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A subgroup of World Confederation for Physical Therapy

June 2004



IFOMT has evolved at lightening speed over the past four years, from 2000-2004, under the careful eye and with the expert skill of Agneta Lando and her Executive.  The new IFOMT Executive, consisting of Annalie Basson from South Africa, Lothar Joerger from Germany, Duncan Reid from New Zealand, Marina Wallin from Sweden, and myself, Michael Ritchie from Canada, plans to continue this growth and development and are committed to this evolution. This will depend upon effective and consistent two-way communication between the Member Organizations and Registered Interest Groups, and the Executive.  I encourage each representative to participate actively in our organization. Perhaps I should restate that sentence. I encourage each representative to participate in YOUR organization. It is through this participation that the world will learn our skills, our knowledge, and our approach to musculoskeletal dysfunction. Each representative has been given the responsibility of being part of this mechanism by their respective organization's Executive, a responsibility to represent and communicate ideas, suggestions, comments. A responsibility to help shape our profession, quite literally.

For our part, the Executive will keep Member Organizations and Registered Interest Groups informed of our activities and actions. Part of this will be through a new initiative, which I call "The IFOMT Executive Report Card", whereby each Executive member will describe their portfolio, and the actions that have occurred since their last report. This document will be produced three to four times per year, and will be specific regarding some of the more intimate details of IFOMT Executive functions than the newsletter, which will continue to be produced and edited by our Secretariat, Vicki Reid. Her continued involvement with IFOMT was a pre-condition to my accepting the Presidency of IFOMT, and I feel very fortunate to work with her. We all owe Vicki a great deal of appreciation for her contribution to IFOMT. 

So, please look forward to the first report card within the next two months. Please pass along this newsletter, and in future, the IFOMT Executive Report Card, to your Executive for distribution to your
members. I note, as an aside, that there are a number of Member Organizations who have not contributed to the present newsletter. Should this occur due to communication issues, please drop me a line at
president@ifomt.org. I will be sure to correct these problems. To Member Organization Executives, please recognize that your voice is through your chosen representative. An effective IFOMT Executive will require effective two-way communication. If representatives, or MO Executive members have any concerns or questions about IFOMT matters, please contact myself, Michael Ritchie at president@ifomt.org or Vicki Reid at admin@ifomt.org. One of us should be able to assist you, or
re-direct you to appropriate resources.

Our website, www.ifomt.org continues to develop. Listed on the site are clinical guidelines, terms of reference for various subjects, contact names and addresses for the resource centre, even pictures of IFOMT 2004, Cape Town, a celebration of our organization. Please bookmark this page, and visit it often. News and events are continuously changing, see what the world of IFOMT has to offer. I look forward to
the next four years, and thank you for your commitment in the past, and your continued commitment in the future.

Michael Ritchie
President, IFOMT


On behalf of IFOMT I would like to welcome Italy as IFOMT's 18th Member Organisation, after being successfully voted in during the General Meeting in Cape Town.  This was a wonderful conference, which is summarised as below by Lorraine Jacobs.  I felt this report deserved to be read first, and I'm sure will bring back fond memories to many readers. 


South Africa:  Delegate -  Lorraine Jacobs

"Balancing the Outcome of Manual Therapy." - IFOMT Congress 2004

I am sure that all who had the privilege of attending the IFOMT congress in South Africa will agree that Cape Town is a magnificent destination, and that the Congress Committee organised a slick and successful congress. The conference had 700 registrants who represented 38 countries. There were only 298 South African registrants, which is sad, as many South African and African Physiotherapists felt the registration fee was beyond their means. However those South Africans who were able to attend remarked that the conference had "opened their eyes and inspired them."

The academic committee presented a carefully structured programme, which culminated in the final reports bringing all aspects together and pointing to direction for the future from the keynote speakers on the final morning of the conference. This was a very powerful "Line-up" of some of the world's leading physiotherapists and it was really impressive seeing them altogether on the podium in Cape Town and South Africa. The subject matter of the keynote speakers was followed up with related papers from the invited speakers. 143 abstracts for free papers were received of which 91 were accepted as oral presentations. 32 were presented as posters.

