IOMT-3: IOMT of the Lower Quadrant

IOMT-3 is a 16-hour live course designed to inform and equip participants with effective evaluative and treatment techniques for neuromusculoskeletal dysfunction in the lower quadrant. This 2-day course is 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 offerings.  Class time emphasis will be placed on condition differentiation (lumbar vs. hip vs. SIJ) including clarifying evaluative pieces and common pattern recognition, in addition to multimodal treatment interventions.

Interventions will include advanced/alternative manipulative techniques for the thoracolumbar junction, lumbar spine, lumbosacral junction, SIJ, and hip regions.   In addition, advanced non-thrust/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.


IOMT-3 lays the foundational educational and practical skill components needed for IOMT-5: Advanced IMT for Complex Lumbopelvic Spine & Radiculopathies course.

Online Evidence-Based Modules include:

  1. Full lower quadrant examination with differential diagnosis of lumbar spine vs. hip vs. SIJ vs. neural container involvement.
  2. Common clinical presentation patterns and an understanding of lumbar “hi-low” syndrome.
  3. An evidence-informed literature review of thrust and non-thrust interventions for the lower quadrant.
  4. Treatment based classification systems and their role in patient treatment.
  5. Differential diagnostic clinical case presentations.
  6. Advanced clinical reasoning model and identification of biopsychosocial factors influencing patient presentation.

*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. Perform a comprehensive lower quadrant evaluation.
  2. Utilize evaluative screening methods to rule in/rule out the presence of a variety of dysfunction biased patterns including neural, articular, and positional.
  3. Correctly perform 6 advanced thrust techniques in the lower quadrant to include the thoracolumbar junction, lumbar spine, lumbosacral junction, SIJ, and hip regions.
  4. Correctly perform 6 advanced non-thrust techniques to the lower quadrant which may include the thoracolumbar junction, lumbar spine, lumbosacral junction, SIJ, and hip regions.
  5. Given a clinical patient presentation, participants will be able to clinically develop a working differential diagnosis and initial treatment intervention.
  6. Will be able to appropriately rationalize placement of a given patient presentation into a treatment-based classification.

Primary Course Developer/Instructor:  

  • Dr. Matthew Grubb, PT, DPT, MS, FAAOMPT, ATC, CSCS

Course Instructors:  

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

PREREQUISITES: Must be a licensed PT, MD, DO, NMD, ATC or a student enrolled in a PT, MD, DO, NMD, or AT program. Please bring proof of licensure or student ID to class.

*All MD, DO, NMD, PT, and AT students are eligible to attend.

*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 the 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)