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COURSE SYSTEM

IMTA offers an eleven week
curriculum (440 hours) of postgraduate courses divided into 4 Modules. IMTA courses provide
the basis for the Orthopaedic Manual Therapy qualification at IFOMT level (International Federation of
Orthopaedic Manipulative Therapists) in several European countries The aim of IMTAs
curriculum is to educate physiotherapists in comprehensive problem-solving and management of patients
with neuromusculoskeletal disorders of the movement system based on the principles of the Maitland
Concept.
During all IMTA courses students assess and treat patients under the supervision of the course
teachers. Practical demonstrations of patient treatment are carried out by the course teachers.
Level 1
4 week introductory course
Conditions of participation:
Physiotherapist or Medical Doctor.
Content includes:
- An introduction to the Maitland Concept of manipulative Physiotherapy within the context of a
bio-psycho-social paradigm, modern clinical reasoning procedures and evidence based practice.
- The analysis, interpretation and specific treatment of movement dysfunctions emphasising peripheral
neurobiological mechanisms.
- Basic skills of manual techniques of examination and treatment of all peripheral and vertebral joints
and of neural structures
- The use of the Maitland Concept in the examination and assessment of patients with neuromusculoskeletal movement disorders and the planning and implementation of a safe and effective
programme of management

Level 2a
2 week intermediate course
Conditions of participation:
IMTA Certificate of Attendance of a Level 1 course.
IMTA recommends a minimum time of 6 months and a maximum of 4
years between the completion of level 1 and beginning level 2a.
Content
includes:
- Consolidation of the contents of the Level 1 course
- In depth knowledge of the Maitland Concept of manipulative Physiotherapy
- Advanced skills of manual techniques of examination and treatment of all peripheral and vertebral
joints including the relevance of functional demonstrations, differentiation testing, vertebral
biomechanics, the use of combined movements and the use of compression
- In depth assessment and management of neurodynamics with the related theoretical knowledge
- The assessment and management of selected clinical syndromes
Level 2b
2 week advanced course
Conditions of participation:
IMTA Certificate of Competence from a Level 2a course or a DVMT 1e certificate.
A minimum of 6 months of clinical experience is recommended between Level 2a and Level 2b.
Content
includes:
- Further consolidation of the contents of the Level 1 and Level 2a courses
- Critical appraisal of the Maitland Concept of manipulative Physiotherapy
- Advanced skills in the examination and treatment of the neuromusculoskeletal system using a problem
orientated approach with the generation and testing of multiple hypotheses
- Vertebral Manipulative thrust techniques (Grade V) including indications and contraindications
- Advanced assessment and management of neurodynamics with related theoretical knowledge and evidence
- Introduction to the principles of dynamic control or stability of the spine
- Advanced understanding and knowledge of neurophysiological pain mechanisms related to clinical
patterns and the implications for assessment and management
- The assessment and management of further selected clinical syndromes
- Advanced Clinical Reasoning
Level 3
3 week advanced course
Conditions of participation:
IMTA Certificate of Attendance from a Level 2b course.
A minimum of 6 months of clinical experience is recommended between Level 2b and Level 3.
Contents
include:
- Further consolidation of Level 1, Level 2a and Level 2b contents
- Advanced pain management and clinical reasoning including secondary prevention, psychosocial
assessment and specific pathobiological risk factors.
- Principles, assessment and treatment of dynamic control impairments of the pelvis, hip and knee
- Assessment and management of craniofacial dysfunction and related pain syndromes
- Assessment and management of selected clinical syndromes including shoulder instability, shoulder
impingement, Lumbar Stenosis, advanced management of, update and revision of cervical instability
- Upgrade, update and revision of vertebral manipulations (high velocity thrusts Grade V)
- Advanced Clinical reasoning and problem solving strategies in patient assessment and management
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