Posted by & filed under Exercise and Health, Pain Management.

Summit Strength PT is now home to one of the only REPEX tables in the KC Metro Area.  The REPEX is a therapy treatment table created specifically for the management of mechanical disorders of the lumbar spine.  Often those suffering from easily irritable low back pain and/or radiating symptoms can experience pain with even the smallest of active movements of the spine or surrounding joints/tissues.  This is due to increased sensitivity of both the local and central nervous system to “protect” against perceived threat.  In most cases, this does not equate to structural or tissue damage.  However, this sensitivity can make it difficult for a patient to initiate and tolerate movement-based approaches to treating back pain.  Insert REPEX.  Once directional preference is appropriately established, the REPEX can allow the patient to achieve numerous reps of a desired movement in a relaxed and non-threatening way to the patient’s nervous system.  Directional preference is defined as “the clinical phenomenon where a specific direction of repeated movement and/or sustained position results in clinically relevant improvement in either symptoms and/or mechanics.” (MDT definition via the Mckenzie Institute)

Treating with the REPEX™ is based on the patient’s directional movement preference (established via sound and thorough mechanical assessment) and provides measurable and positive outcomes particularly in the management of acute/chronic low back and leg pain patients. The REPEX™ takes the patient through repetitive and adjustable passive-range-of-motion movements of flexion and/or extension.

**Approved by Robin Mckenzie for applying the Mckenzie Method**

More information from Hill Laboratories.

Posted by & filed under Balance and Safety, Exercise and Health, Innovative Treatments, Missouri Direct Access, Pain Management.

Currently Missouri requires a physician’s referral to access physical therapy services. HB410 passed the House on March 14, 2019.

This is a link from verywellhealth that discusses some of the related issues:   Neighboring states Nebraska and Iowa have unrestricted patient access; Kansas and Arkansas have fewer restrictions than Missouri.


  • Go to Missouri Senate website to find your Missouri State Senator in Jefferson City. Then email/ call and ask them to SUPPORT HCS HB 410. It’s easy and only takes a few minutes – please be sure to add your home address so they know you are a constituent. SAMPLE EMAIL BELOW. You can also customize the email as you wish, but please explain that this bill simply allows patients easier access to PT services and it has nothing to do with ownership.

SAMPLE EMAIL: I live in your district and believe physical therapy is an excellent healthcare value. Please support HCS HB 410 that would improve patient access to physical therapy in MO.

Physical therapists working with patients can have a huge impact on wellness and reduce more costly care.  Currently patients must have a prescription, which can slow the process or even deter patients. Physical therapists are required to have doctorate degrees (or grandfathered with years of experience). Wellness achieved with less pain medication, and through strengthening and balance training, etc is cost effective to our healthcare.  We need your help!

Posted by & filed under Balance and Safety, Exercise and Health, Innovative Treatments, Missouri Direct Access, Pain Management.

The McKenzie Method® of Mechanical Diagnosis and Therapy® (MDT) is an internationally acclaimed method of assessment and treatment for spinal and extremity pain developed by New Zealand Physiotherapist Robin McKenzie. It has been widely used all over the world for more than 30 years.  Summit Strength is the only Certified McKenzie Clinic in the Kansas City Metropolitan area.

MDT is a philosophy of active patient involvement and education that is trusted and used by clinicians and patients all over the world for back, neck and extremity problems. This approach continues to be one of the most researched physical therapy based methods available.

Scott Knoche, PT, Dip. MDT, is a McKenzie Diplomat, passing both a theoretical and a clinical component and awarded this recognition of the highest level of competence in the theory and practice of Mechanical Diagnosis and Therapy of musculoskeletal disorders.

Ryan Dougherty, PT, DPT, Cert. MDT, Tom McCarthy, PT, DPT, Cert. MDT and Abby Seider, PT, DPT, Cert MDT completed advanced training in the MDT approach to assessment and treatment of the spine and extremities and successfully passed the credentialing exam in April 2018,  They use the  MDT approach to give patients the power to control pain, stiffness, and ability to participate in daily activities. With MDT the key is patient independence! Our goal is to give you the knowledge and resources to manage your own symptoms and get back to living your life unhindered by pain.


MDT begins with the clinician taking a detailed history about your symptoms and how they behave. You will be asked to perform certain movements and rest in certain positions. The main difference to most other assessments is the use of repeated movements rather than a single movement. How your symptoms and range of movement changes with these repeated movements provides the clinician with information that they can use to categorize your problem.


