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IMT Part 1 - Muscle Energy and 'Beyond' & Strain/Counterstrain for Extremity Hypertonicity

$90.00 [10.00 Continuing Education Credit Hours]

Course Number: #03-373

In order to take this course, follow the steps below:
  1. Click Here to print the Course Worksheet
  2. Purchase the book by Clicking Here
  3. Click Here to take the Exam
You don't need to pay for an exam until AFTER you pass it. If you have any questions or need more information, please click here.

CEU Course Description

This course utilizes the textbook Integrative Manual Therapy for the Upper and Lower Extremities, by Sharon Giammatteo, Ph.D., P.T., and Thomas Giammateo, D.C., P.T. published by North Atlantic Books. Referencing this textbook is required for completion of this course. 

This CEU course investigates: postural compensations of the upper and lower extremity joints; a concept of biomechanics and the quantum energetic forces within the intra-articular joint spaces; Muscle Energy Technique treatment to increase the vertical dimension of the intra-articular joint spaces for the lower and upper extremities; treatment of protective muscle spasm; a hypothetical model to explain the decrease of hypertonicity with manual therapy; the muscle barrier; and treatment of the lower and upper quadrant hypertonicity for synergic pattern release with Strain and Counterstrain technique.

CEU Course Objectives

1.  Explain what the momentum forces of the body are dependent on.

2.  Describe the accessory glide when the moving surface is convex with the stable and fixed non-moving surface concave.

3.  Examine what will take place if dysfunctional glides and rotations occur in knee flexion.

4.  Elucidate each of the procedures that should be abided by for position of treatment, and treatment of type II wrist joint dysfunction.

5.  Identify what the physical therapist should do when observing the energy expenditure due to the resistance of a muscle in a protective muscle spasm.

CEU Course Syllabus - please note that the chapter numbers may vary slightly depending on textbook edition

  Chapter 1 - Postural Compensations of the Extremity Joints   0.7 CEUs   

  Chapter 2 - Introduction to Muscle Energy and ‘Beyond’ Technique

  0.8 CEUs

  Chapter 3 - Laws of Biomechanics Utilizing Muscle Energy and 'Beyond'   0.1 CEUs
  Chapter 4 - Muscle Energy and ‘Beyond’ for Lower Extremities I   1.2 CEUs
  Chapter 5 - Muscle Energy and ‘Beyond’ for Upper Extremities II   1.5 CEUs
  Chapter 6 - Synergic Pattern Imprint© and Synergic Pattern Release©     0.2 CEUs
  Chapter 7 - Manual Therapy and Decrease of Hypertonicity              0.7 CEUs
  Chapter 8 - The Muscle Barrier   0.1 CEUs
  Chapter 9 - Treatment of Hypertonicity for Synergic Pattern Release   0.2 CEUs
  Chapter 10 - Treatment of Lower Quadrant Hypertonicity   2.2 CEUs
  Chapter 11 - Treatment of Upper Quadrant Hypertonicity   2.3 CEUs

Total = 10 Contact Hours

Instructional level:  Basic


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Board Approval Status

Physical Therapists

State Board Approval
Alabama YES! Accepts Alabama Board of Physical Therapy (Effective October 1, 2014, the Alabama Board of Physical Therapy does not pre-approve continuing education providers. It is the licensee’s responsibility to determine if the continuing education activities completed meet the requirements of the board.)
Alaska YES! Accepts California Physical Therapy Board
Arizona We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Arkansas YES! Accepts California Physical Therapy Board
California YES! Accepts California Physical Therapy Board
Colorado YES! Accepts California Physical Therapy Board
Connecticut YES! Accepts California Physical Therapy Board
Delaware We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
District of Columbia We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Florida We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Georgia YES! Accepts California Physical Therapy Board (Many PTs in Georgia have taken our classes though it is their responsibility to ensure that the material is appropriate for their licensing. It is always advised to check with your state board.)
Hawaii YES! Accepts California Physical Therapy Board
Idaho YES! Accepts California Physical Therapy Board
Illinois YES! Accepts Illinois Department of Financial & Professional Regulation (License No. 216.000269)
Indiana YES! Accepts California Physical Therapy Board
Iowa YES! Accepts California Physical Therapy Board
Kansas YES! Accepts California Physical Therapy Board
Kentucky YES! Accepts California Physical Therapy Board
Louisiana We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Maine YES! Accepts California Physical Therapy Board
Maryland We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Massachusetts YES! Accepts California Physical Therapy Board
Michigan YES! Accepts California Physical Therapy Board
Minnesota We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Mississippi YES! Accepts California Physical Therapy Board
Missouri YES! Accepts California Physical Therapy Board
Montana YES! Accepts California Physical Therapy Board
Nebraska YES! Accepts California Physical Therapy Board
Nevada We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
New Hampshire YES! Accepts California Physical Therapy Board
New Jersey We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
New Mexico We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
New York YES! Accepts New York State Education Department
North Carolina YES! Accepts California Physical Therapy Board
North Dakota YES! Accepts California Physical Therapy Board
Ohio We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Oklahoma We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Oregon YES! Accepts California Physical Therapy Board
Pennsylvania We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Rhode Island YES! Accepts California Physical Therapy Board
South Carolina YES! Accepts California Physical Therapy Board
South Dakota YES! Accepts California Physical Therapy Board
Tennessee We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Texas We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Utah YES! Accepts California Physical Therapy Board
Vermont YES! Accepts California Physical Therapy Board
Virginia We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Washington YES! Accepts California Physical Therapy Board
West Virginia We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Wisconsin YES! Accepts California Physical Therapy Board
Wyoming YES! Accepts California Physical Therapy Board

