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
"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

Thanks to @newyork_funcphysio for hosting “Visual Vestibular Refinement” in Midtown! 

Ron and Torin had a great weekend with #prination in New York City! Thanks to the movement providers and Optometrists who joined to expand their views on upright integration of our visual vestibular system in space!

Thanks for the clips! @aleenakanner 📸

Thanks to @newyork_funcphysio for hosting “Visual Vestibular Refinement” in Midtown!

Ron and Torin had a great weekend with #prination in New York City! Thanks to the movement providers and Optometrists who joined to expand their views on upright integration of our visual vestibular system in space!

Thanks for the clips! @aleenakanner 📸
...

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Thanks to @drmariasokolina for inviting us on! Full interview available on YouTube @mariasokolina 

#repost

“Mouth breathing = anxiety? Let’s find out! 🤔
I am thrilled to welcome Ron Hruska, founder of the Postural Restoration Institute, for an exclusive interview 🎤 

🗓️ OUT NOW
📍 Comment to get the links 🔗 

Special thanks to @aleenakanner and @bradgilden “

Thanks to @drmariasokolina for inviting us on! Full interview available on YouTube @mariasokolina

#repost

“Mouth breathing = anxiety? Let’s find out! 🤔
I am thrilled to welcome Ron Hruska, founder of the Postural Restoration Institute, for an exclusive interview 🎤

🗓️ OUT NOW
📍 Comment to get the links 🔗

Special thanks to @aleenakanner and @bradgilden “
...

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What is PRI?

Stop by booth #1017 if you’re at this year’s Combined Sections Meeting to chat about how airflow, asymmetry and autonomics dictate how you position yourself upright and move forward through space!

APTA CSM 2025!

What is PRI?

Stop by booth #1017 if you’re at this year’s Combined Sections Meeting to chat about how airflow, asymmetry and autonomics dictate how you position yourself upright and move forward through space!

APTA CSM 2025!
...

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Should you reach with the Right or Left hand?

Left Arm Reach,

- holds L hemi-thorax back
- done on inhalation
- establishes L post. mediastinum expansion
- enables R trunk rotation 
- inhibits lat

Right Arm Reach,

- moves L hemi-thorax back
- done on exhale
- helps establish/maintain L ZOA
- frees clavicle from 1st rib
- lengthens Sibson’s fascia
- enables R scapular compressive sense on ribcage & simultaneous L heel sense
- inhibits lat

(“Right or Left Reach with PRI Non-Manual Techniques” full white paper authored by PRC Kurt Weidauer, can be found by searching his name on our site listed under his provider page!)

Should you reach with the Right or Left hand?

Left Arm Reach,

- holds L hemi-thorax back
- done on inhalation
- establishes L post. mediastinum expansion
- enables R trunk rotation
- inhibits lat

Right Arm Reach,

- moves L hemi-thorax back
- done on exhale
- helps establish/maintain L ZOA
- frees clavicle from 1st rib
- lengthens Sibson’s fascia
- enables R scapular compressive sense on ribcage & simultaneous L heel sense
- inhibits lat

(“Right or Left Reach with PRI Non-Manual Techniques” full white paper authored by PRC Kurt Weidauer, can be found by searching his name on our site listed under his provider page!)
...

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“My daughter recently asked, “Why do I want to talk about movement ‘techniques’ that I wrote many years ago?” 
 
She didn’t know that having the opportunity to review the human history behind each technique, is as gratifying as was the question.
 
I responded by saying each technique has a personal application. They were processes I created for specific reason. Each one has unique intent and should provide an appreciative behavior. In many ways, they are as important to me as is she. They are, all my ‘children.’ 
 
And she responded, “Ohhh”.”

—

Non-Manual Techniques Workshop 2025

“My daughter recently asked, “Why do I want to talk about movement ‘techniques’ that I wrote many years ago?”

She didn’t know that having the opportunity to review the human history behind each technique, is as gratifying as was the question.

I responded by saying each technique has a personal application. They were processes I created for specific reason. Each one has unique intent and should provide an appreciative behavior. In many ways, they are as important to me as is she. They are, all my ‘children.’

