Our Team

Co-owners Sarah Dominguez and Jennifer Cumming bring 20 years of combined experience treating pelvic floor dysfunctions in men and women.  They are also both Certified Lymphedema Therapists, bringing a unique approach to their treatments.

JC1_bwJennifer Cumming, PT, MSPT, CLT, completed her master’s degree in physical therapy in 2001 at Des Moines University, a well-regarded osteopathic based physical therapy program.  There she developed excellent orthopedic and manual skills, including muscle energy technique and myofascial release.   She began taking pelvic floor courses and treating pelvic floor diagnoses in 2004 while working at the Rehabilitation Institute of Chicago.  While at RIC, she was nominated for the Magnuson Award for outstanding leadership in 2007.  She developed the pelvic floor program at Norwegian American Hospital, a community hospital in Chicago.  This program incorporated the use of acupuncture, aroma therapy, and massage therapies.  After moving to Kansas City, she joined the oncology and pelvic floor rehab teams at the University of Kansas Hospital.   There, she helped to grow the pelvic floor and oncology rehab programs.  She received a Certificate of Appreciation from the Hospital in 2012 for providing cost-effective treatment and treatment options for patients receiving lymphedema care.  Jennifer recently opened Foundational Concepts, Specialty Physical Therapy in 2013 to focus exclusively on pelvic floor physical therapy.  Jennifer completed the Herman and Wallace pelvic floor series and is eligible to sit for the Pelvic Floor Certified Therapist examination when it becomes available.  She completed the Certified Lymphedema Therapist certification in 2011 through the Klose School.  Jennifer has lectured for the Midwest Student Conclave sponsored by the KPTA, Rockhurst University physical therapy program, the University of Kansas Cancer Center BeWell series, and various community groups.  She is a Credentialed Clinical Instructor and enjoys teaching physical therapy students interested in pelvic floor and women’s health rehab in the clinical setting.  Jennifer is active in the APTA professional organization and is a member of the Women’s Health and Private Practice sections.   Jennifer is a past member of the Chicagoland Pelvic Floor Research Consortium and is actively involved in the Kansas City Pelvic Floor and Women’s Health Group and the National Pelvic Floor Distance Journal Club.  She is currently studying to sit for the Women’s Health Specialist Certification through the APTA.


SD1_bwSarah Dominguez, PT, MSPT, CLT studied at the University of Missouri in Columbia, Missouri receiving a Bachelor of Science in Psychology (1998) and a Master of Science in Physical Therapy (2001).  She began her career at the Rehabilitation Institute of Chicago at the Center for Spine, Sports and Occupational Rehabilitation. She began her training in pelvic floor rehab while at RIC in 2002, along with developing strong manual therapy and an osteopathic approach to musculoskeletal pain and dysfunction.  Upon moving to Columbia, Missouri in late 2003, Sarah began working at a privately owned outpatient clinic and developed a pelvic floor specialty clinic while managing a satellite clinic in Fayette, MO.  Her husband’s job moved them to Kansas City, where Sarah grew up. She began work at another small private outpatient clinic in Lee’s Summit, MO developing another pelvic floor specialty practice. In 2008, Sarah was accepted into the Doctorate program at the University of Kansas Medical Center in Rehabilitation Science.  She joined the Physical Therapy department at University of Kansas Hospital in 2009 and developed the pelvic floor program there. Sarah received certification in 2009 as a Certified Lymphedema Therapist through the Klose school.  She was awarded the T32 Grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development in 2010.  She was also awarded the STAR grant from the Hospital Endowment which provided the purchase of patient education materials for the pelvic floor program in 2010. She helped in gaining an award from the Hospital Auxiliary grant in 2010 and 2011 which provided lymphedema bandages and pelvic floor supplies to patients who financially could not afford them. Sarah left the University of Kansas Hospital to pursue her long time goal of opening a clinic that would focus solely on pelvic dysfunction and oncology rehab. She is now the proud co-owner of Foundational Concepts, Specialty Physical Therapy which opened in March 2013.   Sarah lectures at the University of Missouri Department of PT, University of Kansas Departments of PT and Nurse Midwifery and at Rockhurst University Department of PT. She is currently studying to sit for the American Physical Therapy Association’s Women’s Health Certification exam.


