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MT-1: Essential Peripheral Seminar Full Course

Recommended first course in the MAPS series. MT-1 is an evidence-based introduction to the Maitland-Australian approach to orthopedic manual therapy (OMT), focusing on effective assessment and treatment of neuro-musculoskeletal disorders of the Upper and Lower Limbs.

Participants are presented with peer-reviewed published evidence supporting the mechanical, neurophysiological, immunological, and psychological mechanisms of action of OMT. Evidence from recent Systematic Reviews and RCTs are presented through an online video PowerPoint presentation to illustrate the effectiveness of the approach, and specific conditions that respond to OMT. Course modules include:

  • Lecture Overview and Introduction
  • Mechanisms of Action of OMT
  • Evidence for OMT Effectiveness
  • Maitland Principles
  • Subjective Examination & Physical Examination
  • Clinical Applications: Evidence for techniques, conditions that they treat, and how to incorporate them into clinical practice

The Maitland-Australian approach is extremely patient-centric and focuses upon highly specific subjective & objective physical examination processes. Clinical Reasoning and constant reassessment are taught and emphasized. Methods of assessment and treatment are practiced extensively in lab sessions (53% of total course hours and 95% of the live laboratory). Techniques taught include: active physiological, passive physiological, passive accessory, and combination movements. Both osteokinematic and arthrokinematic movements are incorporated. Psychomotor skill acquisition is ensured by detailed Instructor feedback given directly to each participant throughout the course. “LIVE” patient assessments and treatments are presented where permitted. Regions extensively covered include: Shoulder (Gleno/Humeral, Scapulo/Thoracic, and A/C, S/C Clavicular articulations), Elbow, Wrist, Hand, and Fingers. In the lower limb the Hip, Knee Complex, and the Ankle-Foot-Toes complex, and NAD – Neurodynamic assessment. The bound manual includes detailed step-by-step instructions for each technique with more than 422 photographs. Over 900 references are provided. Required Home Study of approximately 16.5 hours is completed online through MAPS Online Learning.

  • Open to PTs, PTAs*, ATs*, DCs, MDs, DOs, OTs. Enrollment limited. Lab clothes required for all sessions
  • No previous experience with manual therapy required
  • Average overall competency of 70% required for successful completion. The overall grade is comprised of written assignments (35% of overall grade) and laboratory participation (65% overall grade)
  • Full CEUs require 100% direct contact attendance and completion of all Home Study assignments.

*Participants are advised that in accordance with APTA HOD RC 31-01 the material taught in MAPS courses is not intended to be used outside the scope of the participants personal abilities, licensure, or relevant regulations. Furthermore, elements of the seminars are considered Physical Therapy only when performed by or under the direction of a licensed Physical Therapist.

Note: All hands-on laboratories using the California Physical Therapy Association approval will have a student/faculty ratio no higher than 16:1.

Updated 7/10/2023

Upon completion of the course the participant will be able to:

  1. Accurately differentiate between normal and abnormal resistance to passive peripheral movement using accessory & physiological examination techniques. Demonstrate at least one example. PTAs and ATs are limited to using physiological movement examination techniques only, and may not use accessory techniques.
  2. Discriminate between four different grades of passive movement to manage peripheral pathology (Grades I, II, III, and IV as per Maitland). PTAs and ATs may observe all four grades, but are prohibited from performing Grades III and IV.
  3. Accurately apply at least two examples of Maitland’s four grades of passive movement to a participant-selected peripheral region. PTAs and ATs are limited to Grades I & II
  4. Summarize Maitland’s clinical reasoning model, including eight clinical hypothesis categories per M. Jones and D. Rivett.
  5. Apply evidence-based clinical reasoning in the orthopedic manual therapy management of a patient with peripheral pathology. Learner will demonstrate at least once.
  6. Synthesize principles of treating pain and stiffness as per Maitland and other manual P.T.s. Participant will orally defend at least one example.
  7. Accurately defend the most effective orthopedic manual therapy management of a patient with a peripheral disorder based upon clinical assessment and clinical reasoning, rather than theoretical protocols. Learner will demonstrate at least once.
  8. Integrate clinical reasoning skills to recognize movement anomalies in one selected common peripheral orthopedic condition.
  9. Integrate evaluation skills in differential assessment and diagnosis of one selected common peripheral orthopedic condition. Objective applies to PTs, DCs, MDs and DOs only.
  10. Demonstrate the ability to quickly and effectively manage peripheral orthopedic conditions using at least one known manual therapy technique.
  11. Accurately defend at least one modified or newly created effective manual therapy technique for the management of peripheral orthopedic conditions. Participant will demonstrate their modified or newly developed technique at least once.

