Part D - Advanced Cervical and Thoracic Spine and Extremities - Upper Limb

This 28 hour course will review and advance the theory and practical application of MDT in relation to the Cervical & Thoracic spine, and introduce the concept of MDT in the management of upper limb musculoskeletal disorders.

The course will firstly help participants expand their ability to assess, classify and manage patients with cervical and thoracic problems, related referred pain and functional limitations. 

Secondly, the theory and practical application of MDT for upper limb musculoskeletal disorders is presented. Lectures, patient assessments and practical sessions are utilised to demonstrate the characteristics and management of the MDT syndromes and OTHER subgroups, as they present in the upper limb.

Problem solving, reflective learning, clinical reasoning, practical activities and patient demonstrations are utilised to ensure participants gain a broader knowledge of MDT within the biopsychosocial framework. 

Participants will have the opportunity to discuss and extensively practice the MDT assessment, classification and management process, including the application of both self-treatment and clinician procedures.

Patient demonstrations are used to illustrate the reassessment process and allow participants to get a realistic  impression of the impact of the MDT system on different patient presentations over 2-3 treatment sessions.

The course includes an illustrated manual and reference list. Participants will also have access to videos of all procedures, the full reference list on the MII website. 

Course Goals

Cervical and Thoracic Spine

This course will help participants develop more advanced knowledge and skills to: 

  1. Identify and discuss common problems encountered in the application of MDT for patients with cervical and thoracic spine problems.
  2. Analyse and discuss the MDT assessment and how it assists with patient classification.
  3. Consider the application of clinician forces, and how they fit with MDT’s ‘Progression of Forces’ concept.
  4. Perform clinician techniques for the cervical and thoracic spine at an advanced level and to identify difficulties with, or variations of, their application.
  5. Analyse case studies of patients presenting with cervical/thoracic symptoms and determine the appropriate classification.

Upper Limb 

Participants will be provided with the introductory knowledge and basic skills to begin to:

  1. Describe and discuss the current evidence base for the use of MDT for upper limb musculoskeletal disorders.
  2. Describe the characteristics of Derangement, Dysfunction and Postural syndromes as they present in upper limb musculoskeletal disorders.
  3. Perform MDT assessments for upper limb  musculoskeletal disorders and determine the presence of MDT syndromes.
  4. Design appropriate management programs for patients who present with Derangement, Dysfunction and Postural syndromes in the upper limb. 
  5. Analyse case studies and/or role plays of patients presenting with upper limb symptoms and determine the appropriate classification.

Total Course time: 28 hours live course

Course Fees

$945.00 incl GST

  • 10% discount off both course fees is offered to non-members who book and pay for 2 courses at the same time (A+B, A+C, B+C, B+D, C+D) 
  • 15% discount off all course fees is offered to non-members who book and pay for 4 courses at the same time (A+B+C+D)
  • 30% discount off the course fee is offered to final year undergrad students who book for a Part A course - must provide evidence of undergrad student status and proof of indemnity insurance e.g. via APA membership.
  • 10% discount off the course fee is offered to MIA members who book and pay for any Part A-D course
  • 50% discount off the course fee is offered to Credentialed/Diplomaed members who book and pay for any Part A-D course - this allows these members to meet the requirement for remaining on the Clinician Locator.


Prior completion of the following McKenzie Institute courses, presented by licensed McKenzie Institute Faculty:

  • Part A: The Lumbar Spine;
  • Part B: The Cervical and Thoracic Spine; and
  • Part C: Advanced Lumbar Spine & Extremities – Lower Limb

A thorough review of McKenzie's text books (The Lumbar Spine – MDT and The Cervical and Thoracic Spine – MDT) as well as the Part A, B and C course manuals is strongly recommended. Participants are expected to regularly use and to be conversant with the McKenzie assessment forms.

Practical Sessions

During the practical sessions, participants are requested to wear suitable clothing, allowing easy access to the spine.

Professional Indemnity Insurance

As this is a practical course that may involve performance of exercise and manual therapy procedures on other participants, attendees are required to have suitable professional liability insurance.

Order of Courses

  • Part A must be completed first and Part D last. 
  • Participants may choose the order in which they complete Parts B and C. 
  • Full completion of Parts A-D is a prerequisite for the International Credentialling Exam.