Health from inside-out



Low Pressure Fitness (LPF) is a unique and comprehensive training system inspired by the Hypopressives technique. It combines postural and respiratory exercises, my-ofascial stretching, and dynamic neural mobilization. This body re-education targets and restores the core and pelvic floor muscles.

LPF's International Certification offers professional courses for individuals, clinicians, fitness, movement, and bodywork professionals in collaboration with LPF USA


A hypopressive or abdominal vacuum is often used while performing the technical poses and movements within Low Pressure Fitness, creating reduced pressure throughout the abdomen and pelvic girdle.


Let me explain you the difference , Hypopressives is a word that means reduce pressure

The use of the "vacuum" technique, the hypopressives , has dated back to ancient practice of yoga and pranayama, it is known as Uddiyana Bhanda (means Lift-up)  performed for abdominal massage and energy benefits.

 In the early days of body building the stomach vacuum was used to accentuate the waistline and physique .

 During the 1980s in Europe, Dr. Marcel Caufriez started researching the use of hypopressives for women to help improve pelvic floor dysfunction such as pelvic organ prolapse. 

By 2006, Dr. Tamara Rial and Piti Pinsach, began researching and developing a comprehensive exercise, fascial approach, and postural training system built on the hypopressive techniques, and by 2014, a revolutionary movement system... Low Pressure Fitness was created. 

LPF is the name of the training system that use the hypopressives technique

The goal was to create a mind-body-breathwork practice and routine that was easily accessible for the general public to help improve pelvic floor dysfunction and combat some of the negative effects traditional sports can cause.

Low Pressure Fitness continues to grow, evolve and train fitness professionals from around the world. What started in Spain has now grown to become an Internationally recognized training system, with over 10,000 trainers representing health and fitness professions. With increased awareness, the prevalence of Pelvic Floor dysfunction (according to the NIH, 1 in 3 women experience some form of pelvic floor dysfunction), and education availability more practitioners including Pelvic Health Physical Therapists are incorporating the techniques into their treatment plans. 

Low Pressure Fitness, continues to be on the pulse of hypopressives and fascial research, consistently updating, developing and mentoring its master coaches and instructors to offer the highest quality of instructor and training. Learn from the experts and original in hypopressives training. To become Low Pressure Fitness certified, you need to complete all 3 levels of training, student teaching as well as take a competency exam.


Postpartum Rehab
Retrain your core muscles after having a baby and heal a Diastasis Recti (abdominal muscle separation)

Pelvic Organ Prolapse
Symptoms of POP can be improved with this revolutionary system to lift the organs, decongest the pelvis and adapt to rises of Intra-abdominal pressure.

Prevent Leakage
Helps those with urinary incontinence (uncontrollable leakage) and other forms of Pelvic Floor Dysfunction

Slim the Waistline
Coordinate the abdominal wall and train the inner muscular corset to flatten the belly.

Athletic Performance
Enhance breathing and balance over and undertrained muscles that can occur with focused sport training.

Sexual Dysfunction
Improve certain types of sexual dysfunction by improving pelvic muscle tone, pain and nervous system state.


Tamara Rial

Dr. Tamara Rial is creator and co-founder of Low Pressure Fitness. Tamara developed LPF as part of her dissertation project over 15 years ago and since has grown LPF to be an award winning international exercise program with over 8,000 trained health and fitness professionals. She is an avid researcher and the leading international authority on hypopressive exercise. She is an internationally recognized speaker and has lectured on topics within the scope of hypopressive exercise, fascial system and biomechanics. She currently holds a professor position at Monmouth University in West Long Branch, NJ. Tamara continues to evolve LPF with new courses, research, collaborations, mentoring and teaching our LPF specialization courses for LPF USA.

Alexa Marine
Pedagogue, Fitness specialist,

Director at LPF UK and  and Master Coach Alexa Marin has devoted her career to educating the fitness industry. Specializing in various movement disciplines she focuses on corrective exercise and breathing techniques to minimize injury risks and enhance overall well-being.
Empowering mothers to recover their bodies after childbirth and helping athletes maximize their athletic performance 
I first learned Low Pressure Fitness more than a decade ago and started teaching professional LPF Courses with Tamara Rial and Pity Pinsach back in 2020 And along with Becky Keller LPF USA ,we made an amazing team employing a unique hybrid teaching model (in person/online).
Passionate about teaching professional courses on LPF I certifies fitness and health professionals in English,Italian and Spanish

Becky Keller

I have been a Physical Therapist for over 20 years, and spent the last 10 years specializing in Pelvic Health. I am an educator, motivator, fitness fanatic, and huge advocate for pelvic health. I took my first Low Pressure Fitness Hypopressives class in 2016, became certified in 2018, and have been teaching professional courses of LPF internationally since 2020. I mentor and support the progression of LPF here in the United States and our English speaking LPF trainers. I am extremely passionate about empowering my clients to overcome the wide range of pelvic floor dysfunction including urinary incontinence, Pelvic organ Prolapse, Pelvic pain, and post natal rehab.

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