Each syndrome is addressed according to its unique nature, with specific mechanical procedures, including repeated movements and sustained postures. MDT is a comprehensive classification system, and includes a smaller group of patients that cannot be classified into one of the three Syndromes, but are into the ‘Other’ Subgroup which includes serious pathologies, non-mechanical causes, true chronic pain etc.


Using the information from the assessment, the clinician will prescribe specific exercises and advice regarding postures to adopt and postures to temporarily avoid. If your problem has a more difficult mechanical presentation, a qualified MDT clinician may need to add hands-on techniques until you can self-manage. The aim is to be as effective as possible in the least number of sessions. Treatment that you can perform five or six times a day is more likely to be effective in a shorter period of time than treatment administered by the clinician once or twice per week. The emphasis is on you, the patient, being actively involved. This can minimise the number of visits to the clinic. Ultimately, most patients can successfully treat themselves when provided with the necessary knowledge and tools.


By learning how to self-treat the current problem, you gain knowledge on how to minimise the risk of recurrence. You can also rapidly deal with symptoms if they recur, putting you in control of your treatment safely and effectively. Persisting problems are more likely to be prevented through self-maintenance than by passive care.

For more information about MDT aka the Mckenzie Method please visit

Posted by & filed under Blue Springs Location, Community.

by: Christy Volland, Patient Care Specialist

Summit Strength Physical Therapy is extremely pleased to announce the opening of a second facility in Blue Springs, Missouri. It is with great pride that Scott Knoche PT Dip MDT CSCS, owner of SSPT for 16 years, graduate of Blue Springs High School, returns home to his roots in Blue Springs, Missouri.  The location is inside Blue Springs Fitness at 1300 NW State Route 7 Suite 100, Blue Springs, MO  64014. (we had a short-term location in Freedom Fitness from July 5 – October 29, 2017)

Scott has 31 years of physical therapy practice experience. He first began his career in St. Louis, Missouri for three years after receiving his degree in Physical Therapy from the University of Missouri-Columbia.  He then practiced for 11 years in Blue Springs before beginning his current business, Summit Strength Physical Therapy in Lee’s Summit.  For almost 30 years Scott and his team have treated many patients from the eastern Jackson County area that have chosen to travel to Lee’s Summit for SSPT’s well-deserved reputation for outstanding, results-oriented therapeutic care.

Summit Strength Physical Therapy has been committed to one-on-one treatment sessions that focus on aggressive mechanical therapies and education to teach patients self-treatment strategies in order to manage painful mechanical problems. The overall program of strength training, improved balance to decrease risk of falls and the goal of returning to normal functional activities of daily life requires hard work and perseverance by the patients, therapists and families.

At Summit Strength Physical Therapy we are dedicated to providing the very best care, focusing on research-based training and treatment modalities. Summit Strength Physical Therapy is known for being on the cutting edge of innovation by using Blood Flow Restriction Therapies to help enhance safety during minimal weight-bearing strategies for post-surgical and traumatized joints.  We are also working closely with the University of Missouri-Columbia in the infant stages of the acclaimed Mizzou BioJoint Program.

We are excited and motivated to expand our services into the Blue Springs marketplace. Tommy Frevert DPT and his wife Lindsey Frevert OTR, occupational therapist, and their two young children live in south Blue Springs.  It has been his dream to help build a thriving practice in Blue Springs over the next several years.  Tommy brings a high level of athletic training background to improve patients’ sports performance and return to activities.  Tommy has played professional arena football as a Special Teams kicker, most recently for the Philadelphia Soul.  He received Kicker of the Year award in 2015 and 2016 and brings a unique perspective to sports-related rehabilitation.

Saige Laughlin PTA will also be working at this location. She not only is a great clinician she also understands the benefits from being a patient after two shoulder surgeries needed because of her rodeo sports activities.

All our staff is committed to continuing the excellent care model throughout the eastern Jackson County area. The new facility in Blue Springs will help fulfill a need for patients who live in the towns of Independence, Blue Springs, Buckner, Sibley, Grain Valley, Oak Grove, Odessa, Bates City, Lone Jack, Lexington, Napoleon, Richmond, Concordia and Holden who wish to receive a higher level of care.

Scott, Tommy and Tami are looking forward to SEEING YOU SOON at the new Blue Springs location!

Posted by & filed under Balance and Safety, Exercise and Health.