And she responded, “Ohhh”.”



Non-Manual Techniques Workshop 2025
...

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Positional orientation, directs our patterned adaptation,  which is predictive of our (over) accommodation…….

Cervical Revolution Remarks
With Ron Hruska

Stay Tuned for PRIVY episode #393 for a deeper dive!
“The influence of upright orientation on patterned adjustment, accommodation, adaptation and compensation”

Positional orientation, directs our patterned adaptation, which is predictive of our (over) accommodation…….

Cervical Revolution Remarks
With Ron Hruska

Stay Tuned for PRIVY episode #393 for a deeper dive!
“The influence of upright orientation on patterned adjustment, accommodation, adaptation and compensation”
...

122 7
Functional Cortical Dominance from the left hemisphere of our brain can often be hard to overcome.

Our right sided compression and heightened sensory awareness of it, make leaving these sites of Impingement difficult. 

When your sense of self, your identity to YOU, are directed via the lateralized hemispheric activity that we are all designed to have, it makes sense that many people would rather function from this state than leave it for another.

But this reliance often causes our right hemispheric activity to be minimized, leading to over activity on one side of the body. Relying on a state of compression, and instability to move forward in life. 

This is Impingement & Instability driven by our functional cortical dominance and neurologic patterning. 

Give it a try: If you’ve never looked at the bottom sole of your shoes, take a look. What is the information from the GROUND UP providing you? Is it equal on both sides? What can these wear patterns tell us? Better yet, what are they telling you?

Functional Cortical Dominance from the left hemisphere of our brain can often be hard to overcome.

Our right sided compression and heightened sensory awareness of it, make leaving these sites of Impingement difficult.

When your sense of self, your identity to YOU, are directed via the lateralized hemispheric activity that we are all designed to have, it makes sense that many people would rather function from this state than leave it for another.

But this reliance often causes our right hemispheric activity to be minimized, leading to over activity on one side of the body. Relying on a state of compression, and instability to move forward in life.

This is Impingement & Instability driven by our functional cortical dominance and neurologic patterning.

Give it a try: If you’ve never looked at the bottom sole of your shoes, take a look. What is the information from the GROUND UP providing you? Is it equal on both sides? What can these wear patterns tell us? Better yet, what are they telling you?
...

144 6
RETHINK POSTURE

In the webinar titled ‘A Historical Perspective and Rationale Behind the Hruska Adduction Lift Test’, I discussed dissymmetrical asymmetry, as related to human posture and postural control. All of us have different horizontal planes of rotary function at different regions along our spinal column. I have outlined these levels and regions in the Advanced Integration course.
 
Depending on the degree of polyarticular chain influence on our spinal movement, our spinal curvatures
in all three planes reflect neuromuscular balance, or imbalance, generated usually during early ages of
development in the pre-adolescent and adolescent years. Refinement or modification of this movement
continually limits function in areas where freedom to rotate is limited as we age and adapt to patterns
of habit, desire and adaptation.
 
Human dissymmetrical asymmetry reflects the organization of neuromodulation, visceral and
integumental location, gravitational influence on hemi-cavities that are over or under compressed.
 
There are normal ranges of physiologic, neurologic and physical movement at these horizontal levels or ‘sections ’of the body that correspond to rotational forces that are above or below these ever-changing
regions. Movement of these regions, such as the area between T1 and T8, require concomitant anti-rotational forces above and below T1 and T8, for isolated function that neuromechanically is responsible for nonpatterned outcomes. The Postural Restoration Institute®, relates undesirable functional outcomes to patterned neuro-mechanics that do not isolate one region or section of the body from one below or above it.

-Ron

RETHINK POSTURE

In the webinar titled ‘A Historical Perspective and Rationale Behind the Hruska Adduction Lift Test’, I discussed dissymmetrical asymmetry, as related to human posture and postural control. All of us have different horizontal planes of rotary function at different regions along our spinal column. I have outlined these levels and regions in the Advanced Integration course.

