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Manual and Exercise Therapy for the Lower Quadrant

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20 - 21 January, 2024

This two-day course introduces an integrated approach to treating the lumbar spine, hip, and SIJ musculoskeletal problems. The focus of examination and treatment is on the articular, neural, and motor systems. Essential background theory is covered, but the emphasis is on practical sessions, clinical reasoning, and real and paper case studies. The content draws on work by many key manual and exercise therapy schools of thought. Case studies are used to develop clinical reasoning and illustrate common clinical conditions.


The evidence informing clinical practice is highlighted throughout the course. The course follows a unique simple management approach that has been developed by the tutor over the years based on his clinical and academic experience where assessment always guides and informs the treatment selection and vice versa.

Course Tutor

Mahmoud Saad

Saad qualified as a Physiotherapist in 1999. He started his academic career as a senior lecturer in Musculoskeletal Physiotherapy at Sheffield Hallam University in 2005 and led the contemporary musculoskeletal rehabilitation module within the advanced M.Sc. program for many years. He has completed a master's in musculoskeletal Physiotherapy and Manual therapy Diploma (MACP route) from Sheffield Hallam University and is currently pursuing a Ph.D. with a focus on the role of Exercise and Physical activity in the management of Musculoskeletal problems.


Saad has taught extensively both nationally and internationally. This course is part of the popular Orthopaedic Manual and Exercise Therapy Certificate that has been delivered over 300 times in 17 countries.

The course is based on the following key concepts:

Subjective examination:

The MAIN 7 key questions.

Physical examination including:

The BIG 5 physical examination procedures.

Treatment strategies:


(Manual Therapy- Exercise Therapy – Pain Neurophysiology Education)

Download Course agenda

Manual therapy includes carefully-selected mobility and de-sensitization strategies Exercise therapy focuses on tailored evidence-based exercise prescription strategies

This course is aimed at physiotherapists, occupational therapists, chiropractors, and osteopaths of all levels who:

  1. Wish to update their manual and exercise therapy skills and increase the depth of clinical reasoning and decision-making.

  2. Aim to establish an organized evidence-based assessment approach.

  3. Aim to use a simple and effective treatment approach that combines both hands-on and hands-off strategies.

Indicative contents:

  1. Subjective and physical examination of the lower quadrant

  2. Movement assessment to guide differential diagnosis for the lower quadrant

  3. Clinical neurodynamic and neurological examination applications

  4. Red flag screening: be brave but keep it safe

  5. Manual therapy strategies for the lumbar spine, SIJ, and hip joint

  6. Movement dissociation strategies to guide exercise prescription for the lumbar spine, SIJ, and hip motor control


  • Every minute in the course aims to develop your clinical reasoning and practical skills.

  • Busy, clinically relevant, and interactive teaching style.

  • Case study discussions, demonstration, practice, REPEAT.


"I found the content to exceed my expectations. The knowledge shared within the group was of brilliant standard. The topics covered are very relevant to my practice and will certainly help with my first rotational job. The practical sessions were very valuable, as everyone could ask questions without judgment, and we received great feedback throughout. Additionally, being able to video the demonstrations was a real highlight. I highly recommend this program to others."

Emma Cameron

"The program's logical structure with interactive practical sessions exceeded my expectations. It equipped me with quick, hands-on techniques suitable for the NHS setting. What I found most valuable was the evidence-based approach and patient education tips that simplified complex concepts. As a junior practitioner, this has boosted my confidence, making me better equipped to communicate effectively and maintain a simpler yet more effective approach in my practice."

Frances Peck

"The course content was exactly what I was seeking. The most valuable aspect of the course was the evidence-based techniques to alleviate pain and symptoms. I was highly satisfied with the ample hands-on practice time."

Madhuri Chandra Digavalli


Early bird registration: 190 GBP
Normal registration fee: 220 GBP
For inquiries please contact
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