 Please refer to MT-1 Course Competencies for proficiency participants should be aiming to accomplish after diligent practice of skills learned in MT-1.  Proficiency in the Course Competencies are required for both the MAPS COMT and Orthopedic Manual Therapy Fellowship.

A blended online and live learning platform, in which the initial lecture, pre-course materials and additional home study are provided through MAPS Online Learning, in combination with a two-day live laboratory-based weekend seminar.

Note: Exact time schedule below is subject to change.

Day 1: 7:30am – 5:15pm
Day 2: 8am – 3:45pm (30-minute lunch)

Stephanie Fulton

I really enjoyed the content and delivery of content. I liked the size of the group and felt it was very conducive to learning. I will take another! Loading view.…

J. Messano

I liked it so much I plan to take the next course MT 2 Loading view. Views Navigation Event Views Navigation Summary List Month Day Today Now Now - 10/19/2024…

Zachary Coleman

Great course! I plan on attending future MAPS courses and hope to earn my COMT! Loading view. Views Navigation Event Views Navigation Summary List Month Day Today Now Now -…

Brittany Smart

Hands-on learning/ability to watch a live demonstration and have time to practice new skills. Loading view. Views Navigation Event Views Navigation Summary List Month Day Today Now Now - 10/19/2024…

Devin Charles Sweeney

Instructor assessing REAL patients in front of the class and then explaining his clinical reasoning and discussion the eval and plan of care. It was extremely beneficial to watch Cory…

B. Hayes

“MAPS has transformed my practice to be more efficient and effective. My patients think I am performing magic when I am able to find and treat their pain in ways they have not had before, but really it is a systematic thought process [that] guides me to best treatment.”

M. Sutcliffe Jr

Very detailed and appropriate demonstration and explanation of techniques and reasoning behind them. Very grateful for [course instructor] Michael Gray and our host Belinda McDonnel.

Lindsay Chalmers

The instructor [and course] were great! So nice to learn NEW manual techniques and how they are to be appropriately applied. I look forward to taking more MAPS courses.

Megan Charles

Great techniques to learn and applicable right away to patients. Good structure for critical thinking. Great teacher!

Cole Tomlinson

The hands-on lab portion of the seminar with feedback from instructors and other clinicians. The ability to interact with the speaker and discuss clinical topics as related to techniques taught in the course as well as different variations for different clinical presentations.

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Attention PTAs and ATs Attending MT-1 or MT-2 ATs and PTAs attending any MAPS course specifically agree to identify themselves to the Course Instructor and limit their laboratory practice to the assessment of physiological movement up to but not beyond the first onset of resistance (R1). Thus, as stated in the Course Objectives, PTAs are required to limit their lab practice to only Grades I and II assessment, which are small and large amplitude movements respectively, which occur in the resistance free range prior to R1. Furthermore, PTAs attending any MAPS course specifically agree to limit their laboratory practice to physiological (osteokinematic) movements and refrain from performing accessory (arthrokinematic) movements. The practice of mobilization/manipulation is legally regulated by state Practice acts, and MAPS does not advocate that any practitioners (PT, PTA, AT or others) practice any procedure outside their legal scope of practice.  MAPS course content is not intended for use by ANY participant outside the scope of their license or relevant regulations. PTAs attending this course agree to limit their clinical practice, during and after any MAPS course, to their specific State practice act(s), and to comply with the directions of their supervising Physical Therapist in accordance with APTA HOD RC 31-01.