Seminar Description

SMT-4: Certification in Spinal Manipulative Therapy (Cert. SMT): Comprehensive Review & Comprehensive Oral, Practical & Written Examination


Entitles the successful candidate to use the Cert. SMT™ credential--that is, Certification in Spinal Manipulative Therapy™.  This certification recognizes those practitioners (PT, MD or DO) that have demonstrated: 

  1. Safe and competent performance in the delivery of HVLA thrust manipulation procedures in all spinal, pelvic and thorax regions.
  2. An in depth understanding of the rationale for (or against) the use of HVLA thrust manipulation.
  3. An understanding of the empirical evidence surrounding the use of HVLAT manipulation in a variety of neuromusculoskeletal conditions. 
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This is a two-day (15 contact hours) course consisting of:

  1. Review of the biomechanical theory and neurophysiological effects of HVLA thrust manipulation.
  2. Review of the evidence underpinning the practice of HVLA thrust manipulation and its effectiveness (and limitations) in the management of cervicogenic headaches, idiopathic neck pain, whiplash associated disorder, post-partum pelvic pain, sacroiliac joint dysfunction, and facet and rib syndromes of the cervical, thoracic, lumbar and four junctional zones.
  3. Review of the best available evidence on the most effective methods to train strength and endurance of the deep cervical flexors and the lumbar multifidi muscles.
  4. Comprehensive oral, practical and written examination of all materials in all three prerequisite courses (SMT-1, SMT-2, and SMT-3).

Successful candidates must be able to demonstrate mastery in the performance of HVLAT manipulation procedures to the cervical, thoracic, lumbar & pelvic regions, and all four junctional zones; furthermore, they must demonstrate an ability to defend their diagnostic and treatment decisions with sound clinical reasoning and use of the best available empirical evidence.



















































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