Build Physio & Performance

Build Physio & Performance Sports physical therapy clinic in Bozeman, MT. Experts in ACL rehabilitation & sports injuries, isokinetic strength testing and sports performance.

Not first rodeo- but pretty cool to see that at only 3 months post OATS procedure his quad torque roasted his previous ...
09/10/2025

Not first rodeo- but pretty cool to see that at only 3 months post OATS procedure his quad torque roasted his previous metric PR following an MCL reconstruction 2 yrs ago. That’s some fire quad torque to body weight Jack! 🔥

Qualitative appraisal of force-time curves has significant utility.This patient has history of cartilage repair procedur...
09/08/2025

Qualitative appraisal of force-time curves has significant utility.

This patient has history of cartilage repair procedure and has pain limiting force output above 80-90 degrees of knee flexion. On non surgical leg peak torque output was at 63deg which is an expected angle. However for surgical leg peak torque output is at 87 degrees.

If we only examined the torque output it would only give us part of the story of this patients knee. Tolerance to force output in these shallower ranges is something we want to monitor over time with testing but is not something we are actively training due to pain. Rather we are training in pain free ranges and allowing that greater output to carry over his more sport specific tasks. Rising tide raises all ships.

.lyons_ had a huge bump in torque output this month post her QT ACLR. She’s been very consistent in the gym and also ma...
08/14/2025

.lyons_ had a huge bump in torque output this month post her QT ACLR. She’s been very consistent in the gym and also making time to get on her bike all summer. Next up? 🎿

ACL Graduation Day includes getting on the record board for quad TTBW at 190% bodyweight (5.7Nm/kg)
08/13/2025

ACL Graduation Day includes getting on the record board for quad TTBW at 190% bodyweight (5.7Nm/kg)

Here we go! 4 months and isometric quad torque up to 81% body weight (goal > 100%) on surgical knee.Plan is to switch g...
06/30/2025

Here we go! 4 months and isometric quad torque up to 81% body weight (goal > 100%) on surgical knee.

Plan is to switch gears to rate and boost our isokinetic output, push braking impulse through eccentric training on the k box, and continue working on elastic abilities.

🥍🏀

For those who asked:Calculation of plantar flexor force with this specific set up using a tindeq.Moment arms are measure...
06/24/2025

For those who asked:

Calculation of plantar flexor force with this specific set up using a tindeq.

Moment arms are measured as the distance (m) from the pivot point of the machine to the tindeq line of pull (y) and to the thigh pad (x).

Build Physio’s chronological history of seated calf strength testing🦵 Pasco force plates with single ratchet strap•Not e...
06/17/2025

Build Physio’s chronological history of seated calf strength testing

🦵 Pasco force plates with single ratchet strap
•Not enough padding around thighs, inconsistent tension between legs

🦵 Supine on HUMAC
•Cumbersome setup, unable to lock heel in tight enough with straps

🦵 Seated on Humac
•Very inconsistent moment arms and amount of dorsiflexion, easy to max out Humac’s capacity of 500 ft-lbs

🦵 VALD Force Decks with 2x4 + yoga mat & 2 ratchet straps
•Improved comfort, minor anterior/posterior instability of 2x4 and still difficult to get consistent pretension between legs

🦵 VALD Force Decks w/Pso-Rite & 2 ratchet straps
•Better anterior/posterior stability but Pso-Rite are one size for all thigh sizes, still difficult to get consistent pretension between legs

🦵 Current Setup: Tindeq on seated calf raise machine
•Increased thigh comfort, quicker setup, easier to get symmetric pretension. Does require additional math to calculate torque output.

Continuing Education .physio 🤓We are excited to host these courses this fall 2025 for physical therapists and athletic t...
06/12/2025

Continuing Education .physio 🤓

We are excited to host these courses this fall 2025 for physical therapists and athletic trainers in the state of Montana and beyond.

Registration links can be found on our website =>

https://www.buildphysio.com/about/professional-courses

posting her first strength test post ACL at 12 weeks. Over 50% quad symmetry with excellent relative quad and hamstrin...
05/29/2025

posting her first strength test post ACL at 12 weeks. Over 50% quad symmetry with excellent relative quad and hamstring torque.

More LAX skills and accelerations start next week!

