Pediatric Integrative Manual Therapy


Iñaki Pastor – TMPI team

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TMPI is a conceptual model that integrates neurodevelopment and manual therapy to provide physiotherapy for ALL children with musculoskeletal or neurodevelopmental problems.

TMPI bases its decision making on evidence-based practice and the ICF classification to take a biopsychosocial approach to the child to better meet the needs of the child and family.

TMIP proposes a paediatric physiotherapy pathway based on sensory stimulation, the baby’s ontogenic motor and postural patterns and the stimulation of automatisms that support optimal nervous system function.
ontogenic motor and postural patterns of the baby and on the stimulation of automatisms that support the optimal functioning of the nervous system.

Dates and duration 31h online and 36h classroom

03/05/22 and 06/06/22 Webinar

From 08/06/22 to 12/06/22 Classroom

28/06/22 and 19/07/22 Webinar

• Understand the concept of integrative manual therapy

• Differentiate between structural and functional manual techniques and integrate them into the paediatric application.

• Understand the multifactorial concept of pathology and the interrelation between mechanical dysfunction and neurodevelopment.

• Acquire the basic skills for joint and tissue assessment of the pelvis and lower limbs in paediatrics.

• Acquire the basic practical technical means to treat mechanical dysfunctions of the pelvis and lower limbs in paediatrics.


• Education and family participation. ICF model.

• Integration of structural and functional aspects with three-dimensional parameters in integrative manual therapy.

• Paediatric manual therapy and neurodevelopment in children leading to a holistic concept in paediatric physiotherapy.

• Interrelation of biological systems in health and disease.

• Phylogenesis and ontogenesis of postural organization and movement.

• Movement as a basis for physiological motor development.

• A wide variety of innate and acquired motor programmes.

• Assessment of motor and spontaneous behaviour in the first 15 months.

• Sensory integration as a modulator of natural development.

• Prenatal factors in developmental problems.

• Mechanical dysfunctions of the hip in babies and children. Repercussions in the integration of movement and postural patterns.

• Changes in the morphology of the long bones and the repercussion in gait problems.

• Implications of mechanical dysfunction in the integration of movement and postural patterns and in the integration of primitive reflexes; consequences for development.

• The fascial and metameric influence on lower limb dysfunctions.

• Digestive dysfunctions of neuro-mechanical origin.

• Evaluation of postural reactions as an indicator of healthy development.

• Assessment of primitive and postural reflexes in babies as an indicator of healthy development.

• Mechanical dysfunctions that can block ideal neuro-sensory development.

• Phases of sensory processing and its programming.

• The development of the senses: somatic and special.

• The role of the vestibular system and tactile information in the neurodevelopment of the baby.

• Keys to programming: stimulation, repetition and importance.

• Le cadre idéal de stimulation et d’environnement du bébé. Éducation des parents et conseils des professionnels de la santé.

Examination and treatment in IPMT

• Examination and treatment of a real paediatric patient.

• Joint and tissue examination in TMIP.

• Introduction to joint and myofascial integration techniques.

• IPMT correction techniques for mechanical and fascial dysfunctions of the lumbar spine and abdomen.

• TMIP correction techniques for mechanical and fascial dysfunctions of the lower limbs (I).

Physiotherapist. Director of the Pediatric Integrative Manual Therapy Training and of the Institute for Integrative Therapies.
Author of the book Manual therapy of the oculomotor system (Elsevier, 2012).

Iñaki has a master’s degree in paediatric physiotherapy. He is responsible for training in Global Postural Rehabilitation (GPR) in Canada. He gives trainings and seminars in cervical-cranial CPR in several countries.
Director of the Aragonese Institute of Child Health and Development (IASDI).


Pediatric Integrative Manual Therapy