Shannon D-bwShannon DeSalvo, PT shares the same passion for treating complex pelvic floor dysfunction and pre/postnatal musculoskeletal conditions as Sarah and Jennifer, and is thrilled to join their team as of May 6, 2014. Shannon received her Physical Therapy degree from the University of Wisconsin-Madison in 1995, she worked in both orthopedics and neurology at Sacred Heart Rehab Institute of Milwaukee, Wisconsin.  It was here that she developed strong manual skills to treat complicated spinal conditions, but she knew that she had not yet found her “niche” in physical therapy.  In 1997, she developed a strong interest in obstetrics and began specializing in Women’s Health Physical Therapy.  She has completed over 500 hours of continuing education through the Section on Women’s Health of the American Physical Therapy Association, and has also had the privilege to be a lab assistant at several of their seminars.

After developing a Women’s Health PT Program in Milwaukee, Wisconsin, she moved to Kansas and was the Lead Women’s Health PT at Olathe Medical Center for over 10 years.  In 2007, Shannon was published in the textbook, “Prevention Practice – A Physical Therapist’s Guide to Health & Wellness”, and in 2008 she received her Certificate of Achievement in Pelvic Physical Therapy (CAPP). She has taught prenatal exercise classes for over 15 years, and enjoys educating the community on women’s health issues.  She is also an adjunct professor in the Physical Therapy Program at Rockhurst University, where she has the opportunity to share her passion with the next generation of Physical Therapists.  In 2012, Shannon started her own consulting business, Maternal Health & Rehab, where she has the pleasure of educating the public and the professional community on the role of a Pelvic Physical Therapist in both Women’s and Men’s Health.  Her goal is to make sure this area of healthcare is understood by all so that patients can find the proper avenues for treatment.

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Amanda Fisher, DPT developed a passion for treating prenatal/postpartum conditions and pelvic floor dysfunction while in physical therapy school.  She is beyond excited to join the Foundational Concepts team as of August 5, 2014. Amanda received her undergraduate degree from the University of Missouri and her Physical Therapy Doctorate degree from Rockhurst University in 2011.  Since graduating, Amanda has spoken at numerous community events educating the public on women’s pelvic health conditions.

Amanda developed a Pelvic Health Rehabilitation program in Lee’s Summit, MO, where she worked in orthopedics with a focus on female athletes.  It was here that she found her passion for treating the female athlete, who often experience pelvic dysfunction, limiting performance in their sport activity.





Lee Anne Jester has been working in the fitness industry for over 20 years. She gained an appreciation for Pilates after suffering a closed head injury in 1995.  The injuries left her in a wheelchair and she realized she would never take walking for granted again. Neurologically, Lee Anne healed but this experience showed her the importance of the mind/body relationship and the body’s innate ability to heal itself. Fascinated by the focus on breath-work and movement from the center of our body, Pilates became her solution.  Lee Anne is a strong advocate of the integration of therapies and continues to work with different teachers to receive the most current information for efficient movement in the body. Her real school has been her own long road to healing. Lee Anne believes these life experiences have allowed her to empathize with clients’ needs in their own healing process.

Lee Anne teaches in a relaxed, comfortable atmosphere to reveal how perfectly the body operates when the mind listens, learns, and loves.  To learn more go to www.leeannepilates.com


Our team is passionate about education for their patients, other practicing therapists and professionals, and the next generation of therapists.    We have formed partnerships with several of the physical therapy schools in the area and have taken students during their final clinical.  We have also formed relationships with the KU medical school, providing resident education for a better understanding of the role of physical therapy in the treatment of pelvic floor disorders.

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Our Mission

 To provide comprehensive, evidence based specialty physical therapy services to both men and women in a healing environment, which restores function by treating the whole person. To provide clinical education to physical therapy students to help the next generation of pelvic therapists understand the Whole Person approach to therapy. To share our knowledge and expertise with our community and other healthcare providers so that more people find answers to their pelvic dysfunction in a timely manner.

Our name, Foundational Concepts, was conceived through much thought and brainstorming. It was chosen because the pelvis is the foundation of the musculoskeletal system and sets the stage for all we do as human beings. Our logo is the symbol for the Sacral Chakra. Chakras are centers of energy located along the midline of the body. When they are all balanced and open, our body is in balance.  The Sacral Chakra is about emotion and sexuality, when it is flowing freely you are open to people, relationships and life; when it is not functioning well you may struggle to deal with emotions, or tend to be over emotional or struggle with relationships and not be open to others.  Through our skilled expertise we work to restore balance to the whole person to allow for improved emotional and physical ability to enjoy life.