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Total motion release
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Total motion release - August 8, 2006 7:09:00 PM
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garv3
Posts: 6
Joined: August 7, 2006
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Can anyone pass along any experience they have with "total motion release"? i have received alot of brochures lately for this continuing education course and am interested to hear about other PT's experience with it. any info would be greatly appreciated.
thanks,
seamus garvey, PT
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Re: Total motion release - August 10, 2006 7:29:00 AM
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yarringtonpt
Posts: 112
Joined: July 4, 2006
From: Waynesville, NC
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Seamus,
I attended TMR 1 recently and have had tremendous success with a variety of conditions. It is simple to do, simple to teach, and simple to understand. Some results have been truly amazing. As an example, I have a patient with a partially torn rotator cuff who came in on the initial visit with 65 deg abduction and left with full AROM after doing NOTHING directly to his affected shoulder. The course is well worth your time and money. I use it on 90% of my patients.
Eric Yarrington, PT
_____________________________
Eric Yarrington, PT, MPT, OCS
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Re: Total motion release - August 10, 2006 12:55:00 PM
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Tanea
Posts: 1
Joined: August 9, 2006
Status: offline
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Dear Seamus,
I, too have taken TMR I. I am anxiously awaiting December to take TMR II! What Tom Dalonzo-Baker, MPT has done through his observation is come up with a wonderful, effective, patient driven way to address issues of decreased ROM and pain. I have had fantastic results with treating myself as well as patients. As with Eric, I use it on AT LEAST 90% of my patients.
My favorite success this week is a geriatric patient with a RC tear. Yesterday she stated that one week of TMR did more good than 2 months of therapy she received before we tried this! She too has regained ROM (equal to the contralateral) and is able to get her pain down to zero with TMR. Looks like she will be avoiding surgery, which was her main goal.
I came into the class with doubts that it would be effective for my seniors. Turns out they are the ones who really give it their all.
You won't be sorry to spend a weekend with Tom.
Sincerely,
Julie Dawdy, PTA
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Re: Total motion release - August 10, 2006 1:54:00 PM
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Sean Weatherston
Posts: 102
Joined: August 3, 2005
From: Idaho
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Alrighty folks....back it up. That is, if you plan on sticking around for more than one post :)
_____________________________
Sean Weatherston, PT, OCS, CSCS
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Re: Total motion release - August 10, 2006 2:00:00 PM
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proud
Posts: 944
Joined: March 22, 2006
Status: offline
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Sean,
I agree. I liked this board for the individuals with a firm grasp if the research. I was impressed by that.
I don't like reading about snake oil...unless a few RCT's are produced.
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Re: Total motion release - August 10, 2006 2:49:00 PM
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tucker
Posts: 182
Joined: May 24, 2003
From: Texas
Status: offline
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Three first-time posters...sounds like a set-up and paid endorsements to me.
I was unable to find anything in Medline.
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Re: Total motion release - August 10, 2006 3:26:00 PM
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Amy Bennett
Posts: 8
Joined: August 9, 2006
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Every new idea in rehab goes through several stages. First, someone tries something and finds that it works. They develop hypotheses about why it works and they begin showing others how to achieve the same results. They become "evangelists" for the techniques they have developed. Others who have success with the techniques begin sharing their stories and the research-minded among them begin collecting and publishing case reports. THEN, RCT's are are performed and make their way into the literature. TMR is very early in this progression and it seems quite unfair to criticize it for lack of appearing in Medline. TMR makes very good sense in light of published research regarding central pain mechanisms. We should be honest about what we know, but when patients can learn to successfully treat themselves, that seems a pretty good indicator that it's not voodoo.
BTW, I am NOT a paid endorsement, simply a professional who has personally benefitted from the techniques and who enjoys seeing my patients take control of and overcome their own pain problems and restrictions.
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Re: Total motion release - August 10, 2006 3:54:00 PM
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garv3
Posts: 6
Joined: August 7, 2006
Status: offline
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what are some examples of the techniques, and does he give any info on the supposed mechanisms behind the success of TMR?
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Re: Total motion release - August 10, 2006 4:22:00 PM
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tucker
Posts: 182
Joined: May 24, 2003
From: Texas
Status: offline
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How many times I have heard that from CST supporters along with the statement about people who believed the world was flat at one time...which is also mentioned in the TMR website.
I know nothing about this technique but personally would never attend a course that did not have some solid evidence behind it.
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Re: Total motion release - August 10, 2006 4:41:00 PM
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Amy Bennett
Posts: 8
Joined: August 9, 2006
Status: offline
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Then you will miss out on a lot of innovative ideas. Technique-specific evidence takes time to build. However, there is already plenty of evidence supporting the efficacy of indirect techniques (which these are) and active patient movements, upon which TMR is based.
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Re: Total motion release - August 10, 2006 4:48:00 PM
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Amy Bennett
Posts: 8
Joined: August 9, 2006
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I have no desire to engage in further arguing. If you want to know what it's about, go to a course and make your own decision. I had some skepticism before the course I attended, but I did go, and found no conflict between TMR hypotheses and what is already in the literature about central pain mechanisms, and indirect techniques. I figured that was at least a good start, and the results I have seen in my patients, especially with shoulder and knee patients have been enough to keep me pondering the "why" of it. Next come case studies and RCT's.
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Re: Total motion release - August 10, 2006 4:53:00 PM
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tucker
Posts: 182
Joined: May 24, 2003
From: Texas
Status: offline
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Not true for many of us who will lay the groundwork with published research before taking it to seminars. Even a few case reports or a case series will give some credibility. I question those who do it the other way around...or worse, never get to the publication part.
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Re: Total motion release - August 10, 2