Thoraco-Lumbar Spine: Mobilisation & Manipulation (Module C – CMT Certificate)

Instructor/s Chris McCarthy
Dates 22-23 January 2022
Max participants 36
Location Milan, Italy
Certificate / Credits Yes / Yes (16 ECM)
Type of course Theoretical & Practical
Course features
Basato su ricerca ed evidenze
Aspetti teorici
Parti pratiche
2 giorni di formazione di alto livello
Corso in inglese con traduzione in italiano
PhD, PGD Physio, PGD Biomech, PGD Manip Ther., FCSP, FMACP
Dr Chris McCarthy is a Consultant Physiotherapist at The Manchester Movement Unit, Manchester School of Physiotherapy. After qualifying as a Physiotherapist in 1989 he undertook post-graduate...
Course module
  • 9:00AM-9:15AM

    Participants registration

  • 9:15AM-9:30AM

    Introduction - Justifications for this approach

  • 9:30AM-9:45AM

    Principles - Concept of Treatment Dose. Indications.

  • 9:45AM-10:00AM

    Assessment principles - Prime Movement,Prime Combination, Regular Pattern, Irregular Pattern.

  • 10:00AM-10:45AM

    Treatment Selection / progression - Severe,Inflammatory Nature.

  • 10:45AM-11:00AM

    Coffee break

  • 11:00AM-11:30AM

    Examination & Treatment

  • 11:30AM-12:00PM

    Active Movements

  • 12:00PM-12:45PM


  • 12:45PM-1:30PM


  • 1:30PM-2:45PM

    Passive Movement - Physiological movement & Accessory movement

  • 2:45PM-3:45PM

    Sacroiliac Joint Patterns

  • 3:45PM-4:00PM

    Coffee break

  • 4:00PM-4:30PM

    Home Treatment Approaches

  • 4:30PM-5:00PM

    Group Discussion of case studies

  • 5:00PM-5:30PM

    Review of key themes of the day

  • 5:30PM


  • 9:00AM-10:15AM

    Introduction - Manipulation – what is it really and why consider it.

  • 10:15AM-10:30AM

    Coffee break

  • 10:30AM-12:15PM

    Mid range Manipulation Techniques - Upper Thoracic,Mid Thoracic and Low Thoracic

  • 12:15pM-1:00PM


  • 1:00PM-3:15PM

    Practical - Muscle Tecniques

  • 3:15PM-3:30PM

    Coffee break

  • 3:30PM-4:00PM

    Muscle Tecniques (METs)

  • 4:00PM-4:15PM

    Review of key themes of the two days

  • 4:15PM-4:30PM

    Home Treatment Programme

  • 4:30PM-5:00PM

    Integration of Cervical Manual Therapy into a Biopsychosocial Educational Model

  • 5:00PM-5:15PM

    End of the module

A module part of a Certificate

This single module is part of a broader Certificate, the Combined Movement Theory (CMT) Certificate by NOVAVIA Project, that is organised in 3 modules lasting 2 days each, for a total of 48 ECM credits:

Check out all the modules’ editions of the Combined Movement Theory (CMT) Certificate - scroll down to find dates and locations details.

Only attending all the program’s modules will lead to receive the Combined Movement Theory (CMT) Certificate by NOVAVIA Project.

Module Outline and Style of Teaching

Introduction to CMT (Lecture format)

The module begins with a formal lecture encouraging interactive discussion regarding the effects, effectiveness and applicability of CMT. The lecture introduces the evidence on effectiveness of CMT in light of the evidence of its effects. This approach allows participants to interpret the strengths and weaknesses of the available literature in the field. During this lecture the importance of developing clinical reasoning is highlighted and discussion of the issues encouraged.

Introduction to Examination Principles

Participants are given a case presentation and interactively develop an approach to examination. Basing the practical examination on a clinical presentation facilitates the reasoning behind the structure of the differential examination and emphasizes the flexibility of the approach. Practical techniques that will be explored will include, Soft tissue palpation of the thoraco-lumbar spine, muscle energy techniques with discussion of the applied anatomy. Combined PPIVM’s and PAIVMS and discussion of the validity of the appreciation of “end feel”.

The progressive development of combined starting positions

Participants will be guided through a process of developing skill in appreciating the feel of progressively more combined and complex starting positions for treatment. An understanding of the underlying structures being placed under tension will be emphasized throughout this process.

