Physical TherapyWestern Health Sciences

Manipulative Physical Therapy

The Advanced Health Care Practice (MClSc) Manipulative Physical Therapy program objectives will be achieved through a 12-month (3 terms) period comprised of two academic courses, two clinical specialty courses, and the following two full-year courses:

Clinical Mentorship (PT9620)

One hundred and fifty hours of clinical mentorship will be completed in a designated clinical placement setting. If there is an appropriate FCAMPT mentor close to the student’s permanent residence, the mentorship can be organized in the student’s locale. If an appropriate mentor is not available near the student’s home, the mentorship will be organized with a FCAMPT mentor in the London region for a one-week block after each 3-week on-site block.

Research Experience (PT9630)

A research experience using methodology taught in PT9600. The course will provide students with the opportunities to critically appraise scientific literature related to manipulative therapy.The research project is performed in a group. It will culminate in a presentation at Research Day in July.

Program Model

Fall Term (Sept. - Dec.)

PT9600: Research Methods and Knowledge

This course is designed to provide participants with an introduction to quantitative research methods including:
  • Basic study design and critical appraisal of studies evaluating the effectiveness of an intervention (randomized trials and observational studies)
  • Validity of a diagnostic test
  • Identification of risk factors for disease development
  • Identification of prognostic factors for disease outcomes
  • The validity of a systematic review

PT9640: Advanced Orthopaedics

This course emphasizes the principles, rationale, effects, and practical application of advanced manual therapy involving the upper and lower quadrants, including:
  • Assessment and treatment, including mobilization, manipulation, and functional exercise
  • Advanced understanding of the influence of distal and proximal tissues, including ergonomics on normal and pathological musculoskeletal states
  • Clinical reasoning with regard to the interrelationship of the normal and abnormal anatomy, biomechanics and dysfunctional states of the upper and lower quadrants

PT9620: Clinical Mentorship
See course description above.

PT9630: Research Experience
See course description above.

On-Campus Residency Period: 3.5 weeks in September

Winter Term (Jan. - April)

PT9610: Advanced Professional Practice (March - May)

This course introduces medical diagnostic testing and pharmacology to the advanced orthopaedic physical therapy practitioner. It will also focus on:

  • Professionalism
  • Critical thinking
  • Clinical reasoning
  • Reflective practice
  • Experiential learning
  • Lifelong learning
  • Development of expertise
  • Leadership within the orthopaedic physical therapy practice

PT9650: Advanced Manipulative Therapy

This course will be a continuation of PT9640 and will teach:
  • The appropriate treatment of spinal, pelvic and costal joint dysfunction by manipulation techniques (emphasis on clinical reasoning and the indications and contraindications for their use)
  • Advanced concepts of musculoskeletal pain management

PT9620: Clinical Mentorship
See course description above.

PT9630: Research Experience
See course description above.

On-Campus Residency Period: 3 weeks in February

Summer Term (May - Aug.)

PT9610: Advanced Professional Practice (Cont'd until June)

PT9620: Clinical Mentorship
Completion of clinical mentorship hours and satisfactory performance on clinical exam (to be scheduled during summer residency period - July).
See course description above.

PT9630: Research Experience
Presentation of results from a supervised research experience at the School of Physical Therapy Research Day (to be scheduled in July each year).
See course description above.

PT9680: Clinical Consolidation

This mandatory course consolidates theoretical knowledge and practical skills covered in PT9640 and PT9650 advanced orthopaedic courses. This course links the advanced orthopaedic courses, the clinical mentoring hours and the critical appraisal of the evidence that students accumulate during the prior academic year with a patient presentation from the student’s clinical caseload. There is also practical examination that tests practical, oral and clinical reasoning skills associated with spinal manipulation.

On-Campus Residency Period: 2 weeks in July

Advanced Standing

Physical therapists who already possess the Advanced Diploma in Manual and Manipulative Therapy will receive advanced standing for PT9620, PT9640 and PT9650. Course requirements will focus on research (PT9600) and advanced professional practice (PT9610). Students with FCAMPT will be required to participate in a research project (PT9630) and participate in the School of Physical Therapy Research Day held in July each year. There are two required residency periods lasting 2-3 days throughout the year:

Progression Requirements

In order for students to progress in the program, the following requirements must be met on an ongoing basis:

  1. Students must attain an overall average of no less than 70% on all required courses in the program and no less than 60% in any one course
    • In the clinical specialty courses which include both written and practical evaluations, students may be required to obtain an overall minimum average of 65% in BOTH the practical and theoretical components of the course in order to pass the course
    • Failure of one or both of these required components will result in a grade of “F” (fail)
    • Grades obtained in team projects/presentations will not be used to calculate minimum requirements for progression
    • Details regarding the requirements for passing a course and marking criteria will be provided in each course outline
  2. Completion of clinical mentorship hours
  3. Passing grade on clinical examination administered during the summer residency period (July)
  4. Completion of the supervised research project (minimum 70% of PT9630 course requirements)
  5. Attendance at mandatory residency periods

Please note:

Residency period dates will be provided for each academic year once they have been determined.

Withdrawal from the program is mandatory for students who have failed any of the progression requirements (see above). Students may appeal to the School Director for relief from the requirement to withdraw.