Physical Therapist Assistants

State Board Approval
Alabama YES! Accepts Alabama Board of Physical Therapy (Effective October 1, 2014, the Alabama Board of Physical Therapy does not pre-approve continuing education providers. It is the licensee’s responsibility to determine if the continuing education activities completed meet the requirements of the board.)
Alaska YES! Accepts California Physical Therapy Board
Arizona We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Arkansas YES! Accepts California Physical Therapy Board
California YES! Accepts California Physical Therapy Board
Colorado YES! Accepts California Physical Therapy Board
Connecticut YES! Accepts California Physical Therapy Board
Delaware We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
District of Columbia We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Florida We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Georgia YES! Accepts California Physical Therapy Board
Hawaii YES! Accepts California Physical Therapy Board
Idaho YES! Accepts California Physical Therapy Board
Illinois YES! Accepts Illinois Department of Financial & Professional Regulation (License No. 216.000269)
Indiana YES! Accepts California Physical Therapy Board
Iowa YES! Accepts California Physical Therapy Board
Kansas YES! Accepts California Physical Therapy Board
Kentucky YES! Accepts California Physical Therapy Board
Louisiana We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Maine YES! Accepts California Physical Therapy Board
Maryland We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Massachusetts YES! Accepts California Physical Therapy Board
Michigan YES! Accepts California Physical Therapy Board
Minnesota We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Mississippi YES! Accepts California Physical Therapy Board
Missouri YES! Accepts California Physical Therapy Board
Montana YES! Accepts California Physical Therapy Board
Nebraska YES! Accepts California Physical Therapy Board
Nevada We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
New Hampshire YES! Accepts California Physical Therapy Board
New Jersey We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
New Mexico We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
New York YES! Accepts New York State Education Department
North Carolina YES! Accepts California Physical Therapy Board
North Dakota YES! Accepts California Physical Therapy Board
Ohio We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Oklahoma We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Oregon YES! Accepts California Physical Therapy Board
Pennsylvania We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Rhode Island YES! Accepts California Physical Therapy Board
South Carolina YES! Accepts California Physical Therapy Board
South Dakota YES! Accepts California Physical Therapy Board
Tennessee We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Texas We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Utah YES! Accepts California Physical Therapy Board
Vermont YES! Accepts California Physical Therapy Board
Virginia We recommend you check with your board to see if they will accept our California, Florida, Illinois, Louisiana, Maryland, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Virginia board approvals.
Washington YES! Accepts California Physical Therapy Board
West Virginia YES! Accepts California Physical Therapy Board
Wisconsin YES! Accepts California Physical Therapy Board
Wyoming YES! Accepts California Physical Therapy Board

Occupational Therapists

State Board Approval
Alabama YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Alaska YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Arizona YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Arkansas YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
California YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Colorado YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Connecticut YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Delaware YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
District of Columbia YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Florida YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Georgia YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Hawaii YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Idaho YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Illinois YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Indiana YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Iowa YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Kansas YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Kentucky YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Louisiana YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Maine YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Maryland YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Massachusetts YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Michigan YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Minnesota YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Mississippi YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Missouri YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Montana YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Nebraska YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Nevada YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
New Hampshire YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
New Jersey YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
New Mexico YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
New York YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
North Carolina YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
North Dakota YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Ohio YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Oklahoma YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Oregon YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Pennsylvania YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Rhode Island YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
South Carolina YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
South Dakota YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Tennessee YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Texas YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Utah YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Vermont YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Virginia YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Washington YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
West Virginia YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Wisconsin YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)
Wyoming YES! Accepts National Board for Certification in Occupational Therapy (NBCOT) (NBCOT doesn't approve providers - COTA and OTR may take our courses)

The board approval status information is provided based on our current understanding of the licensing agencies. Please note that it is the responsibility of each licensee to verify acceptance of our courses with their licensing agency.

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