By Chandra Moore, PTA

Summer is upon us and we will soon be enjoying long days at the ballpark, road trips with the family and never ending yard work. While many summer activities are great fun, they can put us at risk of injuring our back. Below you will find common activities that may cause back pain or injury and how to avoid it.







Sitting for extended periods whether in a car, plane or at a ballgame can cause back stiffness and pain. Try sitting up tall with good posture while in your seat. Keep your back straight, shoulders back and chin pulled in. Roll up a small towel or pillow and place it at the small of your back to help maintain a neutral spine. When traveling by plane, or sitting on the bleachers, stand up and walk every 30 minutes or so; if traveling by car, try stopping every two hours so you can get out and stretch. Every time you get up for a standing break, place your hands on your hips and lean back 5-10 times before sitting back down.


Back stretch

Press Up

Gardening/Yard Work

Working on having the best lawn on the block? The repeated bending and stooping when picking weeds or planting flowers and strain of lifting heavy bags of soil or mulch is another way we can cause undue pain or injury to the back. If you plan on spending the day manicuring your lawn, perform a few stretches first. Lie on your stomach and press your chest away from the ground, or stand and place hands on your hips and lean back a few times. Squat and maintain good posture while lifting heavy items out of your vehicle, and do the same when lowering them to the ground. Instead of bending, squat or kneel to pick weeds and plant flowers. If you find yourself stooping or bending for long periods, take some time to stand up, place hands on your hips and lean back a few times.



Whether sitting for extended periods, lifting heavy loads or repeatedly bending and stooping forward, it is important to maintain proper lifting mechanics, good posture and spine mobility. Take standing rest breaks as often as possible and stretch the spine by lying on your stomach and pressing up or standing with hands on the hips and leaning back. Following these tips will help decrease the risk for back pain or injury and allow you to enjoy summer activities all season.

Posted by & filed under Balance and Safety, Exercise and Health.

By Ella Hackney, PTA

A recently completed study from Scotland followed thousands of patients over 40 years old.  The research compared those who worked out vigorously 3-5 days weekly to those who only performed moderately vigorous workouts twice weekly and those who were essentially sedentary.  The finding revealed that even exercising 75 minutes two times a week can decrease chances of death by nearly 40%.  Those weekend walks and workouts in the yard can be lifesavers.


Unfortunately the study did not address the risk of injury from a twice a week activity to those who were more dedicated to a more frequent exercise routine. The busy baby boomers have full lives with work, children, grandchildren, parents and other responsibilities.  The time devoted to self care is precious.  The Weekend Warrior is a gardener, a softball player, swimmer, biker, hiker or gym member.  This large study essentially says, Get up and Get going!


Please consult your physician before beginning any vigorous exercise program and follow the ABCs of movement.


A.  Alignment: Before you lift or squat or reach, square up to your load. Good posture and proper shoulder positioning may prevent injury. Watch twisting movements!


B.  Breath: Consider your heart and lungs. If you are short of air, or feel your heart rate is too high, slow down, take a deep breath. Work a little, rest a little if you are just getting started. Do not hold your breath! Even when you are just slowly stretching; Exhale!


C.  Control: Move smoothly! Use support for your balance if you need it. Keep any heavy load close to your body. Don’t jerk, pull. Don’t shove push.


ABCs are supposed to be simple right? Just being aware of them may keep you safer. Sprains or strains may reveal a weakness or lack of flexibility.  Summit Strength offers screenings to help you determine your general strength and flexibility for the performance level you want to achieve.  Speak to your doctor for an order and request your insurance’s coverage for fitness checks.

Posted by & filed under Community, Exercise and Health.

By Tom McCarthy, DPT

The notion of Perseverance strikes a particular chord with the people at Summit Strength Physical Therapy. Walter Elliot described Perseverance as “…not a long race but many short ones run one after the other.”  We see this day after day with the people who come to Summit Strength for physical therapy.  For some, getting the day started is a challenge but not only do they do that but they raise children, they go to work, go to school, participate in sports and any number of other things that make up their lives.  And after that, they come in for therapy to make doing those things better, easier.  The determination our patients show day after day moves the staff at Summit Strength to persevere as well as we strive to provide unmatched creativity and care as we develop treatment plans for our patients. We have also been motivated to resist the trend of high patient volume in physical therapy that has become prevalent in recent years.  For the last 16 years, the clinicians at Summit Strength have continued to work with each patient solely on a one to one basis so they most effectively help them through what is often a very challenging process.


