You should refer to your governing practice act, but currently there are no known requirements for certification for PTs performing RUSI in the US. Some provinces in Canada allow for limited use. Certifications for physical therapists do exist through third-party agencies. These are more for the orthopedic and sports medicine therapists evaluating for muscle conditions, none are recognized by the APTA. At present, RUSI training courses are offered through multiple continuing education companies to include Herman & Wallace Pelvic Rehabilitation Institute.