Advanced Integration

A Comprehensive Overview of PRI Science Integrated in an Advanced Manner

Live Course

Lincoln, Nebraska

"It has been a fantastic four days of relevant information. I enjoyed being in the new space and all of the changes compared to taking AI two years ago. Thank you for another great experience. It’s a gift to be “home”."

See more testimonials below!

Course Information

This four-day advanced lecture and demonstration course is structured so that clinicians will gain an appreciation for the relationship between pathomechanic and behavioral patterns. It is highly advanced and interactive, and reflects PRI concepts covered in the Myokinematic Restoration, Pelvis Restoration and Postural Respiration courses in a system-integrative fashion. Both non-pathologic compensatory and pathologic compensatory issues as they relate to the Left AIC and Right BC pattern will be expored in great detail. Anatomy, examination tests, algorithms, and manual and non-manual respiratory-based techniques will be presented with focus on total body integration of muscle, rather than on individual muscular regions of the body. Participants will be able to immediately apply concepts of synchronous breathing, tri-planar integration and thoracic scapular integration in the treatment and management of typical compensatory and non-compensatory musculoskeletal patterns, and pathologic and non-pathologic curvature of the spine, including intervention with daily occupational demands and challenges. This course enables the participant to advance integration of PRI concepts and principles by taking into consideration all patterned muscles outlined in the PRI Primary Courses.

Prior attendance of Myokinematic Restoration, Pelvis Restoration and Postural Respiration is required. A certificate for 30 contact hours will be awarded to registrants upon completion of the course.

Education Level: Advanced

Instructional Methods: Lecture, demonstration, clinical application, case studies, and Q&A

Live Stream courses will take place from 8am-5pm CT each day, and certificates of completion/CE credit will be awarded the following week after completion of the course evaluation survey and short post-test. For more information on whether your state/organization is approved for CE approval, please click on the "Accreditation" tab below. Live Stream courses will be engaging, interactive and include demonstration of objective testing and/or non-manual techniques, in addition to course attendees being able to ask questions throughout the course. All that’s needed on your end is reliable internet access, a webcam, microphone and speaker (or a smart phone can be used if you do not have a computer or laptop with this capability). The course manual will be shipped directly to you 1-2 weeks before the course. *International registrants will receive access to a digital version of the course manual. In addition, participants will receive access to the recording of the live stream course for 4 weeks to review the material, and re-watch any material that may have been missed due to connection issues. Those who attend in-person during a live streamed course will also receive access to the recording for 4 weeks. Extensions beyond this 4 week review are not available. ***Please note: In order to receive access to the recording for review, you must participate in person on the Live Stream course with your camera on for at least half of the course (15 hours). If you sign up for the course and do not participate in at least 15 hours of the live stream, you will not receive the recording and you will not be refunded. Also, once course manuals have been shipped (or emailed to international attendees), there will be no refunds for cancellations.***

Date	Hosted By	Faculty	Seats	Register
December 7-10, 2023	Live Stream	Ron Hruska	48 Open	Register
December 7-10, 2023	Postural Restoration Institute Lincoln , Nebraska	Ron Hruska	5 Open	Register
December 5-8, 2024	Postural Restoration Institute Lincoln , Nebraska	Ron Hruska	20 Open	Register
December 5-8, 2024	Live Stream	Ron Hruska	100 Open	Register

Recognize the sequential relationship between restored left AF IR and right apical expansion.
Describe how to apply manual techniques, integrating specific reasoning and influences on PRI testing outcomes.
Examine the role of the respiratory system and cycle on frontal and transverse planes of activity.
Outline PRI tri-planar anatomical muscle function and anatomy families.
Identify the influences of thoracic kinetic energy and movement patterns on kinematics of the forward locomotor movement cycle.
Explain human development is impacted by human asymmetry and etiopathogenesis of three dimensional spinal and torso torsional deformity.
Identify how to integrate and facilitate PRI position and pattern concepts in the treatment of idiopathic curvatures of the spine, keeping activity demands, performance patterns, and environmental issues in mind.
Outline how to design an integrative plan, that utilizes PRI concepts, to maximize thoracic, abdomen, and pelvis symmetry and alternation with extremity reciprocal activity in daily living.

