Can you guess which leg is longer? Tell us in the comments.
Did you know that 134 physical therapists have graduated from the NAIOMT Fellowship Program? We are pleased and proud to introduce you to some of our our most recent NAIOMT Fellowship graduates!
Emily Mitiguy Novoa, DPT, OCS, COMT
Graduation Date: 8/15/2019
Emily’s fellowship project is titled “Optimization of Treatment: A Look at a More Efficient Way to Treat the Subtalar Complex.” Emily’s project has been accepted for presentation at the 2019 AAOMPT Conference.
Emily Mitiguy Novoa, PT, DPT, OCS, COMT, FAAOMPT earned her Doctorate in Physical Therapy from Eastern Washington University in 2012. She moved to Eugene, Oregon to work alongside excellent mentors as a part of the Therapeutic Associates Orthopedic Manual Therapy Residency (completed in 2014). During this time, she worked towards and became a Board Certified Orthopedic Specialist (completed 2015).
Following graduation from the residency, Emily moved to Olympia, Washington to work in as an integrated-PT in a family medicine residency clinic. While working here, Emily developed a new faculty role for a physical therapist at the St. Peter Family Medicine Residency Program. During her time at St. Peter Family Medicine, Emily presented at three national conferences for the Society of Teachers of Family Medicine regarding the unique role of a PT in a medical residency program. She also traveled to Haiti with a multi-disciplinary team to provide continuity of care to a remote village in the mountains outside Port-au-Prince (this group returns every six months to the same village).
Emily completed the process of becoming a Certified Orthopedic Manipulative Therapist with NAIOMT in 2018 and completed the NAIOMT Orthopedic Manual Therapy Fellowship Program in 2019.
Currently, Emily works at Providence Tumwater Valley Physical Therapy in Tumwater, Washington as an outpatient therapist. Emily has a passion for individualized patient treatment with emphasis on regional interdependence and assessing the effect of biomechanics on the development of dysfunctional movement patterns and pain. She spends her spare time trail running, hiking, backpacking, kayaking, stand up paddle boarding, skiing, biking, and exploring the outdoors with her husband, Blake, her son, Leo, and her dog, Zeila.
Raymond Joseph Arreguin Jr., PT, DPT, OCS, COMT
Graduation Date: 8/15/2019
Ray’s fellowship project is titled “Craniovertebral ligamentous stress tests in asymptomatic individuals.”
Ray Arreguin Jr. PT, DPT, OCS, COMT received his Doctor of Physical Therapy degree from Ohio University in 2011. After graduation he moved west in search of mentorship and training in the field of orthopedic manual therapy. In 2014, he was recognized as an Orthopedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties. Through NAIOMT, Ray became a Certified Orthopedic Manipulative Therapist (COMT) and completed his fellowship in orthopedic manual therapy in 2019. Ray works for Therapeutic Associates, treating patients at their Downtown Portland clinic and serving as faculty in their orthopedic residency program. Additionally, he is a regional mentor, working with new hires in the Oregon and Washington areas. Outside of TAI, he hosts the monthly Portland Study Group for NAIOMT and occasionally serves as a lab assistant for weekend NAIOMT courses. Outside of work he enjoys spending time with his wife Kana and his dog Rufus. His hobbies include music and spending time outdoors cycling, hiking, skiing and racing triathlons.
Jessica Ann Morss, DPT, OCS, COMT
Graduation Date: 8/15/2019
Jessica’s fellowship project is titled “Thoracic Influence in a Patient with Cervicogenic Dizziness: A Resident’s Case Problem.”
Jessica Morss, PT, OCS, COMT, FAAOMPT earned her doctorate in physical therapy from Eastern Washington University, graduating in 2012. She obtained her OCS in 2015 and graduated from NAIOMTs fellowship program in 2019. She lives in Olympia, WA and works in the primary care setting at Providence where she collaborates with a diverse medical team to help direct patient care and provides direct access and early access care to patients. Jessica has a particular interest in working with the dance community and coordinates an annual screening event for local pre-professional dancers. Outside of work, Jessica enjoys family adventures that involve hiking, kayaking, paddle boarding, skiing, and backpacking.
Paul Ochoa, PT, DPT, OCS, COMT
Graduation Date: 8/26/2019
Paul’s fellowship project is titled “Optimization of Treatment: A Look at a More Efficient Way to Treat the Subtalar Complex.” Paul’s project has
been accepted for presentation at the 2019 AAOMPT Conference.
Paul Ochoa PT, DPT, OCS, COMT
Paul’s career in the medical field began as a phlebotomist and EMT in the late 90’s and a Massage therapist in the early 2000’s. He graduated from the Touro College DPT program in 2009 and continued on to pass the OCS exam in 2012. During his manual therapy education with NAIOMT he also had the honor of learning from the great minds of David Butler, Lorimer Mosley, Diane Lee, LJ Lee, Jill Cook, Mark Comerford, Shirley Sarhman and so many more amazing mentors. He has been an active member of the APTA and AAOMPT and runs his physical therapy practice, F Squared PT, in New York City since 2011.
Cara Atwell, PT, DPT, OCS, OMPT, CMTPT, COMT
Graduation Date: 7/23/2019
Cara’s fellowship project is titled “Managing a Patient with Greater Trochanteric Pain Syndrome Using Regional Interdependence.”