P ush through the challenges

E xpect success

R ely on us to help you through

S how your resolve

E ach day is a new chance

V ictory

E veryone works together

R each deep to move forward

A lways answer the bell

N ever quit

C reate a better life

E xperience the difference at SSPT



“Hi, my name is Tiffany McCarthy and I go to Summit Strength Physical Therapy in Lee’s Summit.  I’ve worked with Scott Knoche since I was three.  I didn’t like him at first because he made me work hard!  The therapists at Summit Strength are knowledgeable, compassionate, enthusiastic and diligent in their therapies and truly care about your needs.  I am proud to call them my therapists and my friends.”



Posted by & filed under Innovative Treatments.

By Tami Williams, PTA

Amputee, Limb loss






Do you have or know someone with limb loss or limb difference? Do you want to speak up for yourself or speak out for others?


The Amputee Coalition

is launching an aggressive campaign, AMPLIFY, to encourage people with limb loss and limb difference as well as their allies, family and friends to advocate for the right to medically appropriate care. Many individuals face challenges in getting appropriate medical and prosthetic care paid for.  To write, learn more and take part in Limb Loss Awareness month people can go to AMPLIFYYOURSELF.ORG.

Summit Strength has been working with patients from pediatrics to older adults living with limb loss and limb difference to help them achieve their goals, improve function and regain their independence. Across the age spectrum the common battle for our patients is obtaining proper fitting prosthetics as their residual limb remodels, muscles strengthen and abilities change.


“Speaking up for yourself and speaking out for others is critical now more than ever. Access to appropriate care is vital to reaching your full potential,” said Jack Richmond , President and CEO of Amputee Coalition.  THE AMPLIFY  YOURSELF initiative and focus on Limb Loss Awareness Month will not only raise the volume on these issues but provide direct means to write to insurance companies and legislators.



Summit Strength Amputee Rehab team is proud of our patients who are creating new normals and redefining possibilities. We are committed to providing one on one comprehensive patient care by working closely with the entire rehab team including physicians, prosthetists and family members.


Be sure to join the Amputee Coalition on social at:
And join the conversation with their campaign hashtag, #AmplifyYourself




Posted by & filed under Community.

  •  Begin the day with Courage
  • End the day with Gratefulness
  • And do the right things for the right reasons throughout the day.

    Carey Casey,

    Carey Casey speaks at Mayor’s Breakfast

Lee’s Summit Cares 

works to build a strong community to nurture children and teens, and us grown-ups as well.  This group promotes 12 key traits, including perseverance challenging each of us to lives of integrity, cooperation, honesty, appreciation, sportsmanship, citizenship, family, respect, responsibility, self-control and kindness.  On January 26 Mayor Randy Rhoads and about 600 supporters joined for breakfast with Carey Casey inspiring the group with a keynote speech.  He spoke about our value to the community; but also what great value being part of the community brings back to us individually.


Lee’s Summit Cares Perseverance Bouquet

We see these amazing traits in our patients and our staff every day at Summit Strength.  One patient recovering from back surgery pondered how individuals make a choice to look back at the best or the worst moments of each day, and be happy or discouraged in almost any circumstance.  That choice remains to us alone.

Another in the extended medical community family was hit by a vehicle in January, unexpectedly going from physically vibrant to an uncertain road to recovery.  He is surrounded by family and friends who lean on God through the difficult days, confident strength unknown will carry him through.

Often the first ‘move’ of the day takes the greatest mental push.  Tenacity in seeking the goal each day brings us closer.
We took the 2017 opportunity to choose ‘Perseverance’ as the term we sponsor through Lee’s Summit Cares.  No one looks forward to times when not as strong as one planned.  We took this flower arrangement to the medical professional, but we honor each person persevering through a difficult trial.  You inspire us every day.

Posted by & filed under Innovative Treatments.

Ryan Dougherty, DPT, PT, BFR

As we approach our 15th year of serving the Kansas City area, we would like to thank medical providers and patients for  entrusting us and for giving us the opportunity to help improve movement, function, and quality of life.  As always during our one-on-one  sessions, Summit Strength’s therapists provide high level movement and mechanical analysis and treatments that are guided by evidence and clinical experience in order to meet the needs of our orthopedic, neurological, and pediatric clients.


