function, and PROM of left hip adduction in the group with PR exercises with and without core exercises and control (P=0.000). In the PR group with core exercises (P=0.001) and without core exercises (P=0.001), a significant increase was observed in the adduction of the left hip. There was no significant difference between the function (P=0.850), pain (P=0.120), QoL (P=0.328), and PROM (P=0.094) in the intervention groups.
 
Conclusion: PR exercises with and without core stability are equally effective in reducing pain and improving function, QoL, and hip adduction range of motion in women with left anterior interior chain patterns”

“Results: The results showed a significant difference between the QoL, pain intensity, function, and PROM of left hip adduction in the group with PR exercises with and without core exercises and control (P=0.000). In the PR group with core exercises (P=0.001) and without core exercises (P=0.001), a significant increase was observed in the adduction of the left hip. There was no significant difference between the function (P=0.850), pain (P=0.120), QoL (P=0.328), and PROM (P=0.094) in the intervention groups.

Conclusion: PR exercises with and without core stability are equally effective in reducing pain and improving function, QoL, and hip adduction range of motion in women with left anterior interior chain patterns”
...

182 1
“If the inlet is in ABDuction, the outlet is in ADDuction on the same side”

Pelvis Restoration Livestream
@jenpoulinpt x @jmillermtpt 
November 15-16th, 2024

Check out the FREE webinars on the Hruska Abduction & Adduction Lift Tests for more frontal plane mechanics! (Available on our webinars page)

“If the inlet is in ABDuction, the outlet is in ADDuction on the same side”

Pelvis Restoration Livestream
@jenpoulinpt x @jmillermtpt
November 15-16th, 2024

Check out the FREE webinars on the Hruska Abduction & Adduction Lift Tests for more frontal plane mechanics! (Available on our webinars page)
...

69 3
“Cervical Revolution is the conduit to introducing bottom up as well as top down concepts from the cervical spine, cranium, and occlusal system that first require an understanding of the most important neurologic articulation in the body called the atlas and occipital bone. This is where the brainstem is located and is highly sensitive to pressure and movement especially pressure from a head that is forward on a neck that has lost it’s normal 30 degrees of lordosis. If that 30 degrees is lost, then 30 degrees of mid-cervical lateral flexion and 30 degrees of rotation is lost as well.”

- Robert “Skip” George

“Cervical Revolution is the conduit to introducing bottom up as well as top down concepts from the cervical spine, cranium, and occlusal system that first require an understanding of the most important neurologic articulation in the body called the atlas and occipital bone. This is where the brainstem is located and is highly sensitive to pressure and movement especially pressure from a head that is forward on a neck that has lost it’s normal 30 degrees of lordosis. If that 30 degrees is lost, then 30 degrees of mid-cervical lateral flexion and 30 degrees of rotation is lost as well.”

- Robert “Skip” George
...

179 9
Movement requires us to remain IMBALANCED!

If you help individuals move through space you might want to check out the FLM concepts to help them become limitless!

Thanks to everyone who joined us from around the world for this 2 day discussion on Forward Locomotor Movement.

Movement requires us to remain IMBALANCED!

If you help individuals move through space you might want to check out the FLM concepts to help them become limitless!

Thanks to everyone who joined us from around the world for this 2 day discussion on Forward Locomotor Movement.
...

109 3
Episode 36 with @yoshi.mitsuyama is live! Yoshi has a unique experience, spanning from working with collegiate and professional soccer athletes, singers in Nashville and individuals who are just trying to get out of bed each day!

Whether trying to maintain performance at a high level, or attempting to overcome stressors that limit us from standing, individuals on both sides of the spectrum often get labeled with the same dysautonomia diagnosis and can benefit from similar reprogramming.

Episode 36 with @yoshi.mitsuyama is live! Yoshi has a unique experience, spanning from working with collegiate and professional soccer athletes, singers in Nashville and individuals who are just trying to get out of bed each day!

Whether trying to maintain performance at a high level, or attempting to overcome stressors that limit us from standing, individuals on both sides of the spectrum often get labeled with the same dysautonomia diagnosis and can benefit from similar reprogramming.
...

37 1
Dynamic respiration review with Dan!

Trunk rotation requires ribcage rotation driven by respiration, which can be facilitated by FULL exhalation utilizing a balloon! 🎈

Dynamic respiration review with Dan!

Trunk rotation requires ribcage rotation driven by respiration, which can be facilitated by FULL exhalation utilizing a balloon! 🎈
...

363 11
So you suspect your right ilium is tipped forward……..in that case it is likely that so is your left. 
(Bilateral AIC)
(PEC)

Or maybe you are relying on one of the two scenarios Craig mentions here.

What do the TESTS tell you? Did you even objectively test it?

Without understanding the science behind why someone can or cannot adduct a femur by clearing the acetabular rim via a neutral pelvis, nothing you perceive or palpate is very powerful and you may actually be further reinforcing their pattern!

So you suspect your right ilium is tipped forward……..in that case it is likely that so is your left.
(Bilateral AIC)
(PEC)

Or maybe you are relying on one of the two scenarios Craig mentions here.

What do the TESTS tell you? Did you even objectively test it?

Without understanding the science behind why someone can or cannot adduct a femur by clearing the acetabular rim via a neutral pelvis, nothing you perceive or palpate is very powerful and you may actually be further reinforcing their pattern!
...

106 8
Pressure & Perception,

Receptivity & Rib Rotation,

Tongue Ties & Tissue,

Strains & Strabismus,

Neurology & Neutrality,

Balance & Breath.

Thanks to the @gestalteducation podcast for coming to Lincoln for such a great discussion! 

“Balancing Act: Unraveling Human Asymmetry with Ron Hruska” is out now!

#repost @brett.winchester 
We had an amazing time sitting down with Ron Hruska, founder of the @posturalrestoration 

We talked all things asymmetry and learned more about PRI and its origins! 

Check it out on Spotify or YouTube 

💪

Pressure & Perception,

Receptivity & Rib Rotation,

Tongue Ties & Tissue,

Strains & Strabismus,

Neurology & Neutrality,

Balance & Breath.

Thanks to the @gestalteducation podcast for coming to Lincoln for such a great discussion!

“Balancing Act: Unraveling Human Asymmetry with Ron Hruska” is out now!

#repost @brett.winchester
We had an amazing time sitting down with Ron Hruska, founder of the @posturalrestoration

We talked all things asymmetry and learned more about PRI and its origins!

Check it out on Spotify or YouTube

💪
...

111 2
The angles of perception…….

Where is your midline? 

How is it sensed?

What is perceived? 

Will it make you fall?

Day 2 of Visual Vestibular Refinement introduced testing of the utricle and balance center via (PRI) Subjective Visual Vertical Tests (SVVT) and manipulation of our sense of angulation from our floor(s)!

The angles of perception…….

Where is your midline?

How is it sensed?

What is perceived?

Will it make you fall?

Day 2 of Visual Vestibular Refinement introduced testing of the utricle and balance center via (PRI) Subjective Visual Vertical Tests (SVVT) and manipulation of our sense of angulation from our floor(s)!
...

115 4
Visual Vestibular Refinement Day One! 

Sense of our vertical selves requires podal sense of the ground beneath us and the visual spatial world around us.

Visual Vestibular Refinement Day One!

Sense of our vertical selves requires podal sense of the ground beneath us and the visual spatial world around us.
...

157 4

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