Orthopaedic Manual Therapy - Musculoskeletal Medicine courses : Mission | cyriax.eu

Orthopaedic Manual Therapy - Musculoskeletal Medicine courses : Mission



The European Teaching Group of Orthopaedic Medicine, Cyriax (ETGOM) offers updated orthopaedic musculoskeletal medicine - manual therapy  continuing education with emphasis on practical clinical reasoning. We focus on relevant inspection, history, and functional examination in order to reach a diagnosis and, possibly, a differential diagnosis. Different kinds of soft tissue treatment techniques are discussed such as transverse friction massage, mobilisation, infiltration, injection, traction and manipulation, possibly in combination with other techniques.


ETGOM vzw, European Teaching Group of Orthopaedic Medicine Cyriax is a Belgian association, founded in 1989 by Bob De Coninck, PT.
ETGOM offers world wide specific and "to the point" continuing education courses and seminars in modern orthopaedic medicine Cyriax. Therefore we collaborate intensively with a number of international organization partners.

These courses respect the quality standards as set by the Global Cyriax Institute and are recognized by different physiotherapy associations throughout the world. Bob De Coninck became an official Cyriax teacher since 1969 and was the leader of Dr. Cyriax's International Teaching Team.

He was co-responsible for the training of many Cyriax teachers. During about 30 years he had a private practice in De Haan (Belgium), which he combined with his teaching activities. From may 2006 he officially retired after a long and intense career.

In his "Textbook of Orthopaedic Medicine, volume I", Dr. Cyriax refers to Bob De Coninck who offers a teaching facility in orthopaedic medicine (p. 485, eight Edition).


All ETGOM teachers combine clinical work in their practice with their teaching activities. It is imperative for us to stay in contact, as much as possible, with the field-work and to integrate new scientific and practical evolutions into our teaching activities. The present format of our Cyriax orthopaedic medicine seminars is the result of a long evolution and a vaste experience, which is still subject to recent interesting scientific and practical evolutions.

Every ETGOM teacher has his specific background : some have a manual therapy background, others have a McKenzie imput or are osteopath D.O.. This opens perspectives for what is concerned a symbiotic discussion during course sessions.


The ETGOM courses are open to : MD's, physical therapists, physical therapist assistants, occupational therapists, osteopaths, chiropractors, certified athletic trainers and graduating students. The courses are available in six different languages : dutch, french, italian, german, english and Slovenian.


 Final learning outcome of the ETGOM courses 

 After attending the basic and advanced training program the therapist must be able

  • to examine a patient in an independent, reliable and safe way and
  • to reach a diagnosis as specific and as valid as possible. 
  • He must manage a multifactorial objective clinical reasoning system.

We focus on diagnosis and therapy within the field of musculoskeletal medicine. Once a diagnosis is obtained the therapist can start a relevant conservative treatment strategy, taking into account the nature, the severity and the localization of the lesion, as well as the personality of the patient, with respect for symbiotic treatment options and inter-method links .

The therapist will promote a thourough multidisciplinary team work between MD and pysical therapist in order to optimize the efficiency of the examination and treatment techniques.

Besides achieving a diagnosis one must also know how to achieve a diferential diagnosis including the recognition of red flags.

The therapist has to take into account changing the treatment procedure if necessary, also with emphasis on self treatment and prophylactic strategies in order to help the patient to return to his normal daily activities in a most optimal way.