Miroslav Kliment and David Burýšek earn international certification in spinal manipulation
Miroslav Kliment and David Burýšek of ChiroMiro completed a professional seminar culminating in Vertebral Manipulation certification. The course was led by Juan José Boscá Gandía, a Spanish physiotherapist and osteopath with more than 35 years of clinical experience and General Director of INSTEMA International.

Miroslav Kliment and David Burýšek earned Vertebral Manipulation certification from INSTEMA International on 22 September 2026. Led by Juan José Boscá Gandía, the professional course focused on safe, precise spinal manipulation techniques and their practical application in manual therapy.
Who led the certification
Juan José Boscá Gandía is a Spanish physiotherapist and osteopath (D.O.) with more than 35 years of clinical experience. He studied physiotherapy at the University of Valencia, kinesiology and physiatry at Universidad de San Martín in Buenos Aires, and completed international osteopathy examinations at Universidad de Alcalá de Henares.
As General Director of INSTEMA International, he contributes to postgraduate education for physiotherapists and manual therapists. He has spoken at more than 100 international congresses and has published professional research. His sports work has included collaboration with professional tennis player Sara Errani.
What the Vertebral Manipulation certification covers
The course focuses on safe and precise spinal manipulation techniques. It emphasises proper assessment, selecting an appropriate approach and technical execution in line with current international manual therapy standards.
International training also makes it possible to compare established methods with practice in other European countries and expand the range of techniques available to practitioners in Czechia.
What this means for ChiroMiro clients
For clients, the certification shows that both Miroslav and David continuously develop and test their knowledge in an international setting. Care at ChiroMiro is therefore based not only on years of practice, but also on ongoing professional education.
They bring the seminar knowledge directly into their work at the ChiroMiro practice in Prague 8. Every session is still preceded by an assessment of health status and contraindications; certification does not replace medical examination or diagnosis.
About INSTEMA International
INSTEMA International is a Spanish training institute focused on postgraduate education for physiotherapists and manual therapists. It offers in-person and online courses in Spain, elsewhere in Europe and Latin America, including spinal manipulation, sports physiotherapy and structural osteopathy.
Photos from the certification
Key takeaways
- Both Miroslav Kliment and David Burýšek earned the Vertebral Manipulation certification.
- The course was led by Juan José Boscá Gandía, physiotherapist, osteopath and director of INSTEMA International.
- Training focused on safe, precise and current spinal manipulation methods.
- The team will apply the knowledge at ChiroMiro, Na Šilbochu 2392/2, Prague 8.
Frequently asked questions
What is Vertebral Manipulation?
It is a professional course focused on safe and precise spinal manipulation techniques, completed with certification from INSTEMA International.
Who is Juan José Boscá Gandía?
A Spanish physiotherapist and osteopath with more than 35 years of clinical experience, General Director of INSTEMA International, lecturer and published researcher.
Who at ChiroMiro earned the certification?
Miroslav Kliment and David Burýšek of ChiroMiro Prague 8 both earned the Vertebral Manipulation certification.
What does the certification mean for clients?
It confirms that both practitioners continuously expand and update their skills in line with international manual therapy standards.
Would you like to discuss it in person?
ChiroMiro – Na Šilbochu 2392/2, Prague 8. Appointments by phone, usually within a few days.
Chiropractic and manual therapy – Miroslav Kliment:
This text is informative and does not replace a medical examination or diagnosis. With acute or worsening pain, please contact your physician.
More articles

Hyperbaric chamber at ChiroMiro: the wellness novelty the whole world is talking about
Read the article →
An afternoon at Motol: toys, crayons and watermelons for the children's oncology ward
Read the article →
3D spine diagnostics – now available at ChiroMiro in Prague 8
Read the article →
5 exercises that relieve your back during desk work
Read the article →