Day One: Synchronous Breathing - Sagittal Repositioning of ZOA

7:30am - 8:00am	Registration & Light Breakfast
8:00am - 10:00am	Introduction; Overview of PRI Basic Dynamic (Movement) Concepts
10:00am - 10:15am	Break
10:15am - 12:00pm	Overview of Respiratory Postion and Septal Symmetry
12:00pm - 1:00pm	Lunch (on your own)
1:00pm - 3:00pm	Breathing--Acquiring a ZOA and Posterior Mediastinum Inhibition;Top Integration Concepts
3:00pm - 3:15pm	Break
3:15pm - 4:30pm	Cranial Sagittal Respiration as Related to Temporal, Sphenoid, and Occipital Rotation
4:30pm - 5:00pm	Overview of PRI Polyarticular Chain Relationships and Pathology

Day Two: Triplanar Activity - Frontal and Transverse Integration

7:45am - 8:00am	Sign-In & Light Breakfast
8:00am - 9:00am	Tri-Planar PRI Concepts
9:00am-10:00am	Pelvic and Thoracic Diaphragm
10:00am - 10:15am	Break
10:15am - 12:00pm	Left AIC and Bilateral PEC Pelvis Restoration Clinical Integration
12:00pm - 1:00pm	Lunch (on your own)
1:00pm - 3:00pm	Frontal Plane Assessment; Overview of Adduction and Abduction Concepts
3:00pm - 3:15pm	Break
3:15pm-4:15pm	Integrating PRI 'Families' of Muscle
4:15pm - 5:00pm	Piriformis Syndrome and Ilio-Sacral Joint Dysfunction as Related to Transverse Reciprocal Activity

Day Three: Thoracic Integration - Flexion

7:45am - 8:00am	Sign-In & Light Breakfast
8:00am - 10:00am	Thoracic Scapula Forward Locomotor Movement Kinematics
10:00am - 10:15am	Break
10:15am - 12:00pm	Overview of Posterior Mediastinum Function
12:00pm - 1:00pm	Lunch (on your own)
1:00pm - 2:00pm	Superior T4 Syndrome
2:00pm-3:00pm	BC and Thoracic Scapular Non-Manual Techniques
3:00pm - 3:15pm	Break
3:15pm - 4:00pm	Upright Integrative Techniques
4:00pm - 5:00pm	PRI Considerations forBicipital Tendonitis & Shoulder Impingement

Day Four: Curvature of the Spine

7:45am - 8:00am	Sign-In & Light Breakfast
8:00am - 9:00am	Pattern vs. Position
9:00am - 10:00am	Development of Curvature of the Spine
10:00am - 10:15am	Break
10:15am-11:15am	Adolescent Idiopathic Scoliosis Treatment
11:15pm - 12:00pm	Introduction to Scoliosis for PRI Practitioners
12:00pm - 1:00pm	Lunch (on your own)
1:00pm - 3:00pm	Scoliosis Screening, Curve Classifications, Evaluation and Treatment Focus
3:00pm - 3:15pm	Break
3:15pm-4:30pm	Scoliosis Management
4:30pm - 5:00pm	Alternating Reciprocal Thoracic Rotation