Seminars were arranged using the expertise of the keynote and invited speakers and were earmarked by many delegates as the "highlight" of the conference for them. 305 participants attended 16 Pre- and Post- Conference courses.

It was clearly evident at the Congress that manual therapy has come a long way and there is much to be researched in the future - much thought was provoked. The programme was well balanced between research and clinical aspects, and all reports were that it was well received.

Fun, relaxation and interaction with colleagues from other countries is invaluable. Cape Town did us proud and we could not have had better weather. There were 3 social functions. The opening cocktail party was attended by 458 people. A marimba band from the Athlone School for the Blind and a team of gumboot dancers provided entertainment and set a real "African "ambience.

On Wednesday afternoon 6 buses took delegates to Cape Point where 98 joggers set off on foot for either a 2Km or 5Km run to Seaforth where they met up with the rest of the 350 people for a beach party and "Potjie" kos. Once again the weather was superb. The baboons and penguins contributed to the occasion as did the seals chasing fish in the lights that beamed onto the sea from the beach.

The Gala Dinner was an elegant occasion. The ballroom of the conference venue was transformed by beautiful table settings - the lights of Cape Town flickered in the background with those of the candles on the tables. Each table had menus bound in zebra striped covers, the zebra pattern being part of the conference logo, and a floral centre piece with sunflowers, reeds and porcupine quills. Dr Stan Paris of the USA was the MC for the evening and set the tone for a very happy event. Three awards were presented:
1. Honorary Life Membership to Gwen Jull of Australia
2. The David Lamb Research Memorial Award to Michelle Sterling of Australia
3. The Discovery Health Award for Clinical Excellence to Julie Whitman of the USA.
Further, the night was danced away.

If knowledge is to be disseminated to improve client care throughout the world, we would like to suggest one of the objectives of a body such as IFOMT (as a subgroup of WCPT) should be to promote disadvantaged countries' attendance at conferences of this nature. Registration fees should be structured to enable participation by these countries. In South Africa and other countries in Africa medical conference fees are structured taking international currencies into account and there is a totally accepted differential registration fee structure for disadvantaged countries.
A substantial profit was generated. After IFOMT has received its share, the National Executive Committee has decided to use these profits towards supporting our Research Foundation, and towards funding for disadvantaged students in the form of bursaries.

Australia: Delegate - Debra Shirley

MPA CONFERENCE, 24-26 November 2005, Brisbane Convention Centre
Musculoskeletal Physiotherapy, Positive Precise Performance

With the theme of "Positive precise performance" this conference offers much for both clinicians and researchers working in musculoskeletal physiotherapy.  The conference will highlight the recent advances in pain science, motor control, and balance and exercise therapy while considering the clinical applications across the life span and in situations such as return to work or other significant activity.  Lower limb biomechanics, pathologies affecting the lower limb and approaches to management will feature significantly in the program.

The conference will also explore the relationship of the fitness industry to musculoskeletal physiotherapy and the career path of the musculoskeletal physiotherapist.

For more information please contact the APA - Email: national.office@physiotherapy.asn.au
Website: www.physiotherapy.asn.au

Austria: Delegate - Jutta Bauer
In Austria the next OMT Course will start in September 2004. It is a part time programme, which will last until September 2006. Criterion for entrance is a Maitland Level 2a Course, including a positive exam of this course. For more information and enrolment details please refer to www.maitland-konzept.at or www.fortbildungsakademie.at. Deadline for application is the 31st of August 2004.

Furthermore the OEVOMT plans to start a campaign to inform all Austrian physiotherapists more about OMT and IFOMT via folders and advertisements because other concepts are emerging into the market.

Finally all OEVOMT members who attended the IFOMT Conference in South Africa would like to take the chance to congratulate South Africa on this wonderful and inspiring event!

Belgium: Delegate - Axel Beernaert

The Belgian OMT Group is currently creating an umbrella group for manual therapy. The name of this group will be UBMT-UBTM (Union of Belgian Manual Therapists). This Umbrella will consist of a co-ordinating group and different subcommittees.

