Combined Movement Theory (CMT) Certificate

Start time 2021-03-13 08:30
Finished Time 2021-10-10 18:00
Where Milan (Italy)

Certificate program

The Combined Movement Theory (CMT) Certificate by NOVAVIA Project 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.

Certificate description

Combined Movement Theory is the development of Dr Brian Edward’s “Combined Movements” to rationally incorporate Spinal Manipulation Techniques, Muscle Energy Techniques and new methods of Mobilization.

Dr Brian Edwards was a specialist musculoskeletal Physiotherapist, from Perth Western Australia. When the Western Australian Institute of Technology (later Curtin University of Technology) took over the WA School of Physiotherapy in 1969, Dr Edwards began to teach undergraduate students the skills of manipulation. He was a great instinctive teacher and an exacting task master who demanded a great deal from his students, but gave of himself very freely in return. Through this time, Dr Edwards was instrumental in forming a national specialist interest group, the Manipulative Therapists’ Association (MTA), which over time developed into the Manipulative Therapists’ Association of Australia (MTAA) and in 2000 became Musculoskeletal Physiotherapy Australia (MPA). He represented the MTA in the Canary Islands in 1973 when physiotherapists from around the world gathered to promote manipulative therapy education and to form the International Federation of Orthopaedic Manipulative Therapists (IFOMT).

He was a peer of Geoff Maitland, Greg Grieve, Stanley Paris and Freddy Kaltenborn. Dr Edwards developed Combined Movements, which was a topic included in Maitland’s early books on Vertebral Manual Therapy1.

Edwards (1978) has observed the use of the so called “physiological movements” (Stoddard, 1959) in relation to mobilizing techniques but these have not been done with sufficient assessment relative to range and/or pain: neither have they been done in the standing position nor used in relation to the selection of techniques and positioning. Maitland (1977) refers to “quadrant” positions in relation to upper and lower cervical spine and lumbar spine but these involve only the movements of extension, lateral flexion and rotation. From the above observations, Edwards concluded that there is still some controversy regarding just what does happen when one bends forward, backwards, rotates, or laterally flexes. This particular problem is compounded when one considers that anatomical variations, namely size, effect of ligaments, positioning of nerve roots and pathological changes may alter the mechanical principles.

Edwards stated: ”The one aspect that we can be sure of is, of course, the signs and symptoms. These are there for us to see and to examine and can’t be disputed. It’s also obvious that the coupling, or combination of movements has been demonstrated quite clearly to occur to some degree even if the details remain a little obscure. We must also realize that nearly all of the passive movement procedures we use are, in effect, combining or coupling certain movements. If this is the case then we should endeavour to examine the spine using the concept of combined or coupled movements.”

Dr Brian Edwards was completing the manuscript for his handbook of Combined Movements, when Dr McCarthy intended a series of courses he ran in London, in 1991. Dr Chris McCarthy has been qualified for two years and the courses had a significant impact on his clinical reasoning from then onwards. Twenty years later he was back at the same teaching hospital in London, finalising the manuscript for his book, Combined Movement Theory2, which moved the concept on and updated a new generation in the concept of including combined starting positions into treatment. Dr Chris McCarthy have taught the concept in 15 countries and for 10 different Masters Degree programmes, around the world.

After their first meeting Dr. McCarthy had fruitful conversations with Dr Edwards, especially after publishing an article endorsing combined movements in the clinical reasoning associated with selection and application of manipulative thrust techniques3 in 2001.

In 1992 Dr Edwards was awarded the Order of Australia (OAM) medal for services to Physiotherapy and Aviation and in 1995 was awarded an honorary doctorate by Curtin University. In more recent times he provided advice to Notre Dame University (WA) in helping them set up their physiotherapy undergraduate program, and was made Professor of Physiotherapy. Dr Edwards had retired and was a Tiger Moth pilot and the owner of a very successful, family run vineyard.

The Combined Movement Theory promotes Rational Manual Therapy for Spinal Dysfunction.

To move is to change place, position or posture. Thus, the positions at the initiation and cessation of movement are integral to the analysis of movement. Combined Movement Theory offers the clinician a clinically reasonable model to assess and treat spinal dysfunction, that demonstrates directional sensitivity.

This means that those patients who have pain when moving their spines onto a particular direction, such as when they are putting on their socks, or looking round to reverse the car, will likely respond exceptionally well to this approach. The approach integrates our understanding of the effects of movement on descending pain inhibitory mechanisms and a specific approach to graded exposure to specific movement. A comprehensive understanding of the biomechanics of segmental motion underpins the model and allows for an integration of specific neurophysiological effects within a bio-psycho-social approach to patient centred care.

The Combined Movement Theory (CMT) Certificate by NOVAVIA Project, taught nowadays by Dr Chris McCarthy is a broader bio-psycho-social approach to rational Manual Therapy for Spinal Dysfunction.

The Combined Movement Theory (CMT) Certificate is compounded by 3 Modules (Module A + Module B + Module C) lasting 2 days each in its novel formula framed by Dr Chris McCarthy for NOVAVIA Project.

Description References

  1. Maitland G.D. (1986) Vertebral Manipulation. 5th Edition. Churchill Livingstone. Sydney.
  2. McCarthy CJ (2010) Combined Movement Theory: Rational mobilization and manipulation of the vertebral column. Elsevier Science: Oxford UK ISBN: 978-0-443-06857-7.
  3. McCarthy, C.J. (2001) Spinal manipulative thrust technique using combined movement theory. Manual Therapy. 6:4, 197-204