Call 866-426-6101 to discuss certification with us. We will do our best to provide you with information and materials to help you succeed at this important, professional milestone.

COMT Live Course Requirements


COMT – Upper Spine = Clinical Examination of the Upper Cervical Spine, Clinical Examination of the Lower Cervical Spine, Clinical Examination of TOS / CTJ

COMT Lower Spine = Clinical Examination of the Acute Lumbar Spine Pain, Clinical Examination of Recurrent and Chronic Lumbar Spine Pain, Clinical Examination of the Thoracic Spine and Ribs

COMT Upper Quadrant Extremities – Clinical Examination of the Wrist and Thumb, Clinical Examination of the Elbow, Clinical Examination of the Shoulder

COMT Lower Quadrant Extremities = Clinical Examination of the Foot and Ankle, Clinical Examination of the Knee, Clinical Examination of the Hip and Pubic Symphysis

On average, candidates attempt to accomplish COMT in 18-30 months.

Certification Overview

There are definite benefits of why you should consider Certification in Orthopedic Manual Therapy. One, simply put, is to make life better! To reaffirm the exciting reason why you chose to be a therapist and make every day fun! Certify for the Ease of Clinical Practice.

The other equally powerful rationale is to elevate your career and reach for a higher level of success. Certify for Professional Transformation and broaden your horizons through new emphasis and credentialing.

Whether you are wanting to feel better in your role as a Therapist or you are in the position ask “what’s next”, the IAOM-US can help guide you there.

Make Clinical Practice Easier

Make practice fun!

IAOM Certification in Orthopedic Manual Therapy brings your clinical assessment and treatment tools to an automatic level. You won’t have to think so hard!

  • During patient interaction speak with confidence in explaining why the individual hurts, the parameters of the condition, and what can be done about it.
  • By applying a systematic approach to every clinical examination, you will be able to see clinical patterns emerge, and also share findings more easily with colleagues (to include the entire medical community).
  • Knowing which treatment tools to apply when, where, and to which conditions produces successful outcomes with every patient.
Achieve More Professionally

You have invested a tremendous amount to get where you are today. Enjoy your profession more every year. Prevent job burnout and patient heart-sink by taking advantage of what the IAOM has to offer: lifetime career enhancement through professional transformation, by systematically reaching one higher level at a time.

The IAOM-US offers the clinician the resources and tools which serve as a segue to expanding your horizons and reaching new milestones.

The IAOM-US Certification in OMT or the UE Track is a career-defining achievement.  For this reason, it is a life-long credential.  Because this process can transform the Clinician from novice to musculoskeletal specialist, the ongoing learning that follows this achievement is strongly encouraged and supported through various IAOM-US resources including membership, fellowship and doctoral education.

Stay on the transformational journey!  Study the content and gain the skills through the courses. Be challenged in the Certification Exam. Become a Master in the Fellowship. Become a Leader through Doctoral Education.

Certification Exam Process

To best prepare yourself for the examination, we recommend you study the material in the course manuals provided at the courses and IAOM books. It is recommended you purchase the DVDs (for OMT) as the practical examination comprises the material from the DVDs as well as the course manuals and textbooks.

Written examinations are closed books/notes examinations (you may use neither books, notes, manuals, nor electronic media during the examination) and are generally scheduled for the morning of the testing date.

Schedule for a maximum of 2 hours for 3-4 module examinations and 3 hours for a 6 module examination.

Written examinations consist of multiple choice and short answer questions with one correct answer only.

Material for the examination are the IAOM-US course manuals and the course textbooks (Winkel et al. books for the Spine & the Extremities, 1997, as well as the IAOM-US books published by OPTP such as the Hip and Knee).

Includes questions regarding:

  1. Pathoanatomy
  2. Pathology
  3. Mechanics (arthro/osteokinematics)
  4. Differential diagnosis
  5. Treatment Approach
  6. General/Definition terms

The 3-courses examination consists of approximately 66 questions with the following breakdown for each section (22 questions per section) of the test (this may vary):

  1. Pathoanatomy: 5 questions
  2. Pathology: 5 questions
  3. Mechanics: 4 questions
  4. Differential diagnosis: 3 questions
  5. Treatment approaches: 3 questions
  6. General questions: 2 questions

The 6-courses examination consists of approximately 102 questions with the following breakdown for each section (17 questions per section) of the test (this may vary):

  1. Pathoanatomy: 4 questions
  2. Pathology: 4 questions
  3. Mechanics: 3 questions
  4. Differential diagnosis: 2 questions
  5. Treatment approaches: 2 questions
  6. General questions: 2 questions


Practical examinations follow the written examination.

Each Participant received the practical examination questions before the examination, allow 30 minutes to prepare prior to examination.

Two participants are scheduled for approximately 1 hour and 30 minutes for 2-3 module examinations and approximately 2 hours for 4-6 module exams throughout the day.

Practical exam will be videotaped.

Practical Examinations include the following:

  1. 1 clinical or local segmental examination including special-extra tests (the examination sheets are available by clicking here): 35%
  2. 2 surface anatomy locations — soft tissue techniques: 20%
  3. 2 mobilization techniques (30%) for the 3 courses examination, and 3 mobilization techniques for the 4-6 courses examination: 30%
  4. 1 high velocity manipulative technique: 15%


Passing scores are calculated as follows:

  • Written Examination: 70%
  • Practical Examination: 70%
  • Overall score: 70%
Retaking the Exam

Failure to obtain at least 70% on the written examination AND at least 70% on the practical examination AND at least 70% on the overall score will result in failure. In the case of a passing score on one part of the examination (e.g. the practical examination) and a failure score on the other part of the examination (e.g. written examination), with an overall score > 70%, the individual must retake the part that he/she failed (in this case the written examination). The re-examination score represents the final score. Scores are sent out within 6 weeks of taking an examination.

In the case of an overall score of <70%, both the written and practical examinations must be retaken.

Pin It on Pinterest

Share This