Synchronous Breathing

Bacci I, Richman M. Fibromyalgia: a new paradigm for its origins and treatment. ADVANCE for Physical Therapists and PT Assistants. Dec 3, 2001:31-32.
Barral JP. The thorax. 1991 Eastland Press, Seattle.
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Boyle K, Olinick J, Lewis C. The Value of Blowing Up a Balloon. North American Journal of Sports Physical Therapy (NAJSPT). September 2010;5(3):179-188.
Boynton B, Barnas G, Dadmun J, Fredberg J: Mechanical coupling of the rib cage, abdomen, and diaphragm through their area of apposition. J Appl Physiol 70:3, 1991.
Bradley H, Esformes J. Breathing Pattern Disorders and functional movement. The International Journal of Sports Physical Therapy, Feb 2014, 28-38.
Buchholz I. Breathing, voice, and movement therapy: applications to breathing disorders. Biofeedback and Self Regulation.1994;19 (2): 141-153.
Cassart M, Pettiaux N, Gevenois PA, Paiva M, Estenne M. Effect of chronic hyperinflation on diaphragm length and surface area. Am J Respir Crit Care Med. 1997 Aug;156(2 Pt 1):504-8.
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Estenne M, Derom E, DeTroyer A. Neck and abdominal muscle activity in patients with severe thoracic scoliosis. Am J Respir Crit Care Med. 1998 Aug;158(2):452-7.
Flynn T: The thoracic spine and rib cage. Musculoskeletal evaluation and treatment. Butterworth-Heinemann, Newton, MA. 1996.
Fried R. Breathe well, be well. John Wiley & Sons, Inc. 1999.
Gilbert C. Hyperventilation and the body. Journal of bodywork and movement therapies. July 1998.
Goldman M, Mead J: Mechanical interaction between the diaphragm and the rib cage. J Appl Physiol 35:2, 1973.
Hodges PW, Gandevia SC. Changes is intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol. 2000:89:967-976.
Hodges P, Gandevia S, Richardson C: Contractions of specific abdominal muscles in postural tasks are affected by respiratory maneuvers. J Appl Physiol 83:3, 1997.
Hodges PW, Kaigle Holm A, Holm S, et al. Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies. Spine. 2003:28:2594-2601.
Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine. 1996;21:2640-2650.
Hodges PW, Richardson, CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett. 1999;265:91-94.
Homma I, Hagbarth K. Thixotropy of the ribcage respiratory muscles in normal subjects. Journal of Applied Physiology 89:1753-1758, 2000.
Hruska RJ: Influences of dysfunctional respiratory mechanics on orofacial pain. Dent Clin North Am 41:2, 1997.
Hruska RJ: Management of pelvic-thoracic influences on temporomandibular dysfunction. Ortho Phys Ther Clin North Am 11:2, 2002.
Hutt D, Parisi R, Edelman N, Santiago T. Responses of diaphragm and external oblique muscles to flow-resistive loads during sleep. Am Rev Respir Dis. 1991;144(5): 1107-1111
Izumizaki M, Shibata M, Homma I. Factors contributing to thixotropy of inspiratory muscles. Respiratory Physiology and Neurobiology 140:257-264, 2004.
Kocjan J, Adamek M, et al. Network of breathing. Multifunctional role of the diraphragm: a review. Advances in Respiratory Medicine. 2017;85(4):224-232.
Kolar P, Neuwirth J, et al. Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment. J Appl Physiol. Oct 2010; 109(4):1064-71.
Lando Y, Boiselle PM, Shade D, Furukawa S, Kuzma AM, Travaline JM, Criner GJ. Effect of lung volume reduction surgery on diaphragm length in severe chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1999 Mar;159(3):796-805.
Layachi L, Georges M, et al. Diaphragm pacing failure secondary to deteriorated chest wall mechanics: When a good diaphragm does not suffice to take a good breath in. Respiratory Medicine Case Reports 15 (2015):20-23.
Lomax M, McConnell A. Ispiratory muscle fatigue in swimmers after a single 200 m swim. Journal of Sports Sciences, 2003, 21, 659-664.
Maskill D, Murphy K, Mier A, et al: Motor cortical representation of the diaphragm. J Phys Great Britian 443:119, 1991.
McKenzie DK, Gandevia SC, Gorman RB, Southon, FCG. Dynamic changes in the zone of apposition and diaphragm length during maximal respiratory efforts. Thorax. 1994;49: 634-638
Mead J: Functional significance of the area of apposition of diaphragm to rib cage. Am Rev Respir Dis 11:31, 1979.
Nason L, Walker C, et al. Imaging of the diaphragm: Anatomy and function. Radiographics. 2012;32:E51-70.
Newton A. Breathing in the gravity field. Rolf Lines Fall 1997; 27-33. Available online.
Obayashi et al. Effects of respiratory-muscle exercise on spinal curvature. Journal of Sport Rehabilitation, 2012, 21, 63-68.
Petroll WM, Knight H, Rochester DF: Effect of lower rib cage expansion and diaphragm shortening on the zone of apposition. J Appl Physiol 68:2, 1990.
Priyanka P Ostwal, Wani SK. Breathing patterns in patients with low back pain. Int J Physiother Res. 2014; 2(1):347-53.
Puliti B. Resistive Breathing Influence on Performance. Advance Aug 2007; 13-15.
Reddy V, Sharma S, Cobanoglu A: What dictates the position of the diaphragm – the heart of the liver? J Thorac Cardiovasc Surg 108:4, 1994.
Reid WD, Dechman G: Considerations when testing and training the respiratory muscles. Phys Ther 75:11, 1995.
Valenza MC, et al. The immediate effects of doming of the diaphragm technique in subjects with short hamstring syndrome: a randomized controlled trial. Journal of Sport Rehabilitation. June 2015.
Vostatek P, Novak D, et al. Diaphragm postural function analysis using magnetic resonance imaging. PLOS ONE. 2013;8(3):e56724.
Vleeming A, Mooney V, Dorman T, Snijders C, Stoeckart R. Movement stability and low back pain. The essential role of the pelvis. Churchill Livingstone, 1997.
Wallden, M. The diaphragm – more than an inspired design. Journal of Bodywork and Movement Therapies. 2017 Apr; 21(2):342-349.
Walpin L. Sitting: there is more to it than meets the eye…or seat. Physical Therapy Products. Sept 1996: 64-67.
Wilson R, Legrand A, Gevenois PA, DeTroyer A. Respiratory effects of the external and internal intercostal muscles in humans. Journal of Physiology 530.2:319-330, 2001.

