clinical education

Manual Therapy in Human Rehabilitation Reimagined (HRF-NEI)

Course Description

***This course requires successful completion of A Functional Understanding of Human Rehabilitation Course prior to participation.

This course is a lab dominant course designed to allow students to have a guided and supervised approach to the Human Rehabilitation Framework’s (HRF) capacity processes as it relates to movement, manual therapy, and symptomology. This course work is a blend of lecture, lab and case studies to maximize clinical application.

Course Background

The study of movement and pain has undergone significant changes in the last four decades as increased effort to move healthcare from a biomedical to biopsychosocial approach for care. The Human Rehabilitation Framework (HRF) is the world’s first biopsychosocial process-based approach to rehabilitation, accessible by all disciplines to deliver care in a transdisciplinary manner. It addresses the criticisms of the Biopsychosocial (BPS) Model and is an evolutionary step forward for Evidence-Based Practice (EBP), providing a new perspective that synthesizes scientific evidence, clinical practice, and personalized care. The HRF is based on the scientific philosophy of Functional Contextualism and replaces differential diagnosis, Clinical Practice Guidelines (CPGs), Clinical Prediction Rules (CPRs), and Clinical Pathways with a process-based approach for evaluation and intervention. It supports advances in personalized precision medicine and the value-based care model and is designed to be ready for the future of biomedicine and biopsychosocial research.

Course Target Audience: Physical Therapists, Athletic Trainers, Occupational Therapists, Chiropractors, Physical and Occupational Therapist Assistants, Massage Therapists, Counselors/Social Workers, Nurses/Nurse Practitioners, Osteopaths, Physicians, Rehabilitation Professional Students

Course Objectives

  1. Enable participants to proficiently evaluate patient movement, manual therapy needs, and symptomology through the Biopsychosocial Process-Based Human Rehabilitation Framework, applying contemporary science to understand and improve loading capacity processes.

  2. Equip participants with enhanced critical thinking abilities regarding movement, exercise, and manual therapy by viewing these elements through the lens of the Human Rehabilitation Framework and the latest scientific insights into movement, pain, and rehabilitation practices.

  3. Amplify the participant’s capacity to navigate the complexities of rehabilitation and patient care, promoting “Confident Ambiguity” when addressing varied and multifaceted patient challenges. This includes fostering a deeper understanding of pain, its impact on patients, and the application of personalized, evidence-based interventions within a biopsychosocial framework.

Current Offerings

Courses 4


We currently do not have any offerings of this course online, or at our site during this time. Please contact us if you are interested in hosting this course for your group!​

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This course has been approved by The American Physical Therapy Association, Michigan Chapter for Physical Therapists and Physical Therapy Assistants for 15 CEUs and is eligible for PDR credit in the area of pain and symptom management for Michigan Physical Therapy Licensure.

Cancellation Policy

Cancellations received at least 7 business days before the event are 100% refundable. There will be no refund for cancellations received later. If participants register and do not attend, they are still responsible for full payment. Participants will need to contact IOCH via phone or email with a request for refund. IOCH will process the participant’s refund within 3-5 business days from the day the request is received.

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