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Vestibular Treatment Now Available at Excel Physical Therapy Bozeman

By Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT
bobby@excelptmt.com

One of the great things about being a physical therapist at Excel Physical Therapy is the commitment that all of our clinicians have to life long education. This philosophy of commitment to growing and learning benefits us as clinicians, you as patients, and the Bozeman community as a whole. It is one of the things that allow Excel PT to impact our community in such a positive way and offer the best care we possibly can.  

As a spine specialist trained in manual orthopedic therapy, I treat my fair share of cervical spines. It is one of my favorite things to treat. It is interesting and complex.  Manual therapy is hugely beneficial for a variety of cervical diagnosis. These diagnosis can include cervical stenosis, cervical discs, cervical radiculopathy, upper cervical dysfunction, headaches and even dizziness related to general cervical dysfunction better known as cervicogenic dizziness. One of the things I enjoy most is resolving dizziness related to cervical dysfunction. Anyone who has dealt with a bout of dizziness knows how uncomfortable and debilitating it can be. It is so helpful to have this skill as a physical therapist so I decided to start thinking about how I could start addressing dizziness from a variety of origins not just cervical dysfunction.  

This interest of mine as well as the need I saw in the community, resulted in me flying to Atlanta and enthusiastically participating in the Emory University Vestibular Rehabilitation Competency Based Course. This course is the gold standard in vestibular continuing education. It is an intense, evidence-based course designed for physical therapists, occupational therapists and MD’s with experience treating patients with vestibular deficits.

Participants who successfully achieve the Emory University Certified Vestibular Specialist designation successfully complete a practical exam, a written exam and a video exam demonstrating assessment skills including an oculomotor exam, balance assessment, gait assessment, fall risk assessment and other functional assessments. Participants also demonstrate appropriate treatment procedures for benign paroxysmal positional vertigo (BPPV) affecting posterior, anterior and horizontal canals for both cupulolithiasis and canalithiasis, for unilateral and bilateral peripheral vestibular disorders, and for central vestibular disorders including traumatic brain injury, concussion and stroke.  

What does all of this mean? If you have dizziness, vertigo, balance problems or a variety of other issues resulting in this type of discomfort, you can come to Excel Physical Therapy, located at 19th and College streets in Bozeman, for relief and treatment by a highly trained physical therapist. We have a customized “vestibular room” with all the necessary equipment for accurate diagnosis and treatment including infrared goggles. I look forward to working with our clients who will benefit tremendously from this specialized physical therapy remedy that has very successful outcomes.

 

excel-LOGO-XBobby Bemis, DPT, COMT, DIP.MT, FAAOMPT is a fellowship-trained physical therapist at Excel Physical Therapy.  Bobby specializes in orthopedic manual physical therapy of the cervical, thoracic and lumbar spine. Although the spine is his specialty, Bobby has a high level of training in all regions of the body. After receiving his undergraduate degree, Bobby earned a Doctorate in Physical Therapy, became a Certified Orthopedic Manual Therapist (COMT), Diplomat of Manual Therapy (Dip. MT), as well as becoming certified in trigger point dry needling. Bobby then went on to become Fellowship trained and was then designated as a “Fellow” with the American Academy of Manual Physical Therapy (AAOMPT) after passing a rigorous oral and practical exam. Only a very small percentage of physical therapists achieve this elite status. The “Fellow” is a physical therapist who has demonstrated advanced clinical, analytical, and hands-on skills in the treatment of musculoskeletal orthopedic disorders and is internationally recognized for their competence and expertise in the practice of manual physical therapy. Bobby achieved an Emory University Certified Vestibular Specialist designation due to advanced training and examination from the Emory University Vestibular Rehabilitation Competency-Based Course. 

 

-Bobby 

Vestibular Specialist added to Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT's Treatment Focus

By Tiffany Coletta
tiffany@excelptmt.com

Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT

Excel Physical Therapy is very pleased to announce that Bobby Bemis, DPT, COMT, DIP.MT, FAAOMPT has achieved an Emory University Certified Vestibular Specialist: 2019 designation due to advanced training and examination.

The Emory University Vestibular Rehabilitation Competency-Based Course is the gold standard in vestibular continuing education. The course is an intense, evidence-based course designed for physical therapists, occupational therapists and MDs with experience treating patients with vestibular deficits. Participants who successfully complete this course will complete a practical exam, a written exam and a video exam demonstrating assessment skills including an oculomotor exam, balance assessment, gait assessment, fall risk assessment and other functional assessments. Participants also demonstrate appropriate treatment procedures for Benign paroxysmal positional vertigo (BPPV) affecting posterior, anterior and horizontal canals for both cupulolithiasis and canalithiasis, for unilateral and bilateral peripheral vestibular disorders, and for central vestibular disorders including traumatic brain injury, concussion and stroke.

“Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning. Benign paroxysmal positional vertigo causes brief episodes of mild to intense dizziness.”–Mayo Clinic

Bobby is treating vestibular clients in the Excel PT Bozeman office, located at 19th and College streets, who are experiencing dizziness, vertigo, and balance issues. Specific treatment interests include Meniere’s disease, benign paroxysmal positional vertigo (BPPV), vestibular neuritis, ototoxicity, nystagmus, labyrinthitis, vestibular hypofunction, acoustic neuroma, concussion, stroke, and vestibular migraines.

