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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Type

Keitaro Abe

Postural Restoration Certified

Yoshikatsu Abe

Postural Restoration Trained

Kasey Aikin Ratliff

Postural Restoration Certified

Brent Albrecht

Postural Restoration Trained

Christie Amundson

Postural Restoration Certified

Bridget Anderson

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 Postural Restoration® 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 are 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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Our Community

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“Let’s take an outside-in approach and get the pelvis in the right biomechanical position first, before we treat a Pelvic Floor”

-Lori Thomsen

Pelvis Restoration Live Stream last weekend!

“Let’s take an outside-in approach and get the pelvis in the right biomechanical position first, before we treat a Pelvic Floor”

-Lori Thomsen

Pelvis Restoration Live Stream last weekend!
...

327 9
Torsions of our cranial system reflect “over sensed”cortical awareness of patterned, anti-gravitational, structural sites, that facilitate dysfunctional autonomic behavior. 

My multidisciplinary research and clinical experience supports the common occurrence of right occipital-atlas compression and left anterior lateral over referenced dental occlusion.

-Ron

Torsions of our cranial system reflect “over sensed”cortical awareness of patterned, anti-gravitational, structural sites, that facilitate dysfunctional autonomic behavior.

My multidisciplinary research and clinical experience supports the common occurrence of right occipital-atlas compression and left anterior lateral over referenced dental occlusion.

-Ron
...

342 26
Your sense of the “middle” is manipulated by your autonomic nervous system without you ever knowing it. 

This convergence, compression, constriction……..has to be consciously considered in order to regulate any autonomic function.

Cranial Resolution
Live Stream
March 22-23, 2024
Jennifer Smart

Your sense of the “middle” is manipulated by your autonomic nervous system without you ever knowing it.

This convergence, compression, constriction……..has to be consciously considered in order to regulate any autonomic function.

Cranial Resolution
Live Stream
March 22-23, 2024
Jennifer Smart
...

130 9
You live in a DOMINANT pattern! You use it all day, every day. To survive. There are many adaptations to this pattern that stray from the norm…….

But underneath them all is a #LAIC at some point!

Sometimes it’s nice to get out of it,

You might want to try it (alternation) more often!

Myokinematic Restoration
March 8-9, 2024
@jmillermtpt 👏 
#prination

You live in a DOMINANT pattern! You use it all day, every day. To survive. There are many adaptations to this pattern that stray from the norm…….

But underneath them all is a #LAIC at some point!

Sometimes it’s nice to get out of it,

You might want to try it (alternation) more often!

Myokinematic Restoration
March 8-9, 2024
@jmillermtpt 👏
#prination
...

160 4
Forces are literally pulling you towards your midline at this very moment…..what strategies will you rely on to expand?

Unless you include sympathetics, no external or intra-oral device will be able to synchronize those forces allowing freedom at the neck or the body below for long!

Thanks to all the dental teams and integrative movement providers who joined us last weekend for Occlusal Cervical Restoration!

Forces are literally pulling you towards your midline at this very moment…..what strategies will you rely on to expand?

Unless you include sympathetics, no external or intra-oral device will be able to synchronize those forces allowing freedom at the neck or the body below for long!

Thanks to all the dental teams and integrative movement providers who joined us last weekend for Occlusal Cervical Restoration!
...

176 10
TBT to the time we turned the course room into a Dohyō!

Already missing our Sumo stars from Japan!

TBT to the time we turned the course room into a Dohyō!

Already missing our Sumo stars from Japan!
...

176 14
Respect the Neck!

This may be the best summary of our weekend exploring the R TMCC patterning as it relates to Occipital Atlanto Joint Function, Temporal positioning, Cranial Left Sidebending, Cranial Right Torsions and an introduction to Occlusal interferences. 

Cervical testing was practiced along with recommended manual and non-manual technique interventions to restore 30 degrees of cervical lordosis and normal triplanar cervical mobility.

Cervical Revolution 
Lincoln - Live Stream
#prination
@postrestinstjp

Respect the Neck!

This may be the best summary of our weekend exploring the R TMCC patterning as it relates to Occipital Atlanto Joint Function, Temporal positioning, Cranial Left Sidebending, Cranial Right Torsions and an introduction to Occlusal interferences.

Cervical testing was practiced along with recommended manual and non-manual technique interventions to restore 30 degrees of cervical lordosis and normal triplanar cervical mobility.

Cervical Revolution
Lincoln - Live Stream
#prination
@postrestinstjp
...

137 0
“Fun is the first word to describe my weekend teaching Pelvis Restoration this past weekend in Phoenix, Arizona. 