Tri-Planar Activity

Avery AF, O’Sullivan PB, McCallum M J. Evidence of pelvic floor muscle dysfunction in subjects with chronic sacro-iliac joint pain syndrome. Scientific Conference of the IFOMT, Perth, pp.35-38, 2000.
Boyle K. Clinical application of the right sidelying respiratory left adductor pull back exercise. IJSPT 2013;8(3):349-358.
Dandachli W, Islam S et al. The influence of pelvic tilt on acetabular orientation and cover: a three-dimensional computerised tomography analysis. Hip Int. 2013;23(01):87-92.
Henebry A, Gaskill T. The effect of pelvic tilt on radiographic markers of acetabular coverage. AJSM Online PreView. August 27, 2103.
Hodges PW, Cresswell AG, Daggfeldt K, Thorstensson A. Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement. Gait Posture. 2000;11:92-101.
Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther. 2006;86(1):110-121.
Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther. 2006;86(1):110-121.
Macrum E, Bell DR, et al. Effect of limiting ankle-dorsiflexion range of motion on lower extremity kinematics and muscle-activation patterns during a squat. Journal of Sports Rehabilitation. 2012;(21):144-150.
Martin RL, Enseki KR, Draovitch P, Trapuzzano T, Philippon M. Acetabular labral tears of the hip: examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006:36(7):503-515.
Nicholls R. Intra-articular disorders of the hip in athletes. Physical Therapy in Sport, 2004.
Narvani A, Tsiridis E, Tai C, Thomas P. Acetabular labrum and its tears. Review of Br J Sports Med 2003;37:207-211.
Nourbakhsh MR, et al. The effects of pelvic alignment versus hip joint mobility on shoulder internal rotation deficit and torque production – A blinded randomized controlled study. Physical Therapy in Sport. 2018; 34:164-173.
Sahinkanat T, Arıkan DC, et al. Effects of lumbar lordosis and pelvic inlet orientation on the outcome of the transobturator tape sling operation in women. Arch Gynecol Obstet. 2011.
Simoneau G, Hoenig K, Lepley J, Papanek P. Influence of hip position and gender on active hip internal and external rotation. JOSPT 28 (3) Sept 1998.
Tenney HR, Boyle KL, and DeBord A. Influence of hamstring and abdominal muscle activation on a positive ober's test in people with lumbopelvic pain. Physiotherapy Canada. 2013;65(1)4-11.
Zaltz I, Kelly BT, et al. The crossover sign overestimates acetabular retroversion. Clin Orthop Relat Res. 2013;471:2463-2470.