This committee is responsible for the follow-up and evaluation of our PR-Campaign. We started this campaign in 2003. We will now start to evaluate the response of our members regarding the personal mailing to GP's. They will also decide about new strategies for the next few years.

2) Curriculum-committee:
This committee will update the Belgian Curriculum. In Belgium the BAMA structure will be implemented next academic year. This will have some consequences for the Physiotherapy education in Belgium and also for the Postgraduate education. The new "Belgian Curriculum" has to be in concordance with this new situation. It will provide both general quantitative standards (credits, rules for examination,…) as qualitative standards (competencies,  learning outcomes per subject). The quality control system will make a more qualitative evaluation possible.

3) Accreditation committee:
The accreditation system for our members will be evaluated and adapted to a new accreditation system and will be implemented for the members of both organisations within the umbrella group.

4) Scientific committee:
Also for the organisation of scientific activities and other scientific work (contributions for website, journal…) we will create a new committee.

The next conference within the Belgian umbrella is the ECT-tour in September. The theme of ECT 2004 is "Movement Impairments and Stability Disorders in the Lower Quadrant ". Four international speakers will present: Dr. Serge Gracovetsky, Prof. Shirley Sahrmann, Sarah Mottram and Sean Gibbons. More details can be found on the or the BVMT website http://www.bvmt-abtm.be/ or the
BWMT - website (http://users.pandora.be/nicole.timmerman/bwmt/).

Canada:   Delegate - Anita Gross

The Canadian Academy of Manipulative Therapists is most recently involved with three core issues as follows:
1. To increase the profile of the Canadian Academy of Manipulative Therapists (CAMT) to general practitioners, publications in various Physician New Letters and Journals are being planned. 
2. An Education Committee (Americas) is being explored between CAMT and the American Academy of Orthopaedic Manual Therapist (AAOMT). An initial meeting is being planned in October 2004, in Louisville, Kentucky - the annual conference of AAOMT.  Michael Ritchie will initiate this meeting.
3. The Canadian Physiotherapy Association Index of Materials for Cervical Spinal Manipulation was prepared as a resource for Canadian physiotherapists who include spinal manipulation in their practice.  It is intended to provide references to assist physiotherapists obtain the information that will guide them in the safe and effective practice of spinal manipulation.  I will keep our IFOMT audience informed as to the website posting.

Denmark: Delegate - Per Kjaer

No report submitted

Finland: Delegate - Maarit Keskinen

No report submitted

Germany:   Delegate - Fiona Morrison

The German manual therapy umbrella association (DFAMT) has got a new member. Since January this year, the DFOMT is now part of our group after having fulfilled all the inclusion criteria. All four member associations continue their promotion of OMT and continue to support the publication of the work done by those currently part of the various OMT courses as well of those who already have their OMT qualification. Our aim is to put this information up on our homepage in an attempt to increase the communication and the exchange of information both nationally and internationally.

Hong Kong:   Delegate - Agnes Chan

Hong Kong Physiotherapy Association has now Continuing Physiotherapy Education (CPE) for all its members on a voluntary basis. CPE was introduced in 2002 and the whole procedure has now become more mature. Manipulative Therapy Specialty Group continues to organize courses for practicing physiotherapists in Hong Kong.

Italy:  Delegate -  Guido Frosi

We're planning our annual meeting for 27th November, probably in Parma: in that occasion our group will renew the executive committee. Furthermore we're working on the organization of a conference (together with the co-ordinator of our Master, Marco Testa), which promises to be one of the most interesting in Italy for the present year (please contact the IFOMT office if you want the programme).
Marco Barbero is now updating our website (I was very happy to see our country linked to the IFOMT website).  Below is a photo taken in Cape Town in March, when we obtained IFOMT Full Membership: which was a milestone for our Group! Left to right:  Guido Frosi, Sara Luetchford and Ruggero Strobbe


