• Date & Time

    Saturday, April 27: 8:00am - 5:00pm (registration starts at 7:30am) Sunday, April 28: 8:00am - 4:00pm

  • Location

    Centerville, OH

  • Registration: $599

    2nd & 3rd Yr PT Students: $349.00

NAIOMT COMT-4: Upper Extremity

This is the fourth course in a series of five courses in the COMT certification series. This case-based, lab-focused course features human movement and high performing PT management of the upper extremity.

This case-based, lab-focused course features human movement and high performing PT management of the upper extremity. Participants will screen and analyze the role of upper extremity movement, its relationship to the cervicothoracic spinal quadrant, incorporating the patient's health conditions, pain presentations, and relevant biopsychosocial factors. Mobility patterns of the upper and lower quadrant system are studied, and the central and spinal neurophysiological factors determining normal and abnormal movement patterns. Management strategies include education, activity modification, manual therapy techniques, and individualized neuromuscular rehabilitation prescription, with the goal of restoring optimal function and preventing future health conditions and impairments. Participants will incorporate techniques into evidence-informed clinical practice guidelines for specific upper quadrant movement impairments and interpret relevant outcomes measures to guide treatment progression.
  • Course Details

    This course is 2 days on-site and 7 hours online. Participants will receive an e-link to online coursework 2 weeks prior to the course and to the onsite course materials 1 week prior to the course. Please watch for these links in your email inbox.

  • CEUs

    This course awards 21 CEUs in eligible states. See www.naiomt.com/ceus for details.

  • Refund Policy

    Refunds up to 30 days before event.



Chris Gray

Chris received his BS degree in Kinesiology in 1998 and his MPT in 2001 from CSU Fresno. Chris was certified in Strength and Conditioning through the NSCA in 2002. After completing a long-term Maitland-based training program, Chris achieved his OCS status in 2005. He then went on to complete his t-DPT in 2010 through the University of St. Augustine, and concurrently earned his certification in manual therapy (MTC). Dr. Gray completed another long-term training program in 2019 through the Institute of Manipulative Physiotherapy and Clinical Training (IMPACT). He completed the Orthopedic Manual Fellowship with IMPACT in 2021. Over his 23-year career, Chris has taken an eclectic array of professional development coursework which included training into PNF techniques, pain neuroscience, dry needling, spine and extremity manipulation, and S&C coursework. Chris is a level-2 Golf Fitness Instructor through the Titleist Performance Institute and regularly works with patients to help them return to the golf course. Chris has achieved certification through two separate dry needling training platforms. He has also certified in the FMS and SFMA level 1 programs. He resides near Indianapolis, Indiana with his better half, Kim. They have two kids that attend Purdue University. He enjoys golfing with friends and sitting on his back porch in the evenings. He has a particular clinical interest in complex spine cases and neuromuscular re-education interventions to support his manual techniques.

Course Partners

Some of NAIOMT's Partners Across the US

Course Organizer

The North American Institute of Orthopedic Manual Therapy, Inc. (NAIOMT) is a private physical therapist-owned organization dedicated to achieving the highest standards of clinical practice for manual physical therapists. NAIOMT specializes in a flexible teaching program, which seeks to promote the utilization of safe, effective and efficient manual physical therapy management of musculoskeletal dysfunction. It further seeks an environment that is conducive to the application of a reasoned approach to manual physical therapy through critical inquiry and the creation of new knowledge and skills based on scientific study and dissemination of that knowledge. NAIOMT strongly supports the union of the clinician, academician and researcher to further facilitate the development of quality patient care, physical therapy education and the development of master clinicians.