Acclivity Integrated Physical Therapy

Acclivity Integrated Physical Therapy Offering mobile and in office Physical Therapy and Equestrian Performance Programs throughout Northeast Ohio

At Acclivity PT, we pride ourselves on treating clients from a whole body, hands on approach integrating several treatment techniques in order to treat each client as an individual to get results. We specialize in "out of the box" treatment styles which you have have not experienced elsewhere. We also excel in Equestrian Performance Programs tailored to accelerating progress in the saddle tailored to each individual rider's needs of all disciplines. Our mobile services offer the flexibility, time savings and treatment in the comfort of your own space that each client deserves!

Riders! Please have a read! Great insight on my role and duties as a PT while working with you out of the saddle to impr...
12/12/2025

Riders! Please have a read! Great insight on my role and duties as a PT while working with you out of the saddle to improve riding performance!

šŸ“šThere are traditional aids, classical aids, and different schools of training. How a horse is trained depends on the system the rider and coach use. So saying ā€œthis is the only correct wayā€ doesn’t make sense when different systems create different conditioned responses in the horse. (It’s also why I don’t get involved when someone says, ā€œRide my horse my way and see how it goes better/worse.ā€ It will do what it’s been trained to do, aids are conditioned responses, so no thank you.)

My job isn’t to teach shoulder-in or travers. My job is to make sure your body can physically do what your coach is asking.

Most riders don’t struggle with lateral work because they were taught wrong. They struggle because they physically can’t do what they think they’re doing. Sometimes the instruction is an analogy instead of an actual body movement, so the rider doesn’t understand what their own body should do. Other times, riders are taught to ā€œcheatā€ the movement to make the horse perform it, even though it sacrifices the rider’s posture. The horse improves, but the rider doesn’t.

Recently someone asked about pelvic rotation on a circle. If I don’t teach rider movements, why do I say the pelvis should rotate in direction of travel? Because many people confidently say not to rotate the pelvis, yet they can’t explain why. They tell riders to load the inside seat bone, or keep the pelvis straight to ā€œstop the shoulders falling out,ā€ but this often comes from a rider not being able to execute the movement correctly. The problem isn’t the rotation-it’s the rider’s inability to rotate correctly.

Here’s why, biomechanically, the pelvis (and upper body) should rotate with the direction of travel:
• The rider sits on the ribcage, not the pelvis, so ā€œpelvis to pelvisā€ doesn’t make sense when we’re not on the horse’s pelvis.
• Moving a seat bone forward by ~1 cm to ā€œcreate spaceā€ for the hind limb doesn’t hold up when the joint that flexes the hind limb is more than 10 cm away from the rider’s seat bone.
• The ribcage and saddle rotate into the bend, so the rider’s pelvis should follow that-not resist against it.
• If the pelvis stays facing forward, the horse bends away underneath the rider and weight shifts to the outside. If the rider faces the direction of travel, equal weight tends to remain over the horse’s centre of gravity instead of being pushed outward.

When the pelvis rotates, the hips must allow it. This isn’t about turning the knee out. The inside hip requires internal rotation and the outside hip requires external rotation. If the hips are stiff, the pelvis can’t rotate cleanly, and the rider compensates by:
• twisting the spine
• shoving the inside seat bone forward
• shifting weight
• collapsing a hip

The issue is rarely a lack of ā€œinside seat bone pressure.ā€ It’s usually lack of pelvic control and hip mobility. Riders compensate, and instructors then help them ride with the compensation. I want riders to not need the compensation in the first place. If you’re struggling, assess your rotation off the horse first.

Work on:
• rotating the pelvis in the direction of travel without shifting weight
• controlling weight distribution naturally, without leaning, gripping, or forcing the seat
• moving the pelvis independently of the upper body so the seat follows without dragging or blocking
• using hip rotation correctly (inside internal / outside external) so the leg can position without twisting the knee or gripping the thigh
• having a mobile spine that follows the horse without bracing, over-bending, or collapsing the ribcage

If you don’t have pelvic control, hip rotation, spinal mobility, and an independent upper body, no amount of cues will produce a correct shoulder-in.

Want help with your lateral work? Book in for a Rider Physio session. Using the saddle and leg sensors plus vide analysis really helps us see exactly what you are doing.

šŸ”—www.pegasusphysio.co.uk

11/18/2025
Come say šŸ‘‹ hello, learn about how we can improve our performance in the saddle, get a FREE posture assessment and shop T...
11/15/2025

Come say šŸ‘‹ hello, learn about how we can improve our performance in the saddle, get a FREE posture assessment and shop TODAY!
Can’t wait to see and meet everyone!

Today is the day! Amethyst from will be here at 1 to give an equestrian physio seminar with free posture assessments after!

ONE WEEK from today!!
11/09/2025

ONE WEEK from today!!

šŸŽ‰ šŸ“¢
10/06/2025

šŸŽ‰ šŸ“¢

🧐A lot of what gets called ā€œrider biomechanicsā€ is really just good coaching. Helpful - yes. But it’s not the same.

Biomechanics goes deeper. It’s about analysing what works (and what doesn’t), breaking movement into components, and understanding how and why muscles and joints work together. When you understand the why, you can change the how.

That’s how athletes in every other sport improve. And it’s the same approach I use with riders - one exercise, one component, one principle at a time. Building blocks, not the whole building.