Netherlands: Delegate - Will Bonneveld

The Dutch Association for Manual Therapy (NVMT) wants to thank all the MO delegates who have voted in favour of The Netherlands for hosting the IFOMT 2008 congress at the Open Meeting in Cape Town Wednesday March 24th 2004. They are proud to have been extended the honour and they are certain that we will be more than up to the challenge.
The organising committee has had its first meetings and they have already had the commitment of several speakers like Karim Kahn, Jill Cook, Bill Vicenzino, Paul Hodges, Louis Gifford, Deborah Falla and more, to present their latest research data and exciting new material in 2008.
The city of Rotterdam has promised us all the cooperation we could want and more, so we are sure to make the 9th IFOMT congress a memorable one!
The web site will soon be launched and of course more information can be found at the IFOMT website www.ifomt.org
Further news:
In The Netherlands all schools for manual therapy will be adapted to the Bachelor Master structure as has been agreed upon in Europe.
Last year the NVMT has started to describe the professional competencies of a Manual Therapist. The connection between knowledge, insight, skills and attitude of a Manual Therapist are described in order to solve problems and execute tasks in everyday practice in accordance to the requirements.
At the same time the NVMT is busy describing the final attainment level of the educational systems in the from of competencies. These will be made available during 2004. A number of schools have started to try to meet the requirements of a master study within the new BaMa structure. The requirements have beet drafted by the Dutch Flemish Accreditation Body. An English version is available at www.NVAO.nl 

The guideline Manual Therapy in low back pain has been translated and is currently with the original authors for approval. It will be made available on the IFOMT website shortly.
Together with the parent body the Royal Dutch Society for Physiotherapy (KNGF), a new guideline is being developed for the treatment of cervical complaints. The method of developing guidelines by the KNGF has been set as a future European standard by the European Region of the World Confederation for Physical Therapy (WCPT).
Physiotherapists and Manual Therapists together, will look at which treatments of the different cervical complaints there is the most evidence. In accordance with these findings a new guideline will be formed. We have yet to start this project, but naturally all information on international research on this subject is welcome. We kindly ask you to send this information to nvmt@kngf.nl 

New Zealand:  Delegate - Duncan Reid

The New Zealand Manipulative Therapist Associations major activities in the next year are as follows:

The NZ College of Physiotherapy accredited membership courses (CAMC) run by NZMPA continue to be popular with courses running concurrently in Auckland, Wellington and Christchurch. There are 25- 30 physiotherapists attending these courses run in the weekends every two months. These courses offer registered physiotherapist the opportunity to up-skill in all areas of musculoskeletal management and treatment. 

The annual general meeting of NZMPA will be held in Wellington in August 1st. There will also be a graduate only upgrading day for cervical spine manipulation taught by Michael Monaghan and Duncan Reid. The present New Zealand MO delegate, Duncan Reid is now on the Executive of IFOMT so a new delegate will be voted in at the AGM.

The Scientific Congress to be held in Rotorua, July 2005 is presently in the planning stages and will be an Asia West Pacific Education Committee meeting as well. Keynote speakers have been confirmed. They are: Bill Vicenzino from the University of Queensland, Steve Edmonston from Curtin University, Jill Cook from La Trobe and Meena Sran from Vancouver. The theme for the congress in around bone and tendon. For those overseas delegates who may want to come to the congress to either present or participate, this a wonderful tourist venue and only an hours drive to the North Island ski fields, so start thinking about booking now. This information is also in the IFOMT website under events.

Norway:   Delegate - Heather Nicol

The first Norwegian Masters degree in Manual Therapy is now established at the Bergen University, Norway.   This 2 year program will commence 1st January 2005 and combines theory and clinical practise. Applications close 15 August 2004.

The next annual conference and annual meeting for the Manual therapy group in Norway will be held in Molde, Norway 11-13 March 2005. The programme will concentrate on functional evaluation and the workplace. www.manuellterapi.com

Finally we are still awaiting the decision of the Norwegian parliament concerning the outcome of the Primary contact project for manual therapists in Norway.

Portugal: Delegate - Joo Filipe Vasconcelos Abreu

No report received

Sweden: Delegate - Johan Liljebck

No report received

Switzerland: Delegate - Rene  De Ruijter

People have been contacted for adding to the Research list and for the Resource centre.

United Kingdom:   Delegate -  Alison Rushton.