This class of health practitioners were engaged all weekend. They asked questions! This was so fantastic as the Pelvis Restoration Course has a lot of material and can be dense. The questions made me excited, energized, and enthusiastic. Nearly half of the course attendees were attending their first PRI course, and many were attending their 2nd or 3rd. 

The feedback of going into the details of the pelvic inlet and outlet and understanding the position of joints and muscles made for a better understanding of the PRI tests and progression of treatment. I also felt the class understood how airflow and positioning of the pelvis can affect internal pressure management to assist with low back, Si, and hip tension/pain and PF dysfunctions. 

Thank you, @aleenakanner, for being a wonderful Lab Assistant. Thank you, Erin, Carly, and Kathleen with @spoonerpt for hosting. You guys were amazing.”

-Lori Thomsen

“Fun is the first word to describe my weekend teaching Pelvis Restoration this past weekend in Phoenix, Arizona.

This class of health practitioners were engaged all weekend. They asked questions! This was so fantastic as the Pelvis Restoration Course has a lot of material and can be dense. The questions made me excited, energized, and enthusiastic. Nearly half of the course attendees were attending their first PRI course, and many were attending their 2nd or 3rd.

The feedback of going into the details of the pelvic inlet and outlet and understanding the position of joints and muscles made for a better understanding of the PRI tests and progression of treatment. I also felt the class understood how airflow and positioning of the pelvis can affect internal pressure management to assist with low back, Si, and hip tension/pain and PF dysfunctions.

Thank you, @aleenakanner, for being a wonderful Lab Assistant. Thank you, Erin, Carly, and Kathleen with @spoonerpt for hosting. You guys were amazing.”

-Lori Thomsen
...

198 6
Had a fantastic weekend introducing asymmetry and the hemispheric human patterning to many PT students and APTA PT members at the Combined Sections Meeting in Boston!

Our PRI Providers in Boston are committed to sharing their passion as well, and we are so thankful for their insights and the support they offer in their communities and ours!

If you find yourself struggling to navigate the waters of PRI consider reaching out to a seasoned sailor who has been steering their ship a little longer than you. Our provider map is a great navigational guide to the nearest harbor!

Happy Sailing! 
#prination

Had a fantastic weekend introducing asymmetry and the hemispheric human patterning to many PT students and APTA PT members at the Combined Sections Meeting in Boston!

Our PRI Providers in Boston are committed to sharing their passion as well, and we are so thankful for their insights and the support they offer in their communities and ours!

If you find yourself struggling to navigate the waters of PRI consider reaching out to a seasoned sailor who has been steering their ship a little longer than you. Our provider map is a great navigational guide to the nearest harbor!

Happy Sailing!
#prination
...

58 6
Summit Speaker Introduction: Donna Behr, MPT, MS, PRC
@donnabehr_pt_pri_pilates 

“Highlights of Clinical Integration Between Postural Restoration® and Integrative Breathing Therapy Treatment Approaches”

See you on April 25-26th!
#prination

Summit Speaker Introduction: Donna Behr, MPT, MS, PRC
@donnabehr_pt_pri_pilates

“Highlights of Clinical Integration Between Postural Restoration® and Integrative Breathing Therapy Treatment Approaches”

See you on April 25-26th!
#prination
...

105 7
We dove into Dynamic Respiration considerations while expanding our mindset regarding rib rotation, abdominal activation, exhalation, extension, cervical considerations, objective AIC, BC and PEC testing and so many powerful technique positions, to start a repositioning program!

Thanks to everyone who traveled to Lincoln and all those online who contributed to this 2-day conversation!

About 90% of this group was new to PRI and hopefully left with new techniques and tools to try out in their clinics and gym spaces today! 

#prination
@robertskipgeorge

We dove into Dynamic Respiration considerations while expanding our mindset regarding rib rotation, abdominal activation, exhalation, extension, cervical considerations, objective AIC, BC and PEC testing and so many powerful technique positions, to start a repositioning program!

Thanks to everyone who traveled to Lincoln and all those online who contributed to this 2-day conversation!

About 90% of this group was new to PRI and hopefully left with new techniques and tools to try out in their clinics and gym spaces today!

#prination
@robertskipgeorge
...

134 0
Summit Speaker Introduction: Robert “Skip” George
@robertskipgeorge 

“Psychosis or Neurosis: Two PRI Case Studies”

PRI Interdisciplinary Studies Summit
April 25-26th
#prination

Summit Speaker Introduction: Robert “Skip” George
@robertskipgeorge

“Psychosis or Neurosis: Two PRI Case Studies”

PRI Interdisciplinary Studies Summit
April 25-26th
#prination
...

88 4

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