Take the lower leg. I shared a video explaining how the muscles co-contract to create stability. It wasn’t about a riding position - it was about a principle of neuromuscular control. A principle that applies whether you’re in half-seat, walk, or rising trot.

Biomechanics isn’t about copying a position or relying on imagery. It’s about using anatomy, physiology, and physics to explain what’s really happening in your body. That’s when the ā€œahaā€ moments happen.

Because when you understand how your body actually works in the saddle, you stop relying on generic cues and start riding with real stability, balance, and control.

šŸ‘‰ Want to strip it all back and finally work out exactly what’s happening with your riding? Book a Rider Physio session and get the clarity you’ve been missing

šŸ”—www.pegasusphysio.co.uk

Last minute call for anyone interested in checking a non-horse rider related seminar! Saturday morning! All are welcome!
09/19/2025

Last minute call for anyone interested in checking a non-horse rider related seminar!
Saturday morning! All are welcome!

šŸŽ¤ Just 3 Days Away šŸŽ¤

We’re thrilled to announce our Posture Workshop with Amethyst Barto from Acclivity Physical Therapy, happening right here at Iron Family Fitness!

šŸ“† Saturday, September 20th
ā° 11:00 AM
šŸ“ Iron Family Fitness
šŸ’² FREE + open to the public

Here’s what you’ll learn:
šŸ”¹ Why posture matters & how asymmetry impacts your daily movement
šŸ”¹ Simple strategies to reduce and prevent lower back pain
šŸ”¹ A full-body postural screen to better understand your alignment

If back or hip pain has been holding you back—or you just want to feel stronger and move with more confidence—this workshop is for you.

Bring a friend, bring your questions, and walk away with practical tools you can start using immediately.

šŸ‘‰ Reserve your spot here: https://app.usekilo.com/.../7056e474-9016-43bc-bb93
(Members can also register directly in the app!)

I talk often with clients about what lifestyle changes can be made to reduce systemic inflammation. Diet always comes up...
08/08/2025

I talk often with clients about what lifestyle changes can be made to reduce systemic inflammation. Diet always comes up in that conversation! Here is a great opportunity to learn more!

Next Saturday, August 16th from 11:00-12:30pm we are hosting a live cooking class at the spa! Transform Your Meals with Simple, Healthy Swaps!
Join our hands-on cooking class and learn how to create flavorful, anti-inflammatory meals your body will love. Tickets are $25.00 and can be purchased at the link below.

What You’ll Learn
* Easy ingredient swaps for common meals
* How to reduce inflammation with food
* Hands-on prep and cooking time
* Nutrition tips for everyday health
* Take-home recipes and pantry guide

What Is Included
* Cooking class
* Food samples
* Pantry guide
* Entry for Free Gift Drawing

Seating Is Limited, Book Now!
A downloadable receipt will be sent to you at the email you provided during checkout.

Click the link to Book Now!
https://bpointcoaching.com/easy-swaps-101

08/08/2025

šŸ‡Rider Biomechanics – so much more than what it looks like…

So much goes into a rider’s position or movement –
šŸ‘‰strength
šŸ‘‰ mobility
šŸ‘‰injuries
šŸ‘‰training experience
šŸ‘‰body awareness
šŸ‘‰even confidence

(That’s everything under the 🧊iceberg🧊 in the graphic!)

But the bit people often focus on is just what it looks like

šŸ‘‰ heels down
šŸ‘‰ hip–heel alignment
šŸ‘‰ toes facing forward

It’s great knowing what an ā€œoptimum riding positionā€ looks like .. but it’s even better knowing why it’s optimum. That’s when you can actually start to change it.

ā“ Why is that heel up?
ā“ Why is that hip forward of the heel?
ā“ Why is the foot turned out?

That’s what rider biomechanics is really about – understanding how and why we move the way we do.

When we know the ā€œwhy,ā€ change stick ls – not just for one photo, but every ride.

šŸ‘‰ What’s one thing you’ve been told to ā€œfixā€ without being told why?

Exciting news! This past Monday, I spent the whole day seeing clients at Essentials of Life Wellness Spa ! It went SO we...
08/06/2025

Exciting news!
This past Monday, I spent the whole day seeing clients at Essentials of Life Wellness Spa ! It went SO well! It’s such a gorgeous and calming space for my sessions.
I will be offering appointments here every Monday!
To celebrate, during the month of August, save with our discounted appointment rates!
If you have ever considered working with me, now is a great time to begin!
There are only a handful more openings at this location for the month of August so reach out to me today!!

We want to extend our welcome to Dr. Amethyst Barto of Acclivity Integrated Physical Therapy, LLC! She is hosting her services in office on Mondays right here at Essentials of Life! She offers physical therapy services for general aches and pains, chronic pain, nerve pain and issues, pre and post operative care and injury rehab. Her assessment and treatment style is different than a physical therapist in a traditional clinic as she assess the whole body to find the root cause of symptoms. She is able to integrate several different treatment interventions to target both the musculoskeletal and nervous systems including: the myokinesthetic system, visceral and neural mobilization, manual treatments, therapeutic exercise and many others!
Clients would need to book an initial evaluation with her and this can be done by phone call or text message to (216)200-7130 or e mail to amethyst@acclivitypt.com. ur

Address

209 Center Street Unit A
Chardon, OH
44024

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