**6. Conclusion**

The theoretical framework of PRI and its model of innate human asymmetry provides the clinician valuable insight into the development and progression of scoliosis and other spinal dysfunctions. This framework has the potential to redefine how clinicians evaluate and treat these conditions.

It is our experience that early detection and treatment of scoliosis and other postural disorders makes a significant difference to the success of intervention. For instance, a functional disorder resulting from an asymmetrical dominant pattern can more easily be rebalanced than one that has evolved into structural pathology. In the US, the medical approach to juvenile and adolescent scoliosis is commonly "wait and see." The PRI model recommends simple tests of balance and respiration in young people to identify those at risk. Early introduction of exercises to reestablish balanced asymmetry may effectively reduce the need for long-term rehab or surgery.

Patients of all ages and magnitude of spinal deformity can benefit from the PRI approach. Reestablishing neutrality, learning to balance tri-planar muscle activity, and optimizing respiration are among the life-long benefits of working on these exercises. Self-awareness engendered in this process is additionally empowering for many patients.

Clinical results of the application of PRI methodology have been compelling. We would like to encourage research on the many aspects of this new, innovative framework.
