Master Clinical Reasoning & Manual Therapy Techniques
NAIOMT's COMT courses build your expertise in orthopedic manual therapy across five focused areas — spine, extremities, and clinical reasoning. Take individual courses to sharpen specific skills, or complete the full series and pursue optional COMT Certification. No prerequisites — take courses in any order.
Build advanced manual therapy and clinical reasoning skills across the entire musculoskeletal system. No prerequisites — take any course individually, in any order.
Develop advanced skills in lumbar, cervical, and thoracic spine assessment, differential diagnosis, manipulation, and exercise techniques.
Master evaluation and treatment of upper and lower extremities, including their relationship to the spine and clinical reasoning for return to function.
Enhance your clinical decision-making with evidence-based approaches to differential diagnosis and treatment planning across all regions.
No prerequisites required. Each course stands on its own — enroll in any COMT course, in any order, to gain specific skills.
Each course includes 14 hours of hands-on in-person lab instruction plus 7 hours of asynchronous online learning (21 hours total).
Want to go further? Complete all 5 courses and an assessment exam to earn your COMT Certification.
Click on a course below to see full details and register
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This course is the first of five courses in the COMT certification series. This case-based, lab-focused course features... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This course is the first of five courses in the COMT certification series. This case-based, lab-focused course features... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This course is the first of five courses in the COMT certification series. This case-based, lab-focused course features... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This course is the first of five courses in the COMT certification series. This case-based, lab-focused course features... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This case-based, lab-focused course features human movement and high performing PT management of the thoracic spine and rib... View Full Description
This course is the first of five courses in the COMT certification series. This case-based, lab-focused course features... View Full Description
This is the last course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
This is the second of five courses in the COMT certification series. This case-based, lab-focused course features human... View Full Description
This is the fourth course in a series of five courses in the COMT certification series. This case-based,... View Full Description
Five focused courses covering the complete musculoskeletal system — take any course individually, in any order
Lumbopelvic spine assessment, treatment techniques, and clinical reasoning for lower quadrant movement impairments. Develop skills in differential diagnosis, manipulation, and therapeutic exercise for the lumbar region.
Cervicothoracic spine management, upper quadrant movement analysis, and manual therapy techniques. Enhance your clinical reasoning for cervical-related conditions and treatment planning.
Thoracic spine and rib cage assessment, treatment approaches for upper and lower quadrant integration. Learn manipulation, mobilization, and exercise techniques for the thoracic region.
Upper extremity evaluation and treatment, including its relationship to the cervicothoracic spine. Build clinical reasoning skills for shoulder, elbow, wrist, and hand conditions.
Lower extremity assessment and management, including its relationship to the lumbopelvic region. Develop skills in evaluation, treatment, and return to function for hip, knee, and ankle/foot.
Complete all five COMT courses and pass an asynchronous assessment exam to earn the Certified Orthopedic Musculoskeletal Therapist (COMT) credential. Certification is entirely optional — each course is valuable on its own.
Learn from internationally recognized experts in sports medicine and rehabilitation
PT, OCS, FAAOMPT
Senior Faculty Instructor, Clinical Fellowship Instructor
[WA]
PT, DPT, OCS, COMT, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[AZ]
PT, DPT, OCS, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[OR]
PT, DPT, SCS, CSCS, RKC
Guest Faculty
[TX]
PT, DPT, OCS, COMT, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[OR]
PT, DPT, OCS, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[IN]
PT, DSc, OCS, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[CO]
PT, DPT, OCS, COMT, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[OR]
PT, DPT, DSc, OCS, COMT, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[PA]
PT, DPT, OCS, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[TX]
PT, DPT, DSc, OCS, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[PA]
PT, DPT, OCS, CAPP, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[KS]
PT, MS, OCS, COMT, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[TX]
PT, PhD, MPA, OCS, FAAOMPT
Faculty Instructor, Clinical Fellowship Instructor
[FL]
NAIOMT provides a complete, seamless post-professional education pathway for physical therapists wanting to become experts in clinical reasoning. From individual courses to certification programs, residency, and fellowship—we help manual physical therapists achieve the highest standards of clinical practice.
Questions about your pathway? Contact us here