Depending on the degree of polyarticular chain influence on our spinal movement, our spinal curvatures
in all three planes reflect neuromuscular balance, or imbalance, generated usually during early ages of
development in the pre-adolescent and adolescent years. Refinement or modification of this movement
continually limits function in areas where freedom to rotate is limited as we age and adapt to patterns
of habit, desire and adaptation.

Human dissymmetrical asymmetry reflects the organization of neuromodulation, visceral and
integumental location, gravitational influence on hemi-cavities that are over or under compressed.

There are normal ranges of physiologic, neurologic and physical movement at these horizontal levels or ‘sections ’of the body that correspond to rotational forces that are above or below these ever-changing
regions. Movement of these regions, such as the area between T1 and T8, require concomitant anti-rotational forces above and below T1 and T8, for isolated function that neuromechanically is responsible for nonpatterned outcomes. The Postural Restoration Institute®, relates undesirable functional outcomes to patterned neuro-mechanics that do not isolate one region or section of the body from one below or above it.

-Ron
...

75 0
Some of us were a little rough around the edges but new skills don’t always come easy…….unless your @torinberge 

Happy Holidays from our Clan to yours!

Some of us were a little rough around the edges but new skills don’t always come easy…….unless your @torinberge

Happy Holidays from our Clan to yours!
...

139 12
Advanced Integration Day 2 & 3

A deep dive on triplanar activity of the pelvic and thoracic diaphragms followed by the brachial chains influence on thoracic scapular kinematics and airflow leading to conditions like the superior T4 syndrome and others.

Advanced Integration Day 2 & 3

A deep dive on triplanar activity of the pelvic and thoracic diaphragms followed by the brachial chains influence on thoracic scapular kinematics and airflow leading to conditions like the superior T4 syndrome and others.
...

102 1
Congratulations to the PRC class of 2024!

PRC credentialing is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRC application, and successfully participating in practical and analytical testing. Earlier this week, 7 clinicians earned the designation of Postural Restoration Certified™ (PRC) under the direction of Ron Hruska, Kasey Ratliff, Skip George, and Jennifer Platt.

Back Row: Robert “Skip” George, Yoshi Fujii, Marlyn Bravo, Desiree Parham, Joshua Speckman, Jennifer Platt
Front Row: Ron Hruska, Mayami Oyanagi, Brynn Babb, Saundra Brogan, Kasey Ratliff

The Postural Restoration Institute® established this 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 polvarticular chains of muscles on the human body as defined by the Postural Restoration Institute. The PRC credentialing program is available to physical therapists, physical therapist assistants, occupational therapists, and chiropractors who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing.

Congratulations to the PRC class of 2024!

PRC credentialing is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRC application, and successfully participating in practical and analytical testing. Earlier this week, 7 clinicians earned the designation of Postural Restoration Certified™ (PRC) under the direction of Ron Hruska, Kasey Ratliff, Skip George, and Jennifer Platt.

Back Row: Robert “Skip” George, Yoshi Fujii, Marlyn Bravo, Desiree Parham, Joshua Speckman, Jennifer Platt
Front Row: Ron Hruska, Mayami Oyanagi, Brynn Babb, Saundra Brogan, Kasey Ratliff

The Postural Restoration Institute® established this 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 polvarticular chains of muscles on the human body as defined by the Postural Restoration Institute. The PRC credentialing program is available to physical therapists, physical therapist assistants, occupational therapists, and chiropractors who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing.
...

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Corollaries, Cortical Dominance & Crossing Midline(s)

Advanced Integration Day 1

#AI2024

Corollaries, Cortical Dominance & Crossing Midline(s)

Advanced Integration Day 1

#AI2024
...

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❇️25% off in 2025❇️

Like this post 💜 
&
Comment with the date or location you are most interested in attending next year. 🗓️

TWO people will randomly receive 25% off their next course in 2025!🏷️

#prination

❇️25% off in 2025❇️

Like this post 💜
&
Comment with the date or location you are most interested in attending next year. 🗓️

TWO people will randomly receive 25% off their next course in 2025!🏷️

#prination
...

134 73

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