Thoracic-Scapula Integration

DiPanfilo R, Candelaria S, et al. Thoracic mobility and athletic performance. NSCA Coach. Aug 2019;6(2):36-42.
Karimi N, Fathizadeh M, et al. Efficacy of pelvic repositioning exercises on pain, hip and shoulder range of motion and disability of the patients with chronic non-specific low back pain: a single blinded randomized controlled trial. Journal of Rehabilitation Sciences and Research. 2021;8(3):106-114.
Kelly J. Scapular disorders stretch focus of athletic rehabilitation. Biomechanics 2007; 20-27.
Lee D. Biomechanics of the thorax: a clinical model of in vivo function. Journal of Manual and Manipulative Therapy. 1993;1(19).
Massaad F, Levin O, et al. Arm sway holds sway: Locomotor-like modulation of leg reflexes when arms swing in alternation. Neuroscience 258. 2014:34-46.
Morais NV, Pascoal AG. Scapular positioning assessment: Is side-to-side comparison clinically acceptable? Manual Therapy. 2013;18:46-53.
Nordin M, Frankel V. Basic biomechanics of the musculoskeletal system. Second Edition. Lea & Febiger.
Stokes VP, Andersson C, et al. Rotational and translational movement features of the pelvis and thorax during adult human locomation. J Biomech. 1898;22(1):43-50.
Waldron JL, McKenney MA, et al. The use of postural restoration for treatment of chronic rotator cuff pathology: a case report. Int J Sports Phys Ther. 2020 Oct;15(5):832-839.
Winter DA. Energy assessments in pathological gait. Physiotherapy Canada 1978;30:183-191.

Curvature of the Spine

Amat P. Occlusion, orthodontics and posture: are there evidences? The example of scoliosis. J Stomat Occ Med. 2009; 2:2-10.
Burwell RG. Aetiology of idiopathic scoliosis: current concepts. Pediatric Rehabilitation, 2003; 6(3-4):137-170.
Cavdar S. The relation between back shape and torsion in lower limb bones measured by ultrasound in adolescent idiopathic scoliosis. School of Biomedical Sciences Queen’s. Medical Centre, Nottingham, UK.
Doi T, et al. Right thoracic curvature in the normal spine. Journal of Orthopaedic Surgery and Research, 2011;6:4.
Ferguson LW. Adolescent idiopathic scoliosis: The tethered spine III: Is fascial spiral the key? Journal of Bodywork & Movement Therapies. 2017;21:948-971.
Guo X, Chau WW, et al. Balance control in adolescents with idiopathic scoliosis and disturbed somatosensory function. Spine 2006;31(14):E437-440.
Henning, Susan, Mangino, Lisa, Massé, Jean. "Postural Restoration: A Tri-Planar Asymmetrical Framework for Understanding, Assessing, and Treating Scoliosis and Other Spinal Dysfunctions". Innovations in Spinal Deformities and Postural Disorders, edited by Josette Bettany-Saltikov, Sanja Schreiber, IntechOpen, 2017. 10.5772/intechopen.69037.
Herman R, Mixon J, et al. Idiopathic scoliosis and the central nervous system: a motor control problem: the harrington lecture, 1983 scoliosis research society. Spine. Jan/Feb 1985.
Karski T. Biomechanical aetiology of the so-called idiopathic scoliosis (1995 – 2007). New clinical and radiological classification. Rules of new rehabilitation treatment and causal prophylactics. http://www.karski.lublin.pl/en/index.php?str=13
Kado D et al. Vertebral fractures and mortality in older women. Arch Intern Med. June 1999;159:1215-1220.
Kotani T, et al. An analysis of chest wall and diaphragm motions in patients with idiopathic scoliosis using dynamic breathing MRI. Spine 2004, Volume 29(3);298:302.
Kotwicki T, Walczak A, Szulc A. Trunk rotation and hip joint range of motion in adolescent girls with idiopathic scoliosis: does the “dinner plate” turn asymmetrically? Scoliosis. 2008, 3:1.
Kouwenhoven JWM et al. Analysis of preexistent vertebral rotation in the normal spine. Spine 2006; Volume 31(13):1467-1472.
Krengel W & King H. Scoliosis: diagnostic basics and therapeutic choices. Journal of Musculoskeletal Medicine. 1995;12(9): 54-69.
Mergner T and Hlavacka F. Multisensory control of posture. Plenum Press 1995, New York.
Mallau S, Bollini G, et al. Locomotor skills and balance strategies in adolescents idiopathic scoliosis. Spine 2007;32(1):E14-E22.
Mooney V, Brigham A. The role of measured resistance exercises in adolescent scoliosis. Orthopedics Feb 2003;26(2):167-171.
Morivsky Y, Blankstein A, et al. Postural control in patients with severe idiopathic scoliosis: a prospective study. J Pediatr Orthop B 2006;15:168-171.
Obayashi et al. Effects of respiratory-muscle exercise on spinal curvature. Journal of Sport Rehabilitation, 2012, 21, 63-68.
Pope R. The common compensatory pattern: Its origin and relationship to the postural model. AAO Journal, Winter 2003;19-40.
Quinn A. The compensatory pattern, as seen in art and osteopathy. OOA Journal, Summer 2000:59-61.