Email: a.b.rushton@bham.ac.uk


We have been successful in having a proposed programme accepted for CSP Congress 2004 at the International Conference Centre in Birmingham, as one of the Clinical Interest Groups (CIGs) represented there. We have put together an exciting programme centred on the topical issue of:

"Evidence based practice in manual therapy"

The conference takes place from Friday 8th October to Sunday 10th October 2004, and it will encompass the AGM. We have secured a number of excellent speakers / researchers to address different aspects of this topical issue. We our focussing on our established and developing researchers within the UK, and aiming to use this as a forum for disseminating their current work to members / non members. Topics and speakers include:

What is the evidence for manual therapy? Professor Ann Moore (Grieve memorial lecture, 2004)
Development of the sub classification of non-specific low back pain. Dr Chris McCarthy
Evidence based management of low back pain. Dr Anne Daykin.
The reliability and validity of the Sharp-Purser test is patients with Rheumatoid Arthritis. Gail Forrester
The role of lumbar stabilisation in the management of low back pain. Dr Mindy Cairns.
The evidence for the use of manual therapy and electrotherapy in the management of LBP. Dr Deidre Hurley.
Vertebrobasilar Insufficiency - the debate and the evidence? Roger Kerry.
Consensus approach to the way forward with VBI. Dr Chris McCarthy
Ultrasound imaging and measurement of median nerve movement following whiplash injury. Dr Jane Greening.
Values for testing the endurance capacity of the deep neck flexors. Nicola Henehan and Dr Gill James
Evidence informed education in Manipulative Physiotherapy. Dr Alison Rushton.

Our keynote speaker is Dr Patricia Dolan who will use her current research and considerable experience within this area to speak on:

 "The contribution of the disc to low back pain"

In addition we will have invited research paper presentations from successful applications to the MACP research awards.

Further information on www.macp-online.co.uk
and www.csp.org.uk/congress


Collaboration between the Professional Development Committee (PDC) and the Committee for Education and Approval (CEA) has contributed to the development of a process of accreditation of courses to be marketed and delivered under the MACP 'umbrella'. The process of collaboration highlighted two key reasons for this development:
1. Ensuring the quality of courses being developed and delivered using the MACP name
2. Continuing Professional Development of members, by encouraging members to become involved in this process. (The PDC is also looking at the preparation of members to become involved in this process).
The accreditation process
Any member / non member can submit a course for consideration for accreditation by CEA. The required documentation is submitted to the Chair of the CEA. CEA will allocate two scrutineers to consider the documentation for the course. The course will be evaluated against the criteria detailed below, through a process of analysis of the course proposal and Curriculum Vitae of the planned tutor(s). Successful accreditation will remain valid for a period of 3 years, subject to satisfactory course evaluation being considered by CEA. Each occurrence of the course will be evaluated using the standardised form developed by CEA. A written summary of the evaluation by the course tutor / team and the raw data will be reviewed by CEA for ongoing monitoring of quality. Only courses accredited by CEA may be advertised and delivered using the MACP name. Further advice and guidance on the preparation of a course proposal for consideration by CEA can be obtained through the full document available on the MACP website or by contacting the Chair of CEA.
A £100 fee is charged for the process of consideration of a course for accreditation. To maintain accreditation, a fee will be paid for each occurrence of the course. The amount will be 1% of each course participant's fee and will be used to assist funding for the continuing professional development of MACP members.

Criteria for short courses accredited by the CEA
Aims of the course
The course will….
 Ensure that the taught philosophy / concept / approach is put into the wider context of manipulative physiotherapy.
 The philosophy / concept / approach must be clearly articulated to participants in terms of its development, research base and its current and future direction.
 Facilitate student learning. A student centred approach is therefore recommended whereby students are encouraged to be active and fully engaged with the learning. Wherever possible students will be self directed and will facilitate learning with each other.
 Support both techniques and different approaches with evidence as far as possible.
 Achieve an appropriate balance of practical to theory in the case of a course with practical content.