Development of the ability to judge the suitability of manipulation

Lecture on the evidence base for thoracic and lumbar manipulative thrust techniques. A rational discussion of the risks and benefits of mobilization and manipulation will be undertaken. Participants will be asked to discuss their views on the use of manipulation and end of range mobilization techniques.

Discussion of the reasoning behind starting positions and the progression and regression of treatment

Participants are presented with case presentations and in small groups reason the starting positions for treatment and the progression and regression of a treatment programme. Included in this are discussions on home exercise procedures.

Summative discussion collating / reiterating and synthesizing what has been covered in the day

Group discussion is encouraged to ensure that the key themes of the day are reiterated and that participants feel confident to utilise the principles of the CMT approach into their clinical practice.

Module Aims

  1. An Exploration of the Combined Movement Approach

This module aims to provide participants with an opportunity to explore the treatment of spinal dysfunction using the Combined movement concept of treatment advocated by Dr Brian Edwards. This concept offers participants a rational way to select patient presentations suited to this method of treatment and a clinically reasonable way of incorporating manipulative thrust and end of range mobilization techniques into a passive movement treatment approach. The philosophy of the course is to facilitate the learning of participants by encouraging self directed exploration of the issues and avoidance of a didactic teaching style.


  1. Selection of Type and Position of Treatment

This module does not set out to provide participants with a handful of techniques rather encourages participants to develop skills in the selection of mobilisation techniques in the appropriate clinical scenarios. An important tenant of this course is the emphasis on CMT being a component of a holistic approach to spinal dysfunction and not that this approach is the panacea to all spinal pain.


  1. The Development of Practical Handling Ability

The module contains a large component of practical skill development however this element is grounded in the theoretical background of analytical assessment, validity of technique and risk /benefit. Before participants begin palpating the rational behind techniques are discussed.

  1. Development of Clinical Reasoning Skills

Participants will know when, where and how to achieve the benefits of effective mobilisation and manipulation. More importantly they will know why they would consider this approach and what they should expect from it.

Learning Objectives

  1. Clinically reason what patient presentation type should be suited to the CMT approach.
  2. Have developed the skills to determine primary movement patterns suggesting source structures and corresponding starting positions for treatment.
  3. Developed skill in palpating the cervical spine, particularly anteriorly. The participant will be able to palpate muscle spasm and passive joint restriction.
  4. Clinically reason the decision of when to mobilise and when to manipulate a spinal joint.
  5. Clinically reason the use of isometric and isotonic, spinal muscle contraction techniques.
  6. Appreciate the complexities of the issues surrounding pre-manipulative screening and the risk/benefits of end of range mobilisation and SMTT’s.
  7. Appreciate the evidence base behind mobilisation and manipulation in the treatment of spinal dysfunction.
  8. Appreciate the evidence and application of muscle contractions to reduce pain.
  9. Clinically reason progression and regression of treatment and be conversant with the notation of treatment.

Registration fee

REGISTRATION for the full Combined Movement Theory (CMT) Certificate:

  • Registration fee (early booking)* € 959 + VAT 22% - until October 30th, 2021
  • Registration fee* € 1085,00 + VAT 22%  starting from October 31st, 2021

If you prefer paying in installments:

  • Registration fee (early booking IN INSTALLMENTS)*  until October 30th, 2021: deposit of € 238 + VAT 22%, 1st installment of € 400,00 + VAT 22% within 20 days before the 1st module of the Certificate, 2nd installment of € 300,00 + VAT 22% within 20 days before the 3rd module of the Certificate.
  • Registration fee IN INSTALLMENTS*  starting from October 31st, 2021: deposit of € 295 + VAT 22%, 1st installment of € 447,00 + VAT 22%  within 20 days before the 1st module of the Certificate, 2nd installment of € 370,00 + VAT 22% within 20 days before the 3rd module of the Certificate.

It's already possible registering for the Thoraco-Lumbar Spine: Mobilisation & Manipulation (Module C – CMT Certificate) only:

  • Registration fee (early booking)* € 370,00 + VAT 22% - until October 30th, 2021
  • Registration fee € 420,00 + VAT 22% - starting from October 31st, 2021
  • -10% for members of our partners

*The aforementioned promo cannot be combined with the other ongoing discounts such as:
"10% discount fee for members of PARTNERS’ organizations”