Lateralization

Porac C and Coren S. Lateral preferences and human behavior. Springer-Verlag New York, 1981.

Licensed Physical Therapists and PT Assistants

Licensed Occupational Therapists and OT Assistants (Classification Codes)

Certified Athletic Trainers

Certified Strength & Conditioning Coaches

Certified Personal Trainers

Licensed Massage Therapists

Other Healthcare and Fitness Professionals
PRI welcomes any licensed healthcare or certified fitness professional to attend our courses. You may be asked to submit your license to practice as a healthcare professional or qualified fitness or strength coach certification (though an organization that is recognized in the United States) to attend PRI courses. Students studying to become a healthcare or fitness professional at an accredited universtity are encouraged to enroll, and may be asked to provide enrollment status and program/degree information. If you have questions about whether you are eligible to complete PRI courses, please contact us. Attendees are responsible for following their state statutes regulating their professional practice. A certificate will be awarded to attendees upon completion of this course or any of the other PRI courses.

International Attendees

Due to known copyright infringement and illegal pirating and distribution of PRI course material in locations across Asia, we are no longer allowing course attendance for PRI home study and live stream courses from several countries in Asia.

Accessible Learning Environments
All participants in Postural Restoration Institute™ (PRI) continuing education courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Participants have the right to request accommodations and the responsibility to provide disability documentation that supports those requests. PRI has the right to establish eligibility guidelines in accordance with both law and policy regarding disability and provide those accommodations that appropriately provide equal access to the programs and activities it sponsors.

A Certificate of Completion for 30 contact hours is awarded to attendees upon the successful completion of this course. Before attending a course, please verify CEU acceptance with your profession’s regulating body.

Physical Therapists and PT Assistants

In the states where PRI is sponsoring courses and where approval through state American Physical Therapy Association (APTA) or licensing agencies is required, PRI will apply for approval for CEUs for Physical Therapists and Physical Therapist Assistants.

The following states accept other state approval and thus would honor this course as an approved course:
Alabama, Arizona, Colorado, Connecticut, Washington DC, Delaware, Georgia, Hawaii, Idaho, Indiana, Iowa, Kentucky, Maine, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont, Virginia, Washington, Wyoming.
Approved by the Texas Board of Physical Therapy Examiners for 30 CCUs. Approved December 7, 2023 - December 7, 2025. Approval #78074TX.
Approved by the New York State Education Department, Office of the Professions. Approval valid February 18, 2022 - February 17, 2025.
Approved by the California Physical Therapy Association for 3.0 CEUs. CPTA#23-381. Approval valid December 7, 2023 - December 7, 2024. *Approval valid only for courses offered in the state of California & live stream courses. If you attend this course outside the state of California, you will need to submit an individual CEU approval application with the CPTA.
Approved by the Illinois Physical Therapy Association for 30 CE Hours. Approval #205-8774. Approval valid January 1, 2023 - January 1, 2024.
Approved by the Illinois Physical Therapy Association for 30 CE Hours.Course Approval #205-9093. Approval valid January 1, 2024 - January 1, 2025.
Approved by the Minnesota Board of Physical Therapy for 15 hours. Course Approval #8234. Approval valid January 1, 2023-December 31, 2023. *Approved for live stream courses only. If you are planning to attend an in-person course, please reach out before the course so we can look into getting approval.*

Occupational Therapists and OT Assistants

The American Occupational Therapy Association (AOTA) recognizes PRI as an Approved Provider of continuing education. AOTA Provider #6596. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA or indicate AOTA approval of a certification or other professional recognition. This course awards 3.0 AOTA CEUs/30 Contact Hours.

Chiropractors

In the states where PRI is sponsoring courses and where approval through state licensing agencies is required, PRI will look into applying for CEUs for Chiropractors (upon request). Requests must be made at least 90 days prior to the course date.

Approved by the Minnesota Board of Chiropractic Examiners for 30 regular units of instruction for 2023 course dates.
Approved by the New York State Education Department, Office of the Professions. Approval valid February 18, 2022 - February 17, 2025.

Athletic Trainers

Postural Restoration Institute (BOC AP# P2376) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 30 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Strength and Conditioning Coaches

Since continuing education courses are not required to have pre-approval through the National Strength and Conditioning Association (NSCA), this course is not currently approved through the NSCA. NSCA certificants interested in completing this course may contact the NSCA to inquire about CEU eligibility.

