IMT-1: Integrative Manipulative Therapy of the Spine

This 18-hour course will be supplemented with online modules strategically developed to maximize use of the 2-day live portion which will be 90% hands-on.  IMT-1 lays down the foundational elements of clinical reasoning, pattern recognition, and motor skill acquisition needed to effectively assess and incorporate spinal manipulation immediately into clinical practice. Participants will have the confidence, knowledge, and ability to effectively identify those that would benefit from manipulative therapy, as well as effectively and safely perform manipulative techniques to all regions of the spine, including upper cervical, mid/lower cervical, cervicothoracic junction, thoracic spine, ribs, thoracolumbar junction, and lumbar spine.  Alternative approaches for the smaller clinician will be presented to ensure success is not limited by body size.  In addition, participants will be introduced to complimentary non-thrust techniques for the management of patients with neurogenic presentations including radiculopathies.  This course is designed to equip the practitioner with an advanced yet practical skill set for management of all patient types.

Online Evidence-Based Modules Include:

  1. Indications and Contraindications for Manipulative & Manual Therapy.
  2. Vascular Considerations in Manual Therapy.
  3. When to Manipulate – What Does the Literature Say?
  4. Introduction to Graded Mobilization and Involved Segment Identification.
  5. Neurophysiological & Mechanical Theoretical Mechanisms of Manual Therapy.
  6. Effective & Efficient Neurological Screening for Manual Therapists.

*Online modules include built-in assessments.  Participants must pass with a score of 75% or better to qualify for certification.*

A full course manual with all lectures and detailed technique descriptions will be provided to participants.

This course has been approved for 17 CCUs by ProCert, a Federation of State Boards of Physical Therapy program.

This course will set you apart from your competition. It is designed with the private practice practitioner in mind. Become the go-to provider in your community that everyone is talking about when it comes to back pain, cervicogenic headaches, and MSK conditions.


By the end of this course participants will be able to:

  1. List 5 indications to performing thrust manipulation in a given patient population.
  2. List 5 contraindications to performing thrust manipulation in a given patient population.
  3. List the top 5 signs of cervical artery dissection in progress.
  4. Correctly identify 3 unique elements of a beginner, novice, and expert clinician.
  5. Correctly defend 2 examples of a functional, an active and a passive comparable in a given patient scenario.
  6. Correctly justify the use of thrust manipulation in a given patient presentation.
  7. Safely demonstrate 2 thrust manipulation techniques each for the cervical, thoracic, lumbar and costovertebral regions.
  8. Safely demonstrate 1 thrust manipulation technique of the junctional regions of the upper cervical region, cervicothoracic junction, thoracolumbar junction and SI joint.

Primary Course Developer/Instructor:  

  • Dr. Sean Flannagan, PT, DPT

Primary Course Instructors:  

  • Ms. Sarah Hanna, PT, MPT, FAAOMPT
  • Dr. Matt Grubb, PT, DPT, FAAOMPT

PREREQUISITES: Licensed PT, MD, DO or NMD or a student enrolled in a PT, MD, DO or NMD program. Please bring proof of licensure or student ID to class.

*All MD, DO and NMD students are eligible to attend. PT students must be in their 2nd or 3rd year of study or attend with a Professor, CI, or PT mentor.

*To qualify for the Clinical Instructor rate you must be APTA Credentialed and provide the name of the school you primarily mentor for.

*To qualify for new graduate rate, you must have graduated within the last 24 months of the date of the course.

Certified for 17 CCU's by FSBPT

Only $31.00 a unit! You cannot find a better ROI when it comes to expert manipulation training!

Internationally, the following practitioners may attend our courses:

  • Physiotherapists / Student Physiotherapists
  • Osteopaths / Student Osteopaths
  • Sports & Remedial Massage Therapists
  • Sports Therapists / Student Sports Therapists


$525.00 for US Based Courses (Click here to see current discounts, offerings and to register. Early Bird Rate goes away 3.5 weeks prior to the course start date.)

£300.00 for UK Based Courses (Click here to see current discounts, offerings and to register. Early Bird Rate is £50 off.)


  • Class Schedule:

    • 8 – 5 each day  (NOTE:  UK courses run from 9 am – 5 pm)
    • Registration:  7:30 – 8:00 Day #1  (NOTE:  UK course registration starts at 8:30 Day #1)

Recommended Book: Handbook of Osteopathic Technique

”The MPTA is pleased to highly recommend Professor Laurie Hartman’s text “Handbook of Osteopathic Techniques” and accompanying DVD series.  Professor Hartman is a pioneer in the areas of spinal manipulation and orthopedic manual therapy and has had a significant impact on our technique development.  These are valuable resources that would benefit both beginning and seasoned clinicians.  The MPTA would strongly recommend anyone who is able to take Professor Hartman’s course offerings should the opportunity present.”  Click here for more information.