We are now offering a completely unique approach to the treatment of pain and restrictions. It is called TOTAL MOTION RELEASE or TMR. We have been convinced through our own clinical trials that it is pretty amazing stuff…and our patients love it!
TMR was conceived by a PT by the name of Tom Dalonzo-Baker. Tom was searching for the best way to prescribe a home exercise program that patient’s could perform ON THEIR OWN to alleviate their pain. Tom believed that the quickest way to a successful outcome in PT was HOW the patient treated themselves AFTER they left the PT office. If pain comes back, what is the BEST way to alleviate it?
TMR is based on the principal of “unwinding” restrictions in the system that cause pain by exercising the OPPOSITE side or in the opposite direction. Little strange huh? But it works. So if you have pain or restrictions raising your left arm, you can experience significant relief by exercising the right arm. Our patients commonly respond with questions like “is this voodoo” or “what just happened” when they experience a positive change by doing this.
TMR is a very comprehensive approach as it treats the entire body at the same time. It is based on the theory that restrictions in one part of the body could impair function in an adjacent part. During your TMR evaluation, we will determine impairments or weakness in the upper body, the trunk, and the lower body. For example, you may have restrictions in the ability to raise your arm, the ability to rotate your trunk, as well as a weakness rising from a chair. It is the chicken or the egg scenario. What came first? Treating these impairments as a whole or individually can have a profound effect on the function of each part.
The neurophyisological explanations have to do with the concepts of “cross education” and “overflow” of neurological impulses from one side of the body to the other. To get a little deeper….here you go:
- Contralateral reflexes-an overflow phenomenon of the nervous system in which a reflex is elicited on one side of the body by a stimulus to the opposite side. Contralateral reflex arcs involve sensory receptors and neurons on one side of the body and motor neurons and effectors on the opposite side. Allen, Connie, and Valerie Harper. Anatomy and Physiology Binder Ready Version. 3rd ed. Danvers: John Wiley & Sons, 2008
- Unilateral strength training produces an increase in strength of the contralateral homologous muscle group. This process of strength transfer, known as cross education, is generally attributed to neural adaptations. It has been suggested that unilateral strength training of the free limb may assist in maintaining the functional capacity of an immobilised limb via cross education of strength, potentially enhancing recovery outcomes following injury. Cross education and immobilisation: Mechanisms and implications for injury rehabilitation. J Sci Med Sport. 2012 Mar;15(2):94-101. Epub 2011 Sep 15. Hendy AM, Spittle M, Kidgell DJ.
Click HERE to read the latest research on TMR.
The only way to become convinced, is to come on in for your TMR evaluation and will get you on a program right away.
Check out the TMR video demonstration below as well as a video testimonial of a patient of ours who had a pretty incredible results after a one year history of chronic pain.