Massage Therapists

PRI is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Provider number 451877-12. *Approval applies to select live courses only. This live course is approved. **Approval not valid for New York licensed massage therapists.

PRI reserves the right to cancel and refund a course attendee’s registration if any concerns arise regarding the course attendee’s qualifications as a healthcare or fitness professional, copyright infringement, or any other illegal activity involving PRI copyrighted materials. International attendees may be required to review and sign a Copyright and Intellectual Property Recognition and Disclosure Contract prior to receiving access to course materials.

I appreciate how PRI treats all body systems, not just neuro muscular, or musculoskeletal. This was so much more apparent in this Advanced course of how much these manual and nonmanual techniques positively affect so many systems in our bodies - autonomic, circulatory, digestive, etc. Since taking PRI courses and now this one, I feel that nothing is off the table when it comes to getting what my colleagues call "unusual diagnoses". I now feel that there is always something that can be tried to impact the life of a fellow human being seeking my help. | Live Stream, December 2022
This was a great course! I love how all of the primary courses lay the foundation for the integration. You get the whole picture.| Live Stream, December 2022
I am so happy I finally found an institute that integrates the whole body system! No more tunnel vision learning for me. This course was definitely cortically stimulating, and I enjoyed every minute of it. Ron Hruska is definitely a great blessing in creating PRI! Thank you, Ron, the PRI staff, and the PRI speakers during this 4 day course. You all did an exceptional job; and are very knowledgeable of all the concepts. Great course. | Live Stream, December 2021
Well organized and knowledgeable speakers. I would recommend to anyone. | Live Stream, December 2021
The scoliosis section was outstanding! Also, thank you Ron for sharing your manay pearls and perspectives. Your clinical considerations are profound. | Lincoln, Nebraska December 2019
I always looked at courses as a "waste of time" or "level 1 thinking", but PRI is beyond "level 1 thinking". It allows you to look at your athletes & clients as a whole and give them an opportunity to let go of their fear to reach their highest potential. I feel very blessed to have this opportunity and I look foward to getting certified as a PRT one day! | Lincoln, Nebraska December 2019
Great course. This is my 2nd Advanced Integration course and it really helped me fill in some gaps of understanding and illuminate new gaps. Ron and the crew brought new life to similar material. So much more to learn. Love it! | Lincoln, Nebraska December 2019
Thank you so much! It has been a pleasure to be here at the Institute for the first time and also to hear you speak in person, Ron. You have such an impressive combination of confidence and humility and I truly enjoyed participating in this course. | Lincoln, Nebraska December 2019
I love the way this course ties everything together. When I come to these courses, I feel both challenged and energized to go back and apply what I've learned! | Lincoln, Nebraska December 2019
Each time I come to this course, I come away with a wealth of information, new ways of looking at the body and working with the body. | Lincoln, Nebraska December 2018
Best comprehensive presentation and application of finding and treatment involving human triplanar motion I have ever been to. | Lincoln, Nebraska December 2018
Such an amazing course! I truly appreciate the genuine passion of all the speakers. The atmosphere promotes learning and neutrality. I plan to return frequently!!! | Lincoln, Nebraska December 2018
I really enjoyed this course, the material continues to keep me interested to get better and understand more. Thank you! | Lincoln, Nebraska December 2017
It has been a fantastic four days of relevant information. I enjoyed being in the new space and all of the changes compared to taking AI two years ago. Thank you for another great experience. It’s a gift to be “home”. | Lincoln, Nebraska December 2017
This course was powerful! There was so many Ah-ha moments during the four days. I revisited concepts in a more integrated way and can now be a better clinician. | Lincoln, Nebraska, December 2016
This course truly tied everything together for me. I have a true appreciation of the necessity and power of integration. Love the different and new perspectives from the content, speakers and participants. | Lincoln, Nebraska, December 2016
Fantastic course that solidified and integrated all systems of the body in a cohesive manner. | Lincoln, Nebraska, December 2015
Excellent. Best dialogue with multiple speakers and course attendees that I have seen. So glad to get back to this course and plan on "revisiting" others ASAP. | Lincoln, Nebraska, December 2015
Great content, discussion and application of advanced PRI concepts. | Lincoln, Nebraska, December 2015
Awesome, Awesome, Awesome always reminds me the more I learn the more I realize I don’t know – always wanting more. This will enhance my patient outcomes by streamlining care – my understanding of why I’m doing what I’m doing in each exercise is so much better. | Lincoln, Nebraska, December 2014
I feel more confident explaining concepts to patients. I have a better understanding of whole chains from bottom to top and role of changing air into the thoracic chambers to improve activity and movement. | Lincoln, Nebraska, December 2014
Great course. It brought to light some areas of weakness in my P.O.C. progression and hierarchy. | Lincoln, Nebraska, December 2011

