Adjustments / Mobilisations for the Equine Patient

Module 8 of the advanced diploma pathway

Module 8 is the first module of the Advanced Diploma Pathway. This module is perfect for those who want to learn adjustment/mobilisation techniques for horses and who have a solid grounding in equine anatomy and plenty of osteopathic clinical experience with equine patients. This course is not for beginners nor practitioners without an appropriate level of clinical competence and experience. You will be taught the indications and contraindications of adjustment techniques to ensure safety at every level. You will also be taught the difference between the various forms of adjustment/mobilisation and how each work. And, of course you will be taught appropriate assessments and adjustment techniques to suit this level of learning.

This page contains of lot of information. All of which you MUST read if you are serious about applying. This shortcut list is just for ease, for those seeking quick answers to key questions:

  • The module covers the theory and practical associated with adjustments and mobilisations;
  • It is a Level II module and you must have completed modules 1, 2, 3,4, 5, 6 and 7 (ultimately you should have completed the Level II Diploma in OAEP) to apply for this course, to ensure a degree of competency and skill is already present;
  • It is open to osteopaths and non-osteopaths with the necessary skills and qualifications;
  • This module is NOT for anyone without extensive equine manual therapy experience;
  • It includes an online element AND a 2.5 day practicum in the UK;
  • You must complete ALL aspects to be given a completion certificate;
  • There will be assessments – theory and practical;
  • You will need to come to the UK for the practicum;
  • It costs £725.00 for all online content, assessments and 2.5 days of high quality practical plus certification for successful candidates. Flexible payment options are available
  • You are required to provide evidence of appropriate animal therapy insurance to attend this course.

As a result of COVID 19 and its effects on everyone, we have reviewed our educational strategy. This means that the Level Two pathway (Diploma & Advanced Diploma), will be delivered online and (where applicable) via blended learning (with practicums). Under the new format, students may apply to one module at a time or they can study the online elements of all Advanced Diploma and then come to the UK for one consolidated practicum. This radically reduces flight costs for international students.

Who can apply for Module 8? 

This course is for any AOI Level One (or past equivalent) graduate or experienced equine osteopaths. In addition, all applicants must have successfully completed Modules 1-7 of the Level II Diploma pathway. A conversion course is available for those wishing to enter our Level Two modules directly, but have not followed the AOI’s Level One programme. Please click HERE for more information. Proof of prior experience and education is essential (without exception). All delegates should provide evidence of insurance, which allows them to study/work on/with animals.

Application Notice

If you apply for Module 8, informing us that you are up to the required standard, and during the module your grades, theory and/or technical skills indicate that you are not, we will not let you continue (for the safety of the animals you would work on). No refunds will be made for any hours lost, as we have been clear about the prerequisites for the course. As such, please ensure that you apply only if you fulfil criteria and do not “up-sell” yourself, to bypass modules. Doing so could be costly and is not professional. We will always do our very best to support your journey, but we do expect all applicants to be open and honest about their level of competence and skill.

Indicative content– online and via a live practicum
  • The restrictive barrier, what does this really mean?
  • Theories of mobilisation adjustments and toggles
  • Indications/contraindications to technique
  • Joint line palpation – are you where you think you are?
  • How to ensure effective technique
  • Types of ‘High velocity, Low amplitude techniques’
  • “It’s all bout the click” – or is it?
  • Finding the barrier – finesse
  • Applying the adjustment
  • Effective application of mobilisation adjustments and toggle techniques – skill not force!
  • Adapting techniques for old and young
  • High practical content with demonstrations and practical

Price:  £725.00 plus VAT or VATMOSS if applicable (flexible payment available). This includes taught online content, 2.5 x practical days, assessments, assignments and self-directed learning and practice)

When is this module likely to be released? 

The dual modality version of Module 8 is likely to be released in the final quarter of 2021, but maybe before. However, this module makes up the ADVANCED element of the Level Two Pathway (for those wanting to achieve Level II Advanced Diploma status) and is only open to those on the Level II Pathway. As such, it will be released when students are nearing the end of their Module 7 studies. Please note: International students who are wishing to consolidate their Level II practicums (to reduce travel costs), may do so, but this must be agreed at the start of educational circuit. This means that a student could fulfil the online elements of Modules 1-6 and then come to the UK for all the practicums and module 7, which (in total) will be run over a two week and two day period (with 2 weekend breaks in between). We do however, recommend that Module 8 onward are collated with other advanced level II modules, so that a period of consolidation and review can take place. 

Prerequisites to this course

Students can undertake this module as part of the full Advanced Diploma Pathway. As such, the prerequisite to this course is to have successfully completed the Level I Pathway (or have evidenced that you are already of Level I standard) and that you have completed Module 1, 2, 3, 4, 5, 6 and 7 of Level Two (or the Diploma Pathway). This is because each module leads neatly on from one to the another encouraging autonomous thinking, criticality and a self reflective mind. All of which are important in the clinical setting. We also ensure at this stage of learning, that any student who attends this course, has maintained their anatomical knowledge. This is to ensure accuracy of technique and thus, safety of all those you treat. If you cannot recall your equine anatomy easily, we would urge you to do so in advance of this module.

To attend, you are expected to already have:

  1. A firm understanding of musculoskeletal and biomechanical knowledge of the equine model;
  2. A solid and well versed equine musculoskeletal and neurological assessment process;
  3. Ability to competently apply soft tissue, stretching and articulation techniques to the equine patient;
  4. Safe and confident handling with a range of of equine models in a therapeutic manner;
  5. A thorough understanding of osteopathic concepts and an ability to think in an integrated fashion, which encompasses the whole horse.

