Rehabilitation Clinical Education

MET Seminars--Medical Exercise Therapy: Level 1 Fundamentals

September 15 and16, 2018

Course Overview: The main objective of Level 1: MET Fundamentals is for clinicians to obtain the skillset of implementing dosing and dosage strategies. Implementing appropriate dosing and dosage strategies will allow the clinician to achieve effective and efficient neuromuscular response. Appropriate dosing for the rehabilitation of impaired tissue and dysfunctions, is based on administering the clinical fatigue test.

With a balanced mix of lecture and lab practice, this course enables clinicians to immediately implement therapeutic exercises with high specificity of dose and dosage.

Upon completion of this course the student will:
  • Define the MET exercise criteria and objectives to direct therapeutic exercises design, dosing and dosage.
  • Apply the training principles addressed with appropriate therapeutic exercises dosing and dosage.
  • Distinguish the difference between muscle fatigue and muscle exhaustion and how it relates to therapeutic exercise dosing.
  • Recognize the factors contributing to clinical fatigue.
  • Discuss muscle physiology and how it relates to therapeutic exercise design and dosing.
  • Relate the term “de-loading” and relative mass to therapeutic exercise design and dosing.
  • Analyze the impact of moment and torque on therapeutic exercise design.
  • Recognize the components of therapeutic exercise prescription.
  • Operate and handheld dynamometer to facilitate the clinical fatigue test.
  • Execute a clinical fatigue test.
  • Interpret the results of the clinical fatigue test to appropriately dose therapeutic exercises.
  • Formulate an exercise prescription with high specificity.
  • Dose therapeutic exercises utilizing different resistance equipment and body mass.
  • Dose therapeutic exercises for strength, strength/endurance, endurance and power.

Target Audience: All clinicians who are licensed to provide therapeutic exercises are eligible to attend. CEUs are available to physical therapists, occupational therapists and athletic trainers.

15 Contact Hours

Recommended Pre-Course Reading:

  • Aerts F, Carrier K, Alwood B. Inter-rater Reliability of Sustained Aberrant Movement Patters as a Clinical Assessment of Muscular Fatigue.  The Open Orthopedics Journal, 2016, 10, 125-134.
  • Brody LT. Effective therapeutic exercise prescription: the right exercise at the right dose. J Hand Ther. 2012 Apr-Jun; 25(2):220-31.
  • Khan KM, Scott A. Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair. Br J Sports Med. 2009 Apr; 43(4):247-52.
  • Reiman MP, Lorenz DS. Integration of strength and conditioning principles into a rehabilitation program.  International journal of Sports Physical Therapy. 2011;6(3):241-253.

Registration Fee: $450 (Spectrum Health Rehabilitation Services employees receive a discounted rate.)


Spectrum Health Integrated Care Campus - East Beltline
Room 0038
2750 East Beltline Avenue NE
Grand Rapids, MI 49525


For more information, visit the MET Seminars website.

Terms and Conditions

  • Refer to the presenting Institution’s Policy, if applicable
  • Spectrum Health Policy: if cancelling greater than 14 days prior to the first day of the course; then a full refund minus a $50.00 processing fee will be issued. If cancelling less than 14 days prior to the first day of the course; no refund. No special circumstances accepted.
  • Spectrum Health staff will observe the same rules for cancellation.
  • Payment must be made in full no less than five business days before the start of the course. No monies will be accepted during the courses.
  • Spectrum Health employees eligible for discounted tuition.