Certified Orthopedic FYZICAL Therapist (COFT)

FYZICAL offers a certification process for those physical therapists and assistants who wish to advance and become more effective. The candidate will develop specialized manual therapy skills, expand their knowledge base, implement evidence based practice and become more effective in treating orthopedic conditions in the out patient setting.

The course curriculum includes the most effective and evidence based approach available with concepts from New Zealand and North America. It is presented in a format that is candidate friendly and cost effective.

Advantages of being a COFT or COFA:
Upon successful completion of the certification program, the graduate will be well versed in a rationale and skill set that will equip them to be more efficient during their evaluations and have better outcomes than the regular physical therapist. The COFT/A therapist is able to look at the patient as a whole and treat the drivers of the problem not just the end result. This program is designed to produce a superior physical therapist that is knowledgeable of evidence based and current practice, is effective with improved outcomes and is efficient in their use of treatment time.

The FYZICAL Eclectic Approach:
New Zealand is well known for it’s beauty, sporting success and of course physiotherapists. These physiotherapist (physical therapists) include; Robin McKenzie PT, Dip MT, Dip MDT, Brian Mulligan PT, Dip MT. CMP , Stanley Paris, PT. PhD. MCT. Mark Laslett PT. PhD, Dip MDT and Duncan Reid. PT. PhD. Dip MT.
The ‘New Zealand Connection’ refers to Dr Hamer’s ties to New Zealand, He graduated from the Otago school of Physiotherapy, Dunedin, New Zealand 1979. He then worked in private practice from 1979 to 1981 and again from 1987-1993. During his time in New Zealand he studied and was awarded the Diploma of Manipulative Therapy (Dip MT). Robin McKenzie, Brian Mulligan, Mark Laslett and Duncan Reid were some of the faculty on this program.
After leaving New Zealand at the end of 1981, Dr. Hamer moved to Ottawa, Canada to take over an orthopedic physiotherapy practice. During his six years in Ottawa he was able to take the Canadian Orthopedic Group’s manual therapy program (E1-4 and V1-5). He was also hosted Loren Rex DO for a number courses enabling him to improve his Muscle Energy skills.
The New Zealand Concept is the blending of what is effective from New Zealand with the evidence base practice used in the North America.
Dr. Hamer believes that no one school of thought has all the answers and one must always be open to new ideas and approaches. Dr. Hamer considers himself lucky to have been exposed to so many good teachers, clinicians and schools of thought. While in private practice in New Zealand and Canada he had the opportunity to see large numbers of patients. While not ideal, it did allow him to develop his syndrome classification system to effectively apply treatment methodology to the individuals presentation. Syndrome classification systems have since been shown to be more effective than the traditional anatomical. Pathological, biomechanical system still commonly used.
Dr. Hamer feels that with an evidence-based background he is able to present the New Zealand perspective along with other schools of thought here in North America in an eclectic and functional manner. He has adapted the concepts of positional preference, repeated movement, passive or active movement mobilization, postlation, physiological over pressure mobilizations, mobilization and manipulation into what he describes as the ‘New Zealand Concept’. This results in a functional, effective and safe methodology to treat orthopedic conditions found in the out-patient and industrial setting.

Certification Goals:
1. To graduate participants who are able to treat patients presenting in the out-patient and industrial setting with current evidence based practice.
2. To provide the participants with the skills to examine, evaluate, diagnose, and implement an effective and safe treatment system in order to provide superior outcomes for the orthopedic patient.
3. Provide the participant with the skills based on the ‘New Zealand Concept’ and the North American approach in order to produce an effective and safe practitioner of orthopedic manual therapy for the treatment of musculoskeletal conditions seen in the out-patient setting.
4. Provide ongoing learning opportunities in order to continually improve knowledge, skill, and outcomes.

Course Selection:
1. Lumbar Spine and Pelvis: An Evidence-Based Diagnosis and Manual Therapy Treatment Approach
2. Multi Region Core Stability: An Evidence-Based Diagnosis and Treatment Approach
3. Cervical and Thoracic Spine: An Evidence-Based Diagnosis and Manual Therapy Treatment Approach
4. The Upper Quarter: An Evidence-Based Diagnosis and Manual Therapy Treatment Approach
5. The Lower Quarter: An Evidence-Based Diagnosis and Manual Therapy Treatment Approach

(The above courses can be taken in any order)

Certification Course Structure:
The successful candidate will have successfully completed all five courses (three spinal and two extremity). These can be taken in any order. Each course requires post course quiz and an essay to be completed (PTAs are not required to the complete the essay).

During the course the candidate will be required to demonstrate competency in techniques covered on the current course. Once the five courses have been completed, a review post course quiz will be undertaken with an 80% pass score required. Time will be allocated during course weekends to test candidate competency. The candidate will be required to demonstrate their competency during the class and non-class instruction labs. During this weekend a skill set test will be under taken.

1. Select and register for the first course.
2. Attend the course
3. Within 30 days, successfully complete the post course quiz. and essay.
4. There is an essay requirement for each course (PTs only). The candidate will be sent the essay question after completion of the course to be submitted within 30 days of course completion
The successful completion of the above requirements will result in the candidate being awarded the ‘Certified Orthopedic FYZICAL Therapist’ status attesting that the candidate has attained a high level of knowledge and skill in the orthopedic management of musculoskeletal conditions seen in the out patient and industrial setting.

Who can enroll in the FYZICAL Orthopedic Program?
• Physical Therapists – COFT
• Physical Therapy Assistants – COFA

Due to individual state practice act requirements and other organizations, Physical Therapist Assistants are able be certified as FYZICAL Orthopedic Assistant. The requirements are different due to the individual state limits on evaluation and manual therapy.

Since Physical Therapy Assistants are valuable and skilled clinicians, FYZICAL recognizes this and has adapted the certification program so that PTAs receive their due recognition. The PTA must attend the required courses (see Course Selection) complete and pass the post course quiz and be evaluated on skill set during the courses. The PTA is not required to complete the post course essay. In summary for a PTA to become a CFOA, they must attend the courses and successfully complete the post course quiz.

FYZICAL is dedicated to providing the community with the highest standards of physical therapy. In order to achieve this, FYZICAL EDUCATION offers our therapist the most up to date clinically significant eduction program.