Program presentation

The Association Québécoise de Physiothérapie Musculo-squelettique Avancée (AQPMA) is part of the Orthopaedic Division of the Canadian Physiotherapy Association (CPA) and we are proud to offer you a continuing education program of outstanding quality here in Québec.

The complete continuing education program

Once you’ve decided to sign up for a course given by the AQPMA, you are officially considered as a student enrolled in a curriculum of courses. If you continue taking courses regularly within our continuing education program, you will automatically receive your attestations of manipulation issued by the OPPQ. The AQPMA will give the Peripheral Attestation after successful completion of the Level 3 Quadrant courses and the Vertebral Attestation after successful completion of the Level 4.

Program procedure

In Québec, the Level 1 Clinical Integration course is 4 days and is the prerequisite for the Level 2 Quadrant courses. On the other hand, you could decide to challenge the exam by communicating with CPA however, you will have to buy the theoretical course notes as they are not provided on the level 2 course (The cost of the notes is included in the level 1 course fees)

It is no longer necessary to complete the Level 2 Lower Quadrant course prior to the Level 2 Upper Quadrant course. At each of Level 2 and Level 3, you may now start with either the upper or lower quadrants.

Exams at the end of each course
Please note there is a written exam at the end of each course for Levels 1, 2 and 3. The exam is short answer and is held in the afternoon of the last day of the course. There is also a Case History exam, which must be completed during the course and will be corrected as a group. Passing these exams is obligatory prior to obtaining the certificate of completion and continuing onto the next levels. The passing grade is 65% when combining the two exams. Please see the policy for failing an exam under the « Policies » tab on our website.

Canadian National exams for manual therapy

There are two Canadian National exams of manual therapy: the Intermediate Exam and the Advanced Exam.

In order to be able to register for the Intermediate Exam, you must have completed the two Level 3 Quadrant courses. It is also essential to complete 90 supervised clinical hours by the end of January of the year of your challenging the Exam.

Starting in 2011, the Intermediate Exam has consisted of a practical exam only (global mobilizations and peripheral manipulations). This practical exam is held once a year in the month of April in Vancouver, Calgary, Toronto and/or Montréal.

The Advanced Exam consists of three parts: a case history, a written exam and a practical exam on vertebral mobilizations and manipulations. In order to be able to register for this exam, you must complete Levels 4 & 5 Quadrant courses as well as 60 supervised clinic hours by the end of the month of June within same year the exam is held. This exam is held each Fall season.

To register for either of these exams (Intermediate or Advanced Exam), please consult the Orthopaedic Division of the Canadian Physiotherapy Association website:


The maximum number of participants for each course is 20. Our policy is the first payments received and confirmed are the first places reserved.

To take advantage of the CPA/Ortho Division member price, you must supply a copy of your CPA membership card and mention your Ortho Division affiliation at the time of enrolling in our courses. To become a member, visit the homepage of the Canadian Physiotherapy Association (CPA) website and click on Membership and then click on How to Join in the drop-down menu. Be sure to tick the Orthopaedic Division box. You will immediately receive your membership card electronically. Once you receive it, you may add the PDF of your card to your AQPMA profile. Note that the rebate at the time of enrollment to our courses can cover the amount of your membership fees. This could allow you to enjoy additional services such as the electronic journal of the Orthopaedic Division Review.

Please be certain to obtain your membership card before you register for one of our courses, as there is a $50 applicable fee to all modifications to the cost of your registration if the deadline to enrollment has not passed. No modification to the cost will be accepted once the deadline to register has passed even if the membership card is provided.

Course notes

The course notes for the Level 1 will be sent by mail approximately two to three weeks prior to the first day of the course.

The course notes for the Levels 2 and 3 (Technical Manuals) will be given to the participants on the first day of the appropriate course.

For the Level 3 courses, videos will be added to the student section of the AQPMA website. It is very important to look at these videos prior to the commencement of each course.

Be sure to bring your Theory Manuals to each course. These course notes will be supplied in the language of the course given; therefore, if you wish to obtain the notes in the other language, you must notify us prior to writing on any of the pages or you will not be allowed to exchange the notes.

Introduction to Clinical Research to Support Evidence-based Practice in Manual Therapy

The Evidence based course (Given through University of Toronto or Laval University) is now part of our curriculum. We needed to implement such a course to fulfill the IFOMPT standards.

The candidates who register for their first Level course (level 1 or 2) AFTER January 1st 2014 will need to complete the On-Line EBP course anytime before registering for their Advanced exam.
This is the information to register (French and English courses):

English course through Western University :
TITLE: Critical Appraisal and Integration of Evidence into Healthcare Practice

Cours en français à l’université Laval :
TITRE: Introduction à la recherche clinique appliquée à la physiothérapie manuelle orthopédique