So happy with Lyten’s efforts! 🥍🏀

05/22/2025

A Tale of 2 Jump Strategies

Jump Height may be the least most interesting metric to the practitioner who is analyzing a person’s jump. It is an “output” of the ability to produce impulse, and more than likely important to the athlete; however little is known about the strategy someone uses to achieve the jump height.

These 2 videos show different strategies, yet achieve very similar jump heights.
Impulse is a very popular metric used with the force plate analysis of a countermovement jump to quantitatively measure force and time during a phase of the jump. Impulse is the product of the person’s force applied to the ground multiplied by the time it takes to apply the force. In a countermovement jump, a person must descend quickly into the countermovement to generate momentum and then apply enough impulse (eccentric deceleration or braking impulse) to bring their velocity to zero at the bottom of the countermovement and then apply impulse to then ascend their body towards take off (concentric impulse).

You need to break down the impulse by looking at their factors, force and time, to “quantify” the strategy the person used. In the first video, the person has much greater eccentric deceleration impulse than the second. Does that make it a better jump because he could produce greater impulse? The answer is probably “no”. The person’s duration during the “down” phase was much longer than the second which factored in to the greater impulse.

In sports, we want high forces produced in shorter time periods. I don’t think we can argue which jump looks more athletic in these videos.

05/20/2025

Deep Range Hamstring Graft Loading

While it is easier to get quadricep strength back after a hamstring graft compared to quad or patellar tendon graft, they tend to have longer lasting hamstring deficits due to the semitendinosus being removed which is more active in deeper ranges of knee flexion.

The hamstring deficits can be easy to miss if only tested in shallower ranges of knee flexion isometrically (30/60deg) or concentric isokinetically.

Adding in more specific testing isometrically at 90deg, eccentric isokinetically, or rate of torque development isometrically at 90deg can expose these deficits.

These are two different ways to train hamstrings in the deep range with a yielding hamstring isometric on a knee extension machine as well end range banded liftoffs.

Welcome Coach Greg Shannahan! 💪🏻Greg will be coaching our middle school and high school strength & conditioning classes:...
05/11/2025

Welcome Coach Greg Shannahan! 💪🏻

Greg will be coaching our middle school and high school strength & conditioning classes:

Mondays and Wednesday 5-6p

1 class per week $75/ month
2 classes per week $125/ month

Greg is a former professional baseball player who brings to the table a unique, diverse training background. His passion for human performance began in highschool with a month-long training stint under Tom House. Here he got a comprehensive understanding of the various elements that go into pitching performance including mechanics, nutrition, force production, and sustainability. Leveraging these skills and the competitive environment of his native Florida, he played five years as a pitcher at Division 1 school Jacksonville University.

It was at Jacksonville University where he began to expand his field of view in human performance when he suffered a UCL tear in his Sophomore year. In seeking out solutions to return to play from Tommy John, he discovered Cressey Sports Performance (CSP) home to many of the most renowned names in the MLB. Following CSP, he engaged in small group training in his hometown Jacksonville, FL with TORK Sports Performance and Cortx Sports Performance to further his own playing career in pursuit of signing with a Major League Organization. Here Greg was able to train and compete with various MLB and NFL athletes in small group environments at the cutting edge of training for throwers and rotational athletes.

Professionally, Greg played for the Utica Unicorns in the United Shore Professional Baseball League (USPBL) for two seasons and came to Montana to play for the Missoula Paddleheads in the Pioneer Baseball League (PBL). He applies his experience in independent professional baseball and at top level training environments to implement simple systems. These systems prioritize engagement to engrain training habits, athletic development to provide an adaptable foundation, and functional movement to compound over the training life of each individual athlete. His goal is to inspire young athletes to compete and grow their own style and motivations.

Sign up at Buildphysio.com or email laura@buildphysio.com

Address

609 Pronghorn Trl
Bozeman, MT
59718

Opening Hours

Monday 7am - 6pm
Tuesday 7am - 6pm
Wednesday 7am - 6pm
Thursday 7am - 6pm
Friday 7am - 6pm

Telephone

+14065800803

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Build Physio & Performance

Est. 1/4/2019

Build Physio & Performance is an evidence based practice sports physical therapy clinic in Bozeman, Montana. Our goal is to give our patients access to the best technology and education to address their unique situation.

Build Physio & Performance is centered on elevating our profession by offering continuing education courses at our clinic as well as mentorship across the globe. We consider ourselves to be a model clinic for the future of physical therapists as a profession and not an intervention.