Jacob Schumer, PT, DPT Joins Advanced PT – Davison

Jacob Schumer, PT, DPT traveled the country for several years, working as a Physical Therapist. In 2020, Jacob came home to Michigan and began working at Advanced Physical Therapy Center. Jacob earned his bachelor’s degree in Exercise Physiology from Ohio Northern University and his Doctorate in Physical Therapy from The University of Michigan, Flint.

Jacob is a Certified Strength and Conditioning Specialist and a Certified Dementia Practitioner. He is a results-driven therapist who is passionate about “returning people to their prior form and then making them better than they were before their injury through biomechanical correction of everyday tasks.” One of Jacob’s favorite success stories involves a patient who had ruptured a disc in her spine carrying her child. Jacob was not only able to get her back to 100%, he taught her the proper way to carry her child so she would not hurt her back again.

While working with patients, Jacob believes in allowing them to direct their treatment while still providing them with appropriate options for their individual pathology. Jacob recalls a time when he was able to use vestibular rehabilitation techniques to help a woman eliminate the daily medication she had been taking for 3 years.

Jacob played football in high school and college and stays fit now by playing men’s league hockey. He is an avid Red Wings fan and says, “I can talk hockey all day.”

Jacob Schumer | (810)412-5100 | JSchumer@advpt.com

Rachel Selina, PT, DPT joins Advanced PT Waterford and Hartland

I love being able to help people not just get back to doing what they love, but also to become healthier, stronger people overall.

Rachel Selina, PT, DPT

Rachel Selina, PT, DPT is dedicated to pushing people to reach their full potential through hard work and enthusiasm. She loves exercise and fitness and decided to become a Physical Therapist knowing she wanted to help others stay moving and active. Rachel received her doctorate in Physical Therapy in August 2017 from the University of Michigan, Flint. She also graduated with a bachelor’s degree in Exercise Science with a minor in Spanish from Cedarville University in Ohio.

Rachel joined the Advanced Physical Therapy Center team in 2020 after seeing patients at two other centers. During that time, Rachel became passionate about restoring motion, strength, and function in those with neck and back pain along with those who are facing running, CrossFit and climbing injuries. She has specialized training in several Manual Therapies, Blood Flow Restriction Training, Dry Needling and Running Analysis. Rachel says she truly enjoys “whenever I get to help someone get back to running who thought they wouldn’t be able to.” Rachel is also an expert in treating TMJ and headaches.

Rachel spends some of her time away from Advanced PT as a teaching assistant at the Institute of Clinical Excellence, a continuing education program for physical therapists. There, she passes along her knowledge and expertise of lumbar and cervical spine rehabilitation to students.

Fitness is Rachel’s main hobby, but she also loves traveling, cooking and salsa dancing. She lives in Highland with her husband, John and their dog, Yuri.

Rachel wants everyone to know, “Physical therapy can be hard. I like to push people to work hard and achieve their full potential, but all with a smile and encouragement.”

Rachel Selina | Hartland (810)632-8700 | Waterford (248)618-3050 | RSelina@advpt.com

Jordan Marcotte, PT, DPT joins Advanced PT – Grand Blanc to Help Patients Reach Their Goals

Jordan Marcotte began working at Advanced Physical Therapy Center in 2014. She spent three years working at the front desk and as an aide. She went back to school and received her doctoral degree in Physical Therapy in May of 2020 from Trine University in Indiana and returned to Advanced PT as a Physical Therapist. Jordan also holds a bachelor’s degree in Health Science with a minor in psychology from the University of Michigan, Flint.

Jordan is LSVT-BIG certified. LSVT-BIG is a physical/occupational therapy program that helps to increase strength, motor learning, and changes in brain function in individuals with Parkinson’s Disease and other neurological conditions. She also has plans to continue her education specializing in treating Parkinson’s patients along with post-stroke patients. 

Jordan spent her early years in Durand and is the oldest of three girls. During that time, a difficult family situation inspired Jordan to become a physical therapist. Her family helped take care of Jordan’s grandmother while she battled cancer. Jordan would cook and help with transfers and watch when the in-home PT’s would visit. It was an easy decision for Jordan who knew then she wanted to help others.