I feel like this course pulled PRI principles together for me. | Lincoln, Nebraska, December 2011
An ongoing journey of knowledge and understanding in this amazing science. Oh, what a ride… | Lincoln, Nebraska, December 2011
This course really helped me understand treatment planes and how to pull things together. | Lincoln, Nebraska, December 2011
I am a relative newbie having only started in April. I know I have a long way to go but this course really helped me integrate all I have learned so far. | Lincoln, Nebraska, December 2011
I really look forward to using this material to make my treatments a bit more specific. It reminds me that quality is more important than quantity. | Lincoln, Nebraska, December 2009
Every year the presentation reflects an evolving, expanding, deepening process which is being presented in more simple, more easily understood terms. | Lincoln, Nebraska, December 2009
You are an inspiration! I am sooo excited to be part of this “pioneer” way of understanding movement and becoming an integrated PT:) | Lincoln, Nebraska, December 2005
This course really was very beneficial in tying a lot of loose ends together. Truly an integration course. Thanks! | Lincoln, Nebraska, December 2005
There are extremely few courses / approaches that I feel are absolutely necessary for a PT’s education and professional growth as a clinician. Ron’s courses are an absolute must!!! Without question!!! The only other course that comes close to Ron’s that I got a lot out was that of Vladimir Janda – excellent company!! | Lincoln, Nebraska, December 2005

COURSE REGISTRATION

Registration is limited. Please register early. Courses will be canceled or rescheduled if fewer than 15 participants have registered by the early registration deadline of four weeks prior to the scheduled course date.

Special Needs Requests

If you have a disability and require accommodation in order to fully participate in this course, please contact us at least two weeks prior to the course date so that arrangements can be made.

Course Completion

The course must be attended in full, and an online course evaluation summary and short post-test (with a passing score of 70% or higher) must be completed in order to receive a certificate of completion for 30 CE hours. Certificates of completion will be emailed after the online course evaluation summary and post-test have been completed If you arrive late, or leave early, your certificate of completion will be adjusted for the number of CE hours you were in attendance. *For live stream courses, if you have your camera turned off (or you are not visible on camera) at any time for greater than 15 minutes, this time will be deducted from your total hours on your certificate of completion.

Cancellation and Refund Policy

Tuition is refundable less $50 if cancelled 14 days before the course date. Tuition is not refundable for registrations or cancellations within 14 days of the course. However, you may have someone attend in your place or attend on another date. If you choose to attend on another date, a $50 fee applies to transfer your registration. If you are a no show and we have no communication with you before the course you will forfeit your course tuition. PRI reserves the right to cancel a course and will refund the tuition fee only. *Please note: For Live Stream Courses, once course manuals have been shipped (or emailed to international attendees), there will be no refunds for cancellations.

Course Tuition

2023 Course

Early Registration Fee: $945
(4 or more weeks prior to course)

Late Registration Fee: $995
(within 4 weeks of course)

2024 Course

Early Registration Fee: $970 (in-person) / $1,000 (live stream - manual will be shipped directly to you)

Late Registration Fee: $1,020 (in-person) / $1,050 (live stream - manual will be shipped directly to you)

Please register early. Courses will be canceled or rescheduled if fewer than 15 participants have registered by the early registration deadline of four weeks prior to the scheduled course date.

Discounts

Those who have earned the designation of Postural Restoration Certified (PRC) or Postural Restoration Trained (PRT) are eligible for a 50% discount on the following courses: Myokinematic Restoration, Pelvis Restoration, Postural Respiration, Impingement & Instability, Cervical Revolution and Advanced Integration. Students are eligible for a 25% discount for these above listed courses as well, if they are currently enrolled as a full time student at the time of the course. You may be asked to submit your official course schedule to verify student status.