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Robert J. Fluegel, PT, COMT
MAPS Faculty, Fellow in Training, MAPS Orthopedic Manual Therapy Fellowship

Chris R. Showalter, PT, OCS, COMT, FAAOMPT, Fellowship Program Director

Mobilization combined with Stabilization is SUPERIOR compared to Stabilization alone in Non-Specific Mechanical Neck Pain (NSMNP)

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Course Info



MT-4: Differential Assessment & Clinical Reasoning Seminar

MT-4 Course Description (20.7 Direct Contact Hours/3.0 CEUs)
Integration of the clinical reasoning techniques from MT-1, MT-2, and MT-3 with applied techniques at a more advanced level. Emphasizes clinical reasoning and assessment processes. Differential assessment and Differential Diagnosis is taught for the Upper Quarter (Cervical/Shoulder/Thoracic) & Lower Quarter (Lumbar/Pelvic/Hip). Other major topics include pathological patterns of spinal & pelvic girdle dysfunction, the hypomobile S.I. joint, and treatment techniques for the Spine, Hips, Knees, Ankle/Foot complex, Shoulder, Elbow, and the Wrist/Hand. Differentiation of shoulder girdle and pelvic girdle from spinal pathology. Includes required Home Study course component of approximately 9.3 hours.

MT-4 Course Schedule*
Day 1: 12:30pm-8:00pm
Day 2: 8:00am-6:00pm
Day 3: 8:00am-2:00pm

Times subject to change.*

MT-4 Course Requirements
  • Course requires the following prerequisites: MT-1: Essential Peripheral Seminar, MT-2: Essential Spinal Seminar, and MT-3: Intermediate Spinal Seminar. MAPS also recommends practicing the skills learned from MT-3 for six (6) months prior to the MT-4. 
  • Open to PTs, MDs, DOs. Enrollment limited. Lab clothes required for all sessions
  • Post test requires competency of 70% and overall competency of 70%. 
  • Full CEUs require 100% direct contact attendance and completion of all Home Study assignments.

MT-4 Course Objectives
Course participants upon completion will be able to:
  • Conduct a focused subjective & physical exam of the spine and related peripheral joints, based upon principles of assessment as described by G. Maitland & other manual P.T.s.
  • Perform a differential diagnosis by region (upper and lower quarters) using the Maitland approach.
  • Hypothesize actual tissue at fault in mechanical conditions.
  • Refine clinical reasoning skills beyond levels achieved in MT-1, MT-2 and MT-3.
  • Select the most effective treatment & examination techniques for the patient based on clinical assessment, hypothesis testing and extensive reassessment.
  • Accurately measure immediate outcomes of the manual therapy intervention.

Course is $695
MAPS Refund/Cancellation Policy

Course Testimonials

"Lecture was excellent/examples to breakdown differential diagnosis. [Instructor] was great, established, comfortable tone and acceptable environment, very open to questions. The Maitland Series is excellent. This evidence-based approach logically gives the clinician a strong foundation and usable tools. Makes the patient feel better quickly. Differential course helped to tie the information together. "
Richard Harmon Chicago, IL June 2013

"Great instructor and workshop. "
Brent Brookbush Brooklyn, NY May 2014

"Really great application to real PT scenarios... It seems that all of the questions regarding applications scenarios that I had from other Maitland courses were thoroughly covered with this excellent course."
Ryan McConnell Gastonia, NC June 2014

"All hands-on, very informative, course put all previous courses together... Course was awesome, perfect course to take right before COMT exam."
C. Kutuchief Chicago, IL June 2014

"Putting together MT-2 & MT-3 more clearly. Our instructor's very clear understanding and explanations... Amazing class with great help for trouble shooting difficult patient cases."
Shannon Van Zee Chicago, IL June 2014


All MT-4: Differential Assessment & Clinical Reasoning Seminar Testimonials


Find a COMT Course Schedule Course Descriptions Register for Courses Faculty
Looking for a COMT? This list of Certified Orthopedic Manual Therapists (or COMTs) includes all COMT graduates worldwide, as well as MAPS faculty. We suggest that you visit this page often to check course confirmation status and to find new courses which are added frequently. Our seminars incorporate the teaching of Geoff Maitland and others who have contributed to what has become known as the "Maitland-Australian Approach". Registering for classes is easy. Submit full payment with the registration form. Reservations are limited and are on a first come, first serve basis. Come meet our world-class faculty. Each of our faculty has experience in a wide variety of manual therapy practices and specialty areas.


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