Jordan hit the ground running with that decision. During her clinicals, she recalls “I had an 80-year-old patient that suffered from a stroke. When I first met her, she was unable to verbally communicate…and on our first day, she was only able to take two steps. Before discharge, she walked 50 feet consistently and told me ‘thank you for everything.’”

Jordan believes her best asset is her determination to reach her goals and help others reach their goals by being attentive and listening to their needs.

Jordan loves to kayak in the summer. She spends her free time drawing, painting, and knitting.  Jordan says, “I’m excited to help patients regain their quality of life!”

Jordan Marcotte, PT, DPT | (810)695-8700 | JMarcotte@advpt.com

Angels at Advanced PT

Andrew Moore’s Success Story at Advanced Physical Therapy Center – Clio

To me they’re like angels! Sue sees things differently. She wants me to do things the right way. She doesn’t skimp. Patty wants precision each time…she always encourages me. You get beat down so much, you want to give up. But Patty builds you up, keeps you going.

Andrew Moore, Clio Patient

Andrew Moore sings the praises of Sue Hall, PT and Patty Rumbold, PTA. Their support and the results he sees, keep him coming back to Advanced Physical Therapy Center – Clio.

Andrew first walked through the doors of Advanced PT – Clio after being diagnosed with Parkinson’s Disease. His muscles weren’t working properly, and his body was becoming stiff. An innovative program called LSVT-BIG, can work wonders for people facing this long-term battle.  And, it worked wonders for Andrew. The program helps to increase strength, motor learning, and changes in brain function in people with Parkinson’s and other neurological conditions. Each treatment focuses on the production of large amplitude, whole body functional movements. Sue took a video of Andrew on his first day of this therapy and one on his last. Andrew was shocked at the difference in his movements and stability, saying, “I looked like a completely different person.”  

Andrew still does his LSVT-BIG exercises to this day. But in the meantime, another health struggle brought Andrew back to Advanced PT for a second round of care. In the fall of 2019, Andrew had a mild heart attack. While still recovering from that, less than three weeks later, Andrew landed in the hospital again with a bleeding ulcer. September and October were tough on Andrew. He lost weight and strength. His doctor recommended physical therapy to build up his body and help him recover. Andrew knew right where to go.

“This is the place I wanted to come to,” said Andrew, about Advanced PT – Clio. He knew Sue and Patty would welcome him like family. Andrew had experienced therapy at another clinic, but says the warmth wasn’t there. He went on, “they treat me like a unique individual. They open up to me, and I open up to them.” It’s a close relationship that produces results. “My wife had to help me get into bed and roll me over. Now, I can roll over by myself. My wife doesn’t need to help me anymore. Now, I can lift and carry things again. I put my own clothes on. I still drive. I go grocery shopping.”

Andrew plans to keep up with the exercises he’s learned with Sue and Patty by joining Advanced PT’s StepDown program. It’s an option for patients to continue their regimen on their own, using Advanced PT’s equipment and gym space, for a low monthly fee.

When asked for a final thought, Andrew said, “I wish I would have found Advanced PT sooner.”

Advanced Physical Therapy Center – Clio | 303 S. Mill Street | (810)687-8700

Alejandro Sheppard, PT, DPT Joins the Advanced PT Team

He saw the positive results! Watching his father find success with physical therapy, Alejandro Sheppard, DPT decided he wanted to help others become pain free too. That quest began at the University of Michigan, Flint. Alejandro received his bachelor’s degree in Public Health and Health Sciences followed by his doctoral degree in physical therapy in 2019. He joined Advanced Physical Therapy Center, a short time later.

While getting his degree, Alejandro participated in a program called PT Heart. It provides free physical therapy services to people in Flint and allowed Alejandro to gain valuable experience. He discovered he enjoys learning about his patients and developing relationships with them. He learned he likes to create individual plans and tailor his physical therapy treatments to each person.

Alejandro specializes in treating issues of the neck and spine, and those with chronic pain. He also enjoys working with the older population. An athlete in high school, Alejandro played football, basketball and golf and loves the challenge of helping injured athletes get back in the game, pain free.

