Spinal Manipulation (MT6)

Spinal Manipulation (MT6)
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Spinal Manipulation (MT6)

Spinal Manipulation, or High-Velocity Low Amplitude (HVLA) thrust, procedures are a foundation of manual therapy, extensively taught in our Orthopedic Residency program, Manual Therapy Fellowship program, and advanced Ph.D. in Manual Therapy. This course is available whether or not you are enrolled in one of these formal programs. As the foundation for spinal manipulation for the manual therapy certification program and the Orthopedic Residency program, this course emphasizes “how-to, when-to and why-to”, as well as the “how not to, when not to, and why not to” for spinal manipulation. Experienced instructors will provide individual guidance on the therapist’s posture, foot position, hand placement, and thrust direction to increase the technique’s success. The rationale for clinical decision-making for the use of manipulation and specific techniques, both direct and indirect, will be discussed according to the latest evidence. Biomechanical concepts will be integrated into all manipulation techniques for segmental and directional specificity. This lab-heavy two-day course will provide ample time to practice up to 20 short lever techniques for the Cervical, Thoracic, Lumbar, and Pelvis (SI). Emphasis is placed on safety and comfort for the patient which is learned from our seasoned instructors. This course is taught by senior faculty utilizing manual therapy in the clinic every day.

This course is open to credentials of PT, MD, DO

Course Dates and Cities 

MT6 Spinal Manipulation (Seattle, Washington) Oct 21-22, 2023
MT6 Spinal Manipulation (Soldotna, Alaska) Aug 26-27, 2023

You may sign-up for our entire Certification in Orthopedic Manual Therapy for a discounted price!

MT-6 Objectives


Your knowledge in short lever spinal positioning at the cervical, thoracic, lumbar and sacroiliac regions

Your application of pre-thrust in the delivery of SMT thrust techniques at the cervical, thoracic, lumbar and sacroiliac regions.


The history of spinal manipulation and the rationale of differing professions.

The different clinical applications of SMT to inhibit pain and guarding as well as to facilitate and recruit muscle activation.


Different thought processes and techniques in delivering SMT.

How to set-up and apply any necessary locking used in cervical, thoracic, lumbar and sacral SMT thrust techniques necessary to ensure specificity, effectiveness, comfort and safety.


Have a working knowledge of evidence-based indications and contraindications of SMT.

How to reduce risk from adverse responses to manipulation.


Up to 20 techniques in this 2-day lab focused course.


A new skill set that you can use immediately to improve efficiency and outcomes in your clinical setting.

MT6 Course Material

Access digital course materials in PDF format from any web-enabled device. Hard Copies are available to order for additional cost.

Manual Therapy Seminars

The OGI offers an internationally and nationally renowned manual physical therapy curriculum based on the innovative and unique concepts. Continuing education courses cover all levels of research in proven concepts and clinical practice derived from the predominant schools of thought in manual therapy, osteopathy, sports medicine, rheumatology, neurology, and radiology. Click on any of the courses listed below for a full description. All courses earn credits toward Certification, Residency and/or Fellowship Programs.

MT-1: Clinical and Scientific Rationale for Modern Manual Therapy

MT-2: Manual Therapy of the Cervical spine, TMJ and Upper Extremity

MT-3: Manual Therapy of the Lumbar Spine, Pelvis and Lower Extremity

MT-5: Clinical Problem Solving

MT-6: Introduction to Spinal Manipulation

MT-7: Dynamic Soft Tissue Mobilization

MT-8: Extremity Joint Manipulation

MT-9: Advanced Manipulation of the Spine

MT-10: Medical Screening


Curriculum is empty


User Avatar Brian Matheson