Certificate in Spinal Manual Therapy (CSMT)


Created by the Manual Concepts founders Kim Robinson and Toby Hall, CSMT course is a fantastic opportunity to stimulate your clinical practice and enhance your career. This comprehensive 8-day programme provides clinicians with intensive tuition in an integrated and thoroughly modern, evidence based approach to manual therapy of the spine.

Upcoming courses:
-Lumbar spine course: November 14-17, 2020
-Cervical and Thoracic spine course: November 19-22, 2020

Cervical and thoracic spine course
November 19-22, 2020
English (latvian)
Vaidas Stalioraitis
Lumbar spine course
November 14-17, 2020
English (latvian)
Vaidas Stalioraitis
Full CSMT course
November 14-22, 2020
English (latvian)
Vaidas Stalioraitis
1,000.00 900.00
SKU: N/A Category:


Course objectives
By the end of the workshop participants will be able to:
• Identify the multidimensional causes of spinal pain
• Understand pain mechanisms & their clinical relevance of spinal pain disorders
• Sub-group patients according to their clinical presentation
• Understand the contributors and predictors of persistent spinal pain
• Assess & manage spinal pain disorders using manual therapy, motor control exercises and neural sliders.

Course overview:

This manual therapy programme is aimed at merging the examination of the joint, muscle and neural systems into an integrated wholistic examination procedure. We place strong emphasis on teaching clinicians the ability to perform an accurate and specific manual therapy examination of the spine and pelvis, which is based on current best evidence knowledge of anatomy, pathoanatomy, pathophysiology, and pain mechanisms.
The examination process developed by Manual Concepts draws on the work of many different concepts in manual therapy. We believe that an eclectic approach, drawing on different concepts of examination and treatment, provides a more realistic, effective approach to the management of a vast range of spinal pain disorders.

Joint system
As part of the assessment of the joint system we aim to teach a range of articular testing procedures to include pain provocative tests for specific structures as well as tests to determine specific motion segment dysfunction. A significant aspect of the assessment procedure is the use of combined movements. Equally important is the use of specific passive segmental motion testing and provocative tests for pain reproduction. Current research demonstrates that identification of joint hypo/hyper mobility and subsequent treatment based on this classification improves treatment outcomes.

Neural system:
Disorder of the neural system is commonplace in musculoskeletal pain disorders, and so examination of the neural system forms an essential element
of the physical examination. However not all neural disorders respond to neural mobilisation techniques. Hence it is essential that the treating clinician has a good understanding of the pathophysiological mechanisms underlying neural pain problems to understand how to effectively manage them. As part of the course a comprehensive overview of neural tissue pain disorders will be presented to enable differential diagnosis and classification of 3, treatment specific,
• Neuropathic pain with sensory hypersensitivity
• Peripheral nerve trunk sensitisation, and
• Neuropathic pain with nerve root compression (fascicular damage).
Assessment to identify these problems will be demonstrated and practiced. The clinical relevance of classifying will be presented, particularly in relation to management.

Muscle system
An emphasis of this programme is a functional approach to the assessment of the spinal motor control. As well we address the theoretical concept of spinal instability and the signs and symptoms that are commonly found on clinical examination of motor control impairment. It is important to recognize that not all patients require motor control retraining. There is ample evidence to suggest that only a small proportion of patient have instability. Treating all chronic low back pain patients with stabilization exercise through specific multifidus and transversus abdominis exercise is not appropriate and the literature shows this does not work. Determining which patients require motor control re-education is an important part of this programme. A systematic graded, functional approach to the management of patients with spinal motor control impairment will be taught.

A core principle of the programme is the ongoing analysis of the examination findings from the subjective and physical examination procedures. To ascertain an appropriate manual therapy diagnosis critical analysis is developed through clinical reasoning applied to specific case studies.

Who are these courses for?

  • Physiotherapists;
  • Chiropractors;
  • Osteopaths;
  • Manual Therapists;
  • Medical Doctors.

Course is divided into 2 parts:

  • Part 1: 4 day Lumbar spine course
  • Part 2: 4 day Cervical and Thoracic spine course

Lumbar spine course syllabus

Day 1:
-Introduction LBP. Evidence base for manual therapy. Lumbar pathophysiology
-Lumbar physical exam
-Active movements, dynamic control + combined movements

Day 2:
-Lumbar spine segmental mobility tests
-Lumbar neural disorders
-Lumbar neural assessment
-Sacroiliac joint assessment

Day 3:
-Lumbar motor control impairment functional muscle assessment
-Treatment of lumbar articular dysfunction

Day 4:
-Lumbar motor control impairment functional correction
-Neural treatment Denervation & peripheral nerve sensitization
-Intro to Cervical and Thoracic course

Upcoming courses:

  • Lumbar spine course: November 14-17, 2020
  • Cervical and Thoracic spine course: November 19-22, 2020

Course Fee:

Single course (Lumbar spine): 500 EUR.
Full course (Cervical, Thoracic and Lumbar), you get a 100 EUR discount! Price (total of): 900 EUR.

Cervical and Thoracic spine course syllabus

Day 1:
-Thoracic spine active movement & combined movement
-Thoracic spine segmental mobility tests
-Thoracic cage assessment
-Thoracic spine/cage articular treatment

Day 2:
-Cervical spine anatomy, age changes and pathoanatomy
-Active movement analysis + Upper Cx combined movement
-Upper cervical spine segmental mobility tests
-Upper Cx stress tests and Passive segmental mobility tests

Day 3:
-Cervicothoracic motor control assessment
-Upper cervical treatment
-Lower cervical articular/neural assessment

Day 4:
-Lower cervical articular/neural assessment
-Cervical neural/articular treatment techniques

Upcoming courses:

  • Lumbar spine course: November 14-17, 2020
  • Cervical and Thoracic spine course: November 19-22, 2020

Course Fee:

Single course (Cervical and Thoracic spine): 500 EUR.
Full course (Cervical, Thoracic and Lumbar), you get a 100 EUR discount! Price (total of): 900 EUR.


Vaidas Stalioraitis, FACP
MSc (Curtin University), Graduate Entry Master of Physiotherapy (Curtin University), Master of Clinical Manipulative Physiotherapy (Curtin University), Accredited Mulligan Concept Teacher, Specialist Musculoskeletal Physiotherapist, Fellow of the Australian College of Physiotherapists (as awarded by the Australian College of Physiotherapists in 2016), Faculty staff member Manual Concepts, Western Australia.

Vaidas has teaching experience at the undergraduate and postgraduate level. He has postgraduate manual therapy teaching experience both nationally and internationally. He is also an experienced clinician with over 20 years of working experience in the field musculoskeletal physiotherapy. Over the years he has been working with many elite sports people such as gymnasts and dancers. His particular areas of expertise include management of complex back and neck pain, including headaches, upper and lower limb injuries and persistent musculoskeletal problems.

For more information and inquiries, please contact us: Phone: +370 618 67325 OR E-mail [email protected]

For inquiries in Latvian, please email us at: [email protected]


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