top of page

Manual and Exercise Therapy
for The Upper Quadrant

This two-day upper quadrant manual and exercise therapy course introduces an integrated approach to the treatment of cervical and thoracis spine and shoulder 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

Dr. 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 in musculoskeletal Physiotherapy and Manual therapy Diploma (MACP route) from Sheffield Hallam University and is currently pursuing a PHD 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 ratio of participants to tutors is kept low (maximum of 18:1) to ensure a high level of supervision and feedback.

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)

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. 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 upper quadrant.

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

  3. Clinical neurodynamic and neurological examination application.

  4. Red flags screening – Be brave but keep it Safe approach.

  5. Manual Therapy strategies for cervical spine, Thoracic spine, GHJ and ACJ.

  6. Movement dissociation strategies to guide exercise prescription for cervical spine and GHJ motor control.


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

  2.  Busy clinically relevant and interactive teaching style.

  3. Case studies discussions, demonstration, practice. REPEAT.

Dedicated  payment link : 90 GBP
For inquiries please contact
bottom of page