Module structure, online format and internet requirements:

This course will be delivered online, via our platform AND via a face to face teaching practicum in the UK – unless student numbers dictate otherwise. Students will also be made a part of the online community via Facebook where Facebook LIVE drop-ins will take place for questions.  Because this module will be partly delivered online, students must be able to ensure internet connectivity. AOI will not be held responsible for internet failure or that of poor signal, so if you lose connectivity, you will only be able to watch the replay of any live events. 

Students MUST assume that we will be teaching the practicum in the UK, unless they have been offered other alternatives. 

For our generic AOI group page click HERE


Those who successfully complete this module will be awarded a digital AOI Certificate of Completion. Students who go on to complete ALL advanced modules of Level II successfully, will be issued with an Advanced Diploma in Functional Osteopathy for the Equine Patient internally validated by European School of Osteopathy.

Practical session requirements:

Students must also have the capacity to come to the UK for the practical sessions and assessments. Without this, no certification will be issued. As such, student require both the time and financial resources to attend the UK based practicum within 18 months of module commencement. Various dates will be issued at the start of each intake and Masterclass Pathway – Level II students will be given first refusal. Limited numbers per event do apply. Students are also responsible for the necessary acquisition of any visas that they need to enter the UK and we urge all students to visit the UK government website BEFORE booking on this module, to make yourself fully aware of any additional costs, travel restrictions, COVID testing requirements or quarantine periods that may be enforced as a result of your travel to the UK. We also suggest that you acquire suitable travel insurance to suit your needs.

AOI will not be held responsible for costs incurred as a result of student naïveté. As a professional we expect you to do all the necessary research BEFORE booking any dual modality course – especially if you are coming into the UK as an international visitor.

Please note: The course does not cover the cost of travel, food outside the days of practicum or accommodation. It includes refreshments on each day of the practicum and a light lunch on the two full days (if you have serious food allergies, we would ask that you bring your own food with you to ensure your safety). Dietary requirements and catering will be discussed more with delegates once accepted on the course. Please dress appropriately and brings layers and an all weather coat if you are not used to the cooler (wetter) British weather.

Online component

Your online lectures will cover the following topics:

  • The restrictive barrier, what does this really mean?
  • Types of high velocity, low amplitude techniques;
  • “It’s all about the click” – or is it?
  • Theories of mobilisation/adjustments and toggles;
  • Indications/contraindications to technique;
  • Review of joint line anatomy;
  • Applying the thrust safely – home exercises;
  • How to ensure effective technique is applied;
  • Adapting techniques for older and younger patients.
  • Reminder of important equine communications during thrust techniques.

2.5 day practical component (must be taken once you have successfully completed the theory element of the course, online.

HVLAT = High Velocity Low Amplitude Technique

  • Introduction to the practicum and the course delegates;
  • General discussion about the course content to date and any queries that have arisen;
  • Group palpation and technique activities to instil an understanding of HVLAT;
  • Considerations when handling patients for adjustments/mobilisations in a practical setting;
  • Equine communication factors with adjustments/mobilisations;
  • Review of indications and contraindications – to ensure safety for all;
  • Joint line palpation activities on equine models;
  • Finding the barrier – finesse and handling;
  • How to ensure effective technique;
  • Applying HVLAT technique effectively;
  • HVLAT techniques to the spine and limbs;
  • Adapting techniques for older and younger patients.
  • General Q&A to wrap up the practicum.

Location of the practicum:

Dorset/Hampshire region (New Forest District) UK. There is a chance that if student numbers in any given country exceed 18, that we will consider sending the teaching team out, instead of bringing the students to us. BUT this must never be assumed at the start of a cohort, as we cannot know, until we confirm student numbers (which can vary year on year) if this is possible. If this option becomes available in any given country, you will be informed. Please do not keep asking us.

Bookings for Practicums

AOI cannot be held responsible for any losses made as a result of accommodation, transportation or flight bookings (or any associated costs – such as visas). As such, we recommend that bookings are only made, where a full refund option is available or where you, the student, is willing to uphold any lost fees/charges. We also recommend that you take out suitable insurance for the duration of your visit to cover all eventualities. This is because we are living in exceptional times where (sadly) nothing can be guaranteed. Further information about travel can be found below.

If you fulfil criteria and would like to apply for  this course, please email us on for an application form or to ask specific questions. If you would just like to join our mailing list so you know when the course goes live. Please put your email below. We look forward to having you onboard!

International Students and English Language Requirements

We are happy to take national and international students but all students MUST be proficient in all aspects of the English language (both written and spoken), so as to ensure that you can make the most of the course and its contents. The AOI will not be held responsible for any language challenges that arise and no refunds will be made on these grounds.

Important information: Practical cancellations

Please note that minimum numbers will be required in order to run the practical session for this module in the UK. That being 6 students. If minimum numbers are not met, AOI reserves the right to cancel the event (within 30 days of the expected date) but will reschedule the event. If for any reason, AOI has to cancel the course within 14 days, (due to extreme circumstances – such as COVID – or a failure on the behalf of our third-party facilities), you will be issued with a new date for the practicum event as soon as the AOI can reschedule it. As a result of the uncertainty that we all currently face, we do not advise that you book any accommodation, flights or travel arrangements in advance without acquiring full cancellation options. AOI will not be held responsible for any costs incurred as a result of such pre-booking because we firmly recommend that you only do so with appropriate insurance or cancellation cover in place.

f you fulfil criteria and would like to apply for  this course, please email us on for an application form or to ask specific questions. If you would just like to join our mailing list so you know when the course goes live. Please put your email below. We look forward to having you onboard!

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