In his free time, Alejandro enjoys spending time with his family and friends, going to the movies and traveling.

Alejandro Sheppard | (810)687-8700 | ASheppard@advpt.com

Blood Flow Restriction Training with Justin Brown PT, DPT, ATC

Q and A with Justin: Understanding what BFR Can Do For You

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Justin, what is Blood Flow Restriction Training?

(JUSTIN) Blood Flow Restriction Training, what we generally refer to as BFR for short, is brief or intermittent occlusion or restriction of arterial and venous blood flow that is performed by applying a tourniquet to the upper or lower extremity. BFR has been found to augment the skeletal muscle adaption along with systemic whole-body changes and cardiovascular benefits while at rest, with low intensity endurance exercises or low load-resistance training. It’s been found to be safe when applied with cuffs of appropriate width along with personalized limb occlusion pressure obtained with a handheld doppler. 

OK, that’s a lot of words. Can you simplify it a bit for us? 

(JUSTIN) Basically, it’s performing exercises while reducing the blood supply to certain muscles. That causes your body to go into an oxygen depleted, anaerobic state. And, once in that state, your body responds in a specific way, resulting in a specific training adaptation. Certain hormones are released that cause your body to respond like your exercising with heavy weights, instead of the low intensity weights or the low load resistance exercises you are actually using and doing. (Low intensity weights or low load resistance exercises are required for people who have been injured or who have certain weaknesses.) That means rebuilding muscle mass and strength quicker, like you would with heavy weights. 

 How do you restrict the blood flow?

 (JUSTIN) We use blood flow cuffs. They are similar to a blood pressure cuff and some people actually use blood pressure cuffs for BFR. Our blood flow cuffs are considered medical tourniquets and are considered actual medical devices.

 Who will benefit from BFR?

 (JUSTIN) We can use BFR for any and all diagnoses of weakness or cardiovascular based endurance issues. So, BFR will improve your strength and muscular endurance. It can also improve cardiovascular endurance if we are doing specific endurance-based exercises.

 Would the average person come to you or would someone who had knee surgery get a prescription or is an elite athlete going to be your typical patient?

 (JUSTIN) All three! We use it with our higher-level athletes, especially post-surgery, because they can’t lift heavy weights like they typically would, and they need to get to a higher strength aspect quicker. So, BFR allows us to trick the body into believing it’s lifting heavy weights without actually lifting heavy weights.

 What kind of results would someone expect to see with BFR compared to traditional treatment or therapy?

 (JUSTIN) After surgery, muscles shrink. BFR will bring that muscle back to where it was pre-surgery much quicker than traditional therapy. You’ll gain a lot of strength much quicker with BFR than that traditional way. The best way to gain strength is to lift heavy. Most of our patients can’t lift heavy, so this is the next best thing compared to lifting heavy.

 Are there people who shouldn’t try BFR?

 (JUSTIN) As long as a person has clearance from their physician to exercise, then they can do BFR. (Ask your physician before seeing a BFR specialist to ensure this treatment is right for you and please consult a BFR specialist, before trying BFR training.)

 Why should someone only attempt BFR under the supervision of someone expertly trained in BFR?

 (JUSTIN) It’s important to use the right equipment (blood flow cuffs and handheld doppler) and to know your personal occlusion pressure. Once you are trained with the equipment and understand your individual pressure goals, it’s safe to do it yourself, but only with the right equipment.   

 What can a person do, if they hear about BFR and want to try it, but because it’s relatively new, their own doctor doesn’t know about it?

 (JUSTIN) They can have their BFR-trained therapist get in touch with their physician to discuss the option. (There are over 700 research articles supporting BFR.)  

 Do you have a story of someone who was successful with BFR?

 (JUSTIN) Yes! A patient had trouble with her quad muscle on the inside of her leg. We were going through traditional therapy but didn’t see huge changes. Once we began using the cuffs, we could see a significant improvement compared to what she had been doing. She had no pain and regained muscle mass on her quad. It was noticeable. Both sides were back to a similar size.  

Justin Brown PT, DPT, ATC | Advanced PT – Clio | (810)687-8700 | JBrown@advpt.com