IMT-2: Advanced Integrative Manual Therapy of the Upper Quadrant

IMT-2 is a 16-hour live course designed to inform and equip participants with effective evaluative and treatment techniques for neuromusculoskeletal dysfunction in the upper quadrant. This 2-day course is a 90% hands-on, lab-based course to ensure adequate personalized instruction during the live portions of the course. Online learning modules will supplement in-class learning with pre-course education foundations and principles.  Class time emphasis will be placed on condition differentiation (cervical vs. thoracic vs. shoulder), including clarifying evaluative pieces and common pattern recognition in addition to multimodal treatment interventions.

Interventions will include advanced/alternative manipulative techniques for the cervical spine, cervicothoracic junction, thoracic spine, ribs, and upper extremity.  In addition, advanced non-thrust and strap assisted mobilization and neuromuscular re-education techniques for each region will be presented with an emphasis on active patient participation and therapeutic exercise prescription.

IMT-2 lays the foundational educational and practical skills components needed for successful participation in IMT-4: Advanced IMT for Complex Cervicothoracic Spinal Conditions and Radiculopathies.

Online Evidence-Based Modules Include:

  1. Advanced clinical reasoning module and identification of biopsychosocial factors influencing patient presentation.
  2. An evidence-based literature review of thrust and non-thrust interventions for the upper quadrant.
  3. Treatment based classification systems and their role in patient treatment.
  4. Differential diagnosis case presentation.
  5. Common practice patterns and an understanding of cervicothoracic hi-lo presentations.
  6. Full upper quadrant examination with differential diagnosis of cervical vs. thoracic vs. shoulder vs. neural container involvement.

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

A 100+ page manual with all lectures and detailed technique descriptions will be provided at the course to participants.

This course is currently being evaluated by the ProCert approval process for continuing education credit.

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. Correctly perform a comprehensive upper quadrant evaluation.
  2. Utilize evaluative screening methods to rule in/rule out the presence of a variety of dysfunction, including neural, articular, and positional.
  3. Correctly perform 6 advanced thrust techniques in the upper quadrant which may include the cervical spine, cervicothoracic junction, thoracic spine, rib articulations, and upper extremity.
  4. Correctly perform 6 advanced non-thrust techniques to the upper quadrant which may include the cervical spine, cervicothoracic junction, thoracic spine, rib articulations, and upper extremity.
  5. With a given a patient presentation, participants will be able to correctly defend a differential diagnosis and initial treatment intervention.
  6. Will be able to appropriately defend placement of a given patient presentation into a treatment-based classification.

Primary Course Developer/Instructor:  

  • Dr. Matthew Grubb, PT, DPT, FAAOMPT

Primary Course Instructors:  

  • Ms. Sarah Hanna, PT, MPT, FAAOMPT
  • Dr. Sean Flannagan, PT, DPT

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.

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) (New Grad Discount: $325; Student Discount: $175)

$455.00 (£350.00) for UK Based Courses (Click here to see current discounts, offerings and to register)
Next UK Course: May 2018


  • 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)