Learn more about Bobby’s advanced training and certifications here.

 

Oliver and Schumacher add OCS to their Physical Therapy Titles...Team Excel is Celebrating!

By Tiffany Coletta
tiffany@excelptmt.com

 

Jackie Oliver, DPT, OCS

Matt Schumacher, DPT, OCS, MTC, CAFS, CSCS

Jackie Oliver, DPT, OCS and Matt Schumacher, DPT, OCS, MTC, CAFS, CSCS recently passed the rigorous Orthopaedic Clinical Specialist (OCS) examination in March 2019. Orthopaedics is the specialty dealing with the musculoskeletal system: bones, muscles, cartilage, tendons, ligaments and joints. This examination covered everything pertaining to orthopaedic physical therapy from head to toe. In order to sit for the exam one must have completed at least 2,000 hours of direct orthopaedic patient care within the last 10 years or have completed a post-professional residency in the field or orthopaedics.  

The Orthopedics Clinical Specialist (OCS) advanced certification is coordinated by The American Board of Physical Therapy Specialists (ABPTS). The organization oversees a specialist certification process from the nine different specialties one can attain within the realm of physical therapy.  The ABPTS mission is “to advance the profession of physical therapy by establishing, maintaining, and promoting standards of excellence for clinical specialization, and by recognizing the advanced knowledge, skills and experience by physical therapist practitioners through specialist credentialing.”

Under the ABPTS advanced certification programs, we at Excel Physical Therapy have 1 Board-Certified Sports Clinical Specialist (Jason Lunden) and 3 Board-Certified Orthopaedic Clinical Specialists (Megan Peach, Matt Schumacher, and Jackie Oliver). As of 2018, there are only 86 Board-Certified Orthopaedic Clinical Specialists in the State of Montana, making this designation a well respected and prestigious title.  Excel Physical Therapy’s team values incorporate investing in and encouraging advanced training and certifications for all of our physical therapy providers to help ensure excellent care and outcomes for our clients. 

How to Build Muscle Faster: Blood Flow Restriction Therapy

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Blood flow restriction training (BFR) is a relatively new technique being used in physical therapy and gyms to increase muscle strength.  We have been using BFR therapy at Excel Physical Therapy with promising results.   BFR therapy utilizes compressive forces from a specialized blood pressure cuff to restrict venous blood flow from a muscle group while allowing for continued arterial blood flow to the muscle.   The result of the restricted venous blood flow is a state of ischemia to the exercising muscle.  Exercising in a state of ischemia seems to cause a physiological cascade that results in increased signaling that promotes muscle growth, even at lower loads on the muscle. 

Utilizing BFR under careful supervision of a physical therapist, allows one to prevent muscle atrophy and increase muscular growth and strength while recovering from injury or surgery.   BFR is not a panacea and therefore is just one component of a proper rehabilitation program.  The ability of BFR to stimulate muscle growth at lower loads of resistance make it a perfect modality to consider for the earlier stages of rehabilitation.   To learn more about BFR therapy and to see if it would be appropriate for you, be sure to ask your physical therapist here at Excel Physical Therapy

 

excel-LOGO-X

Jason Lunden, DPT, SCS specializes in the rehabilitation and prevention of sports-related injuries, with a particular interest in the biomechanics of sporting activities – running, cycling, skiing, snowboarding and overhead athletics. Jason serves as a physical therapist for the US Snowboarding and US Freeskiing teams, along with the US Paralympic Nordic Ski Team, and is a local and national presenter on sports rehabilitation and injury prevention topics. Jason is a Certified Clinical BikeFit Pro Fitter.

Advanced Training...we're at it again! Matt Heyliger, DPT completes lower extremity course in Seattle

By Matt Heyliger, DPT
matt@excelptmt.com

Matt Heyliger, DPT, physical therapist with Excel Physical Therapy of Bozeman and Manhattan, recently completed the North American Institute of Orthopedic Manual Therapy (NAIOMT) Level II course held in Seattle, WA with a focus on assessment and treatment of lower extremity conditions. The course emphasized assessment of the foot and ankle addressing correlations with foot and ankle biomechanics and overall lower extremity function. Many mobilization and manipulation treatment techniques were presented for the foot, ankle, and knee. Matt has now completed all Level I, II and III courses through NAIOMT, the equivalent of 231 hours of hands-on continuing education coursework in manual therapy.

Advanced Training...we're at it again! Jackie Oliver, DPT completes shoulder and knee course in Seattle

By Jackie Oliver, DPT
jackie@excelptmt.com

Jackie Oliver, DPTphysical therapist with Excel Physical Therapy of Bozeman and Manhattan, recently completed the Kevin Wilk Shoulder and Knee Course in Seattle, Washington. This advanced-training course presented the most recent, relevant and state-of-the-art treatment options for the most challenging and unusual problems of the shoulder and knee joints. This evidence-based course also focused on the most comprehensive and effective information regarding shoulder and knee post-operative treatment as well as rehabilitation tactics for general knee and shoulder pain. Kevin Wilk is our country’s leading authority in sports and orthopedic injury rehabilitation.