In order to stay at the front of relevant and evidence-based therapy, we have recently obtained certification to provide blood flow restriction therapy (BFR). Scientific literature is showing that BFR is a powerful clinical tool that can be used to help our patients reach their goals more quickly. In recent years, physical therapists including those involved with the US Department of Defense, the National Basketball Association, Major League Baseball, the National Football League, and collegiate athletic programs have begun integrating BFR with outstanding results; however, the concept of BFR is not new. It has appeared in physiological journals for decades, and current US Department of Defense BFR trials are receiving approximately $6.1 million in funding, although there are many non-Department of Defense related trials being conducted presently.


Tom McCarthy, DPT, PT, Abby Seider, DPT, PT, BFRWhy BFR?

  • FDA listed device for clinical use
  • Built in Doppler for safety
  • Results in increased collagen strength (Boessen 2014)
  • Increases protein synthesis w/ no markers present for muscle damage(Fry 2010) (Gundermann 2014) (Kumar 2009)
  • Increases VO2max (Abe 2010)
  • Reduction in myostatin levels leads to inhibition/reversal of fibrosis(Bo 2012) (Santos 2014)
  • Increased tPA antigen—no signs of increased clotting factors (Clark 2011)
  • No increase in arterial stiffness (Loenneke 2011)


We have begun to use BFR on several selected patients, and we are seeing very exciting, positive results.

We believe the scientific evidence may support this modality more than most of the passive modalities currently being used. Please call if you have questions, and we encourage you to stop by to observe the process!


Links to More Information:

Owens Recovery Science



Abe, T., Nakajima, T., Sakamaki, M., Ozaki, H., Ogasawara, R., Ishii, N. (2010). Effects of Low-Intensity Cycle Training with Restricted Leg Blood Flow on Thigh Muscle Volume and VO2max in Young Men. J Sports Sci Med, 9(3), 452-458.

Bo, Li Z1, Zhang, J., Wagner, K.R. Inhibition of myostatin reverses muscle fibrosis through apoptosis. J Cell Sci. 2012 Sep 1: 125(Pt17);3957-65. doi: 10.1242/jcs.090365.

Boessen A.P., Dideriksen, K., Couppe, C., Magnusson, S.P., Schjerling, P., Boessen, M., Langberg, H. (2014). Effect of growth hormone on aging connective tissue in muscle and tendon gene expression, morphology, and function following immobilization and rehabilitation. J Appl Physiol. (1985), 116(2), 192-203. doi:10.11521japplphysiol.01077.2013.

Clark, B.C., Manini, T.M., Hoffman, R.L., Williams, P.S., Guiler, M.K., Knutson, M.H., Kushnick, M.R. (2011). Relative safety of 4 weeks of blood flow-restricted resistance exercise in young, healthy adults. Scand J Med Sci Sports, 21(5), 653-662.

Fry, C.S., Glynn, E.L., Drummond, M.J., Timmerman, K.L., Fujita, S., Abe, T., Rasmussen, B.B. (2010). Blood flow restriction exercise stimulates mTORC1 signlaing and muscle protein synthesis in older men.  J Appl Physiol  (1985), 108(5), 1199-1209.

Gundermann, D.M., Walker, D.K., Reidy, P.T., Borack, M.S., Dickinson, J.M., Volpi, E., Rasmussen, B.B. (2014). Activation of mTORC1 signaling and protein synthesis in human muscle following blood flow restriction exercise is inhibited by rapamycin. Am J Physiol Endocrinol Metab, 306(10), E1198-1204.

Kumar, V., Selby, A., Rankin, D., Patel, R., Atherton, P., Hildebrandt, W., Williams, J., Smith, K., Seynnes, O., Hiscock, N., Rennie, M.J. Age-related differences in the dose-response relationship of muscle protein synthesis to resistance exercise in young and old men. J Physiol 587: 2110217, 2009.

Loenneke, J.P., Wilson, J.M., Wilson, G.J., Pujol, T.J., Bemben, M.G. (2011). Potential safety issues with blood flow restriction training. Scand J Med Sci Sports, 21(4), 510-518. doi: 10.111/j.1600-0838.2010.01290.x

Santos, A.R., Neves, M.T., Jr., Gualano, B., Laurentino, G.C., Lancha, A.H., Jr., Ugrinowitsch, C., Aoki, M.S., (2014). Blood flow restricted resistance training attenuates training myostatin gene expression in a patient with inclusion body myositis. Biol Sport, 21(2), 121-124.