Cara Atwell PT, DPT, OCS, COMT, CMTPT studied kinesiology and dance at the University of Virginia where she received her Bachelor of Science degree in 2010. She then earned her Doctor of Physical Therapy degree from the University of Maryland, Baltimore in 2013. In 2014, Cara became certified as a myofascial trigger point therapist (CMTPT) and in 2016 she was recognized as an Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties. Through NAIOMT, Cara became a Certified Orthopaedic Manipulative Therapist (COMT) and completed her fellowship in orthopaedic manual physical therapy in 2019.
Cara currently works in the Annapolis, Maryland area seeing mostly orthopedic patients in both mobile and outpatient clinical settings. She is married to Kyle Atwell who is also a NAIOMT fellow ship graduate. Cara most enjoys being outside near the water, staying active through strength training, yoga, and cycling, and spending time with family and friends.
Kyle Lee Atwell, PT, DPT, OCS, OMPT, CMTPT, COMT
Graduation Date: 7/23/2019
Kyle’s fellowship project is titled “Trigger point dry needling: a manual therapy approach to long-term management of persistent musculoskeletal pain in a patient with hypermobile Ehlers-Danlos syndrome, a case report.”
Kyle Atwell PT, DPT, OCS, COMT, CMTPT graduated from the University of Maryland, College Park (Go Terpsl) In 2008 with a Bachelor of Science in Kinesiology. He then went on to Physical Therapy school earning his Doctor of Physical Therapy degree from the University of Maryland, Baltimore in 2013. In 2014 Kyle was certified as a myofascial trigger point therapist (CMTPT). He was recognized as an Orthopedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties in 2016. Kyle both became a Certified Orthopaedic Manipulative Therapist (COMT) and completed his fellowship through NAIOMT in 2019.
Kyle currently lives and works in Annapolis, Maryland with his wife Cara (also a NAIOMT fellowship grad). Kyle works in the Annapolis region providing both mobile orthopedic physical therapy as well as orthopedic physical therapy in the clinical setting. When he is not working, Kyle loves staying active through weightlifting, Yoga, paddle boarding, and surfing. He also enjoys spending plenty of time with friends and family.
In the manual therapy video below, I discuss the functional use of the hip muscles, and demonstrate one of my favorite exercises that I use with patients who want to return to trail running after an injury.
We would like to congratulate NAIOMT alumna Christina Cuka (‘14) PT, DPT, COMPT, SSPT, alumna (‘09) Amy W. McDevitt PT, DPT, OCS, FAAOMPT, Distinguished Faculty Instructor Ann Porter Hoke PT, DPT, OCS, FCAMPT, FAAOMPT, and Research Director Steve Karas PT, DSc, CMPT, MA, ATC on the publication of their article, “Spinal manipulation after multiple fusions in an adult with scoliosis: a case report” in the Journal of Manual and Manipulative Therapy.
JMMT published the article online on January 13, 2019. The article will also appear in JMMT’s next print edition.
We are very proud of our alumni and faculty who continually carry forward NAIOMT’s high standards.
NAIOMT'S Stacy Soappman knows what it is like to spend the day in the clinic treating patients who are larger than yourself. It can be hard, and often you feel like it will be difficult to make a difference in the patient's pain or function because of the size difference between patient and therapist. Watch the below video as she demonstrates one way she has adapted a thoracic manipulation for when the patient is broader than your arms are long.
It can be difficult to get enough speed to perform an effective lumbar gapping manip on larger patients. In the manual therapy video below taken during a recent Manip Like a Girl: Work Smarter Not Harder course, NAIOMT's Stacy Soappman demonstrates ways to overcome that challenge .
We are so very pleased to announce that Christopher Fred Thurston, Jr, PT, DPT, OCS, CSCS, COMT has completed the NAIOMT Fellowship Program as our organization's 128th fellowship graduate!
His fellowship project, also presented at the AAOMPT 2018 Conference, is “The Manubrial Test: A Novel Assessment for Regional Interdependence in Adolescent Overhead Athletes.” Here are a few reflections from Christopher on his goals and experience with the NAIOMT Fellowship Program. We congratulate him on all his hard work and this great career-enhancing accomplishment.
"When I started the program, my short-term goals were to obtain my COMT certification and benefit from the one-on-one mentoring. I have achieved both of these goals. I underestimated how much I would grow from going through the process of both. The COMT certification process pushed me to challenge myself outside of my comfort zone and really be able to effectively communicate my thought process.
I have a much more grounded treatment approach to patients. I have become very systematic in how I approach complex patients and my ability to articulate my findings. I am no longer intimidated by having the results of my assessment not fully match up with my initial hypothesis. To me, this means I am more fluid in my thought process and thorough in application of my foundational knowledge. I find myself utilizing proper referral options better, such as with physicians."
Is observation a forgotten art? NAIOMT's Ann Porter Hoke discusses its importance in the video below. To take your clinical reasoning and manual therapy skills to the next level, browse upcoming NAIOMT courses.
During a Cervical Spine I class, one of our course participants who had surgery for a cervical myleopathy still presents with upper motor neuron signs (although diminished since the surgery). He allowed us to film them so fellow PTs can see what babinski, clonus, hoffmans sign and pronator rigidity present like.
In the manual therapy video below, NAIOMT faculty member Stacy Soappman explains why it's useful to have three different muscle testing approaches for the lumbar spine. Essentially, each has a different intent:
For neurological conductivity, fatiguing versus consistent weakness.
Looking at the power position, and giving it a manual muscle test grade to document in chart to use an objective measure to show how they've improved and gained strength over the course of physical therapy.
To pick up minor tissue damage, if looking for grade one strain.