Jason Lunden, DPT, SCS attends US Ski & Snowboard Class at the USSA Center of Excellence

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Jason Lunden, DPT, SCS, of Excel Physical Therapy, recently attended the US Ski & Snowboard Team Medical Emergencies in Skiing and Snowboarding (MESS) Course at the USSA Center of Excellence in Park City, UT. The course focused on concussion evaluation, management and rehabilitation, as well as athlete development for ski and snowboard athletes.   Jason is an owner and physical therapist with Excel Physical Therapy of Bozeman and Manhattan, and he volunteers as a physical therapist for the US Ski & Snowboard Teams.

Welcome Bobby Bemis, DPT, COMT, DIP. MT, FAAOMPT!

By Tiffany Coletta
tiffany@excelptmt.com

Welcome Bobby Bemis, DPT, COMT, Dip. MT, FAAOMPT to the Excel Physical Therapy team!

Bobby specializes in orthopedic manual physical therapy of the cervical, thoracic and lumbar spine. Although the spine is his specialty, Bobby has a high level of training in all regions of the body.  After receiving his undergraduate degree from the University of Colorado, Bobby earned a Doctorate in Physical Therapy from Regis University in Denver, Colorado. Post-graduation, Bobby became a Certified Orthopedic Manual Therapist (COMT), Diplomat of Manual Therapy (Dip. MT), as well as becoming certified in trigger point dry needling. Bobby then went on to become Fellowship trained through the Institute of Manipulative Physiotherapy and Clinical Training (IMPACT). Bobby was designated as a “Fellow” with the American Academy of Manual Physical Therapy (AAOMPT) after passing a rigorous oral and practical exam. Only a very small percentage of physical therapists achieve this elite status. The “Fellow” is a physical therapist who has demonstrated advanced clinical, analytical, and hands-on skills in the treatment of musculoskeletal orthopedic disorders and is internationally recognized for their competence and expertise in the practice of manual physical therapy. Bobby’s philosophy consists of using knowledge, skill and experience to provide the best physical therapy possible to help his patients achieve their goals. 

Bobby enjoys cooking, reading, yoga, and adventuring through the mountains and rivers of the west with his Newfoundland, Clarence. 

EXPLANATION OF INITIALS:

DPT: Doctorate of Physical Therapy

COMT: Certified Orthopedic Manual Therapist– A certification that focuses on advanced, localized, and specific spinal/peripheral manipulation techniques. Designed to teach therapists how to effectively manage the difficult patients that most therapists struggle with. This certification is a distinction given to Manual / Manipulative Physical Therapists around the world who have completed post-graduate specialization in the field of neuro-muscular skeletal disorders. The specialization includes “hands-on” techniques used to evaluate muscles, fascia, nerves, and joints.

Dip. MT: Diplomat of Manual Therapy – A certification demonstrating mastery in orthopedic manipulative therapy. It is an intensive training program with a comprehensive oral exam and written case reports. It requires advanced clinical reasoning, advanced theoretical knowledge and advanced technical skills. Only a very small percentage of physical therapists achieve this elite status.

FAAOMPT: Fellow in the American Academy of Orthopedic Manual Physical Therapy– The “Fellow” is a physical therapist who has demonstrated advanced clinical, analytical, and hands-on skills in the treatment of musculoskeletal orthopedic disorders and is internationally recognized for their competence and expertise in the practice of manual physical therapy. Only a very small percentage of physical therapists achieve this elite status.

What exactly is an orthopedic manual physical therapist? Orthopedic Manual Physical Therapy is any “hands-on” treatments such as moving a joint in a specific direction and at different speeds to regain movement (joint mobilization and manipulation), muscle stretching, passive movements of the affected body part, and selected soft tissue techniques used to improve the mobility and function of tissue and muscles. Orthopedic manual physical therapists treat conditions in body regions like the head, neck, back, arms and legs. Advanced examination, communication and decision making skilled that are built on the foundations of professional and scientific education facilitate the provision of effective and efficient care.

Advanced training...we're at it again!

By Tiffany Coletta
tiffany@excelptmt.com

Megan Peach, DPT, OCS, CSCS
Jackie Oliver, DPT

Megan Peach, DPT, OCS, CSCS and Jackie Oliver, DPTphysical therapists with Excel Physical Therapy of Bozeman and Manhattan, recently completed the North American Institute of Orthopedic Manual Therapy (NAIOMT) Lumbopelvic Spine Course in Seattle, Washington.

The main objective of this course was to guide evaluation and management of treatment programs for people with low back pain or other serious pathologies in the lumbopelvic region. NAIOMT is dedicated to providing physical therapy continuing education coursework that emphasizes biomechanics and mobilization/manipulation while providing a diverse education on interventions for manual physical therapists.

"Matt was exceptionally knowledgeable and gave me personalized treatment. All the staff were organized and genuinely friendly. Thank you Matt and Excel PT for getting me back to running and dancing! :)" -- Bozeman patient.

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