Certification

Certified Manual Exercise Therapist (CMET)

MET Seminars offers the credentials: Certified Manual Exercise Therapist (CMET). Traditionally, Medical Exercise Therapy has always been provided in conjunction with manual therapy. The scientific literature now greatly supports the view that for many musculo-skeletal conditions the combination of manual therapy and exercise produces greater improvements in pain, impairment, function, quality of life and patient satisfaction. The M.E.T. MET-odology promotes the utilization of manual therapy but does not promote a specific manual therapy school. The M.E.T. MET-odology promotes an alignment of the administered manual therapy intervention and the design of the follow-up therapeutic exercise.

After completing and passing post-course tests for Level 1: Fundamentals and Level 2: Upper Quadrant, Lower Quadrant and Spine courses, candidates may participate in the Level III certification exam.

​Level l and Level ll Exams

Level l and level ll exams consist of a theoretical portion and a practical portion. On completion of your exam, you will receive an exam completion certificate and the grade of your exam.

Theoretical exam format – Level l and ll

  • Each exam consist of 30 multiple choice questions
  • Questions are presented randomly
  • Each correct answers earn 2 points with a total of 60 points
  • There is no penalty for omitted questions or questions answered incorrectly
  • The scope of the exam relates to the content of each course. Level II exams may have questions pertaining to level I course material.
  • Each exam has a time limit of 90 minutes
  • You may retake each exam 2 times on written request

Practical Exam format – Level l and Level ll

  • An oral practicum is conducted at the completion of each course
  • The oral practicum is conducted in a small group format and usually takes 90 to 120 minutes
  • Grading is a pass / fail with a total of 40 points
  • Participants are scored on participation level and clinical reasoning skills pertaining to the presented course content
SAMPLE QUESTIONS:

A Clinical Fatigue Test is considered “invalid” when the test is stopped due to:
a.    An increased movement speed
b.    A decreased movement speed
c.    A change in movement pattern due to local muscular fatigue
d.    An increased pain level

You have performed a manual therapy technique to improve right shoulder flexion. You follow up with a mobilization exercise supine for shoulder flexion using internal force to create the movement and an arthro-kinematic set-up. The result of your Clinical Fatigue Test (CFT) is 50 repetitions with 2.0 kg. The appropriate initial dose for this exercise is:
a.     40 reps; 1.8 kg; 3 sets; 30-45 sec rest
b.     40 reps; 2.0 kg; 3 sets; 30-45 sec rest
c.      50 reps; 1.8 kg; 3 sets; 30-45 sec rest
d.      50 reps; 2.0 kg; 3 sets; 30-45 sec rest

​Level lll - Certification Exam

Requirements

  • Successful completion of all level l and level ll courses
  • Successful completion of all level l and level ll theoretical and practical exams with a passing grade of 80% for each theoretical and practical combined.

Certification exam consist of three parts:

Part 1: Submission of 3 Case Studies

Case Studies: Upper Extremity, Lower Extremity and Spine
Case studies need to be submitted at least 3 months prior to sitting for the certification exam
Each case study should be a detailed description of the management of a clinical case and include:

a. Background
b. Case Description
c. Outcomes
d. Discussion

Special attention is given to the rationale for exercise selection, design, dosing and progression (therapeutic exercise format)
Case studies need to be presented in the “Full" Traditional Case Report format: http://ptjournal.apta.org/site/misc/ifora.xhtml
Each case study will require a passing grade of 80%
Case Studies will be graded using the following rubric:

Grading >90% 80-89% 70-79% <70% Score
Format
Weight: .25
followed in all aspects followed in most aspects not followed in many aspects not followed in most cases
Completeness
Weight: .25
complete in all aspects complete in most aspects incomplete in many aspects incomplete in most cases
Understanding of MET methodology
Weight: .25
demonstrates sophisticated understanding demonstrates advanced understanding demonstrates basic understanding demonstrates incomplete understanding
Clinical Reasoning
Weight: .25
demonstrates exceptional reasoning skills demonstrates advanced reasoning skills demonstrates basic reasoning skills demonstrates insufficient reasoning skills
Total Score
Case studies with a grade below 80% will be returned once with recommendations for improvement. The candidate can re-submit the case study at least 1 month prior to the certification exam date.
Part 2: Theoretical Exam
Will be conducted on site (no study materials allowed)
Certification exam consist of 50 multiple choice questions
Questions are presented randomly and cover the content of all level I and II courses.
Each correct answers earn 2 point with a total of 200 points
There is no penalty for omitted questions or questions answered incorrectly
Each exam has a time limit of 150 minutes
The certification exam has a passing grade of 80%
Part 3: Oral Practicum

Clinical discussion based on the case studies submitted by the candidate
Candidates will be required to demonstrate 3 interventions, one for each region of the body. Each intervention may include:

  • A manual therapy intervention, if appropriate. The type of manual therapy intervention is at the discretion of the candidate. The exercise selection/design needs to match the manual therapy intervention.
  • Perform isometric HHD strength test as needed.
  • Exercise set-up
  • Instruct patient (model) in and perform Clinical Fatigue Test
  • Calculate exercise dose. Resistance may include: pulley weights, exercise bands, dumbbell weights, cuff weights, body weight and others

The oral practicum has a 80% passing grade
Oral practicum will be graded using the following rubric:

Grading >90% 80-89% 70-79% <70% Score
Clinical Discussion
Weight: .20
demonstrates exceptional reasoning skills demonstrates advanced reasoning skills demonstrates basic reasoning skills demonstrates insufficient reasoning skills
Exercise Selection
Weight: .20
demonstrates exceptional rationale demonstrates advanced rationale demonstrates basic rationale demonstrates insufficient rationale
Isometric Strength
Weight: .10
demonstrates sophisticated understanding and proficiency demonstrates advanced understanding and proficiency demonstrates basic understanding and proficiency demonstrates incomplete understanding and proficiency
Exercise Setup
Weight: .20
demonstrates sophisticated understanding and proficiency demonstrates advanced understanding and proficiency demonstrates basic understanding and proficiency demonstrates incomplete understanding and proficiency
Instruction and Execution of CFT
Weight: .20
demonstrates sophisticated understanding and proficiency demonstrates advanced understanding and proficiency demonstrates basic understanding and proficiency demonstrates incomplete understanding and proficiency
Exercise Dose / Dosage
Weight: .10
demonstrates sophisticated understanding and proficiency demonstrates advanced understanding and proficiency demonstrates basic understanding and proficiency demonstrates incomplete understanding and proficiency
Total Score

Once you pass all exams you are awarded the MET Seminars Certified Manual Exercise Therapist and may use the initials CMET behind your name.