 The course proposal will reflect intended achievement of the above aims. The course proposal will be structured to address and provide detail within the following areas: introduction and philosophy of the course, aims of the course, learning outcomes of the course, structure of the course, teaching and learning strategies, minimum and maximum numbers for the course, formative assessment e.g. ongoing feedback to course participants, learning resources for students, location of the course, planned dates for delivery of course, and planned lecturers.
 Through their CV, the course tutor(s) must be able to demonstrate an appropriate background and Continuing Professional Development to support the delivery of the course. (This will be explored in relation to the tutors' background to deliver the course through experience of learning and teaching, and through their subject specific background re manipulative physiotherapy and associated subject areas as appropriate)
 The planned number of participants must be appropriate to ensure good quality of clinical supervision. A ratio of 16 students: 1 tutor is therefore recommended as a maximum for courses with a practical component.

Progress to date: Several courses have been accredited and are being monitored following each occurrence. Courses currently running include clinical effectiveness and lumbar spine, with others currently being evaluated for accreditation, including haemodynamics, cervical spine, osteopathy etc.

USA:          Delegate - Ken Olson

The American Academy of Orthopedic Manual Physical Therapists (AAOMPT), the representative body of MO USA, would like to congratulate MO South Africa and IFOMT on an outstanding conference.

MO USA looks forward to continuing to work with IFOMT and other MOs to promote the practice of Orthopedic Manual Physical Therapy internationally. Sharing our common resources and experiences can only serve to strengthen us all.  We are also interested in continuing to contribute to discussions within IFOMT regarding standardizing OMT terminology internationally and further defining the specialty area of OMT. 

It seems the same challenges are being faced by many MOs, namely: ensuring appropriate educational standards, reimbursement issues, protection of scope of practice, and patient's rights to have direct access to Physical Therapists. MO USA is working closely with our WCPT parent organization, APTA, on many of these issues.

MO USA looks forward to continuing to be actively involved in the important work of IFOMT and are looking forward to the visit from IFOMT president, Michael Ritchie planned for October 21-24, 2004 in Louisville, Kentucky, USA to participate in the AAOMPT annual conference and to discuss the possible formation of an IFOMT education group with Canada and USA.   MO USA is also interested in exploring establishment of reciprocal OMT credentialing with other MO's for individual therapists who have met another MO's education standards and wish to relocate to the USA and vice versa.    
Respectively submitted by: Chris Showalter, AAOMPT International Committee Chair and Ken Olson, AAOMPT President


Australian Association of Orthopaedic Manipulative Therapists: Delegate - Bill Atkinson

Bill very kindly submitted some historical photos for the website. 

Hungary:   Delegate - Andrea Rig

In Hungary there will be a round table conference of manual therapy on 11th June, 2004 and we will discuss the last 10 years' professional events in manual therapy.

Ireland:   Delegate -  Helen French

The Chartered Physiotherapists in Manipulative Therapy (CPMT) recently held its AGM. Helen French retired as Chair and is succeeded by Fiona Wilson. A new committee was voted in. Obtaining full IFOMT membership is still a high priority for this committee. The 2004 CPMT research bursary was awarded to Keith Smart for his MSc on 'Clinical Reasoning and Classification of Pain by experienced musculoskeletal physiotherapists. A Qualititive Study.'

Spain:  Delegate - Jse Miguel Trics Moreno

OMT Espaa follows working in our application to get IFOMT Full Membership. We have received the answer of IFOMT president and the Executive Committee to our situation in Cape Town 2004.
We have attended the "Spanish-Portuguese Manual Therapy Congress"., organized in Oviedo (Spain), 13-14th May in which high quality communications were presented and it served to discuss Spanish and Portuguese methodologies in manual therapy.



World Congress on Low Back & Pelvic Pain, 10 - 13 November 2004
Melbourne, Australia

For further information please log on to the Website: www.worldcongresslbp.com

WCPT: The provisional dates for the next congress in Vancouver will be 3rd - 7th June 2007.

IFOMT:  Next Conference Rotterdam, the Netherlands June 8-15, 2008 
Contact:   Erik Thoomes ejthoomes@wxs.nl

Best wishes

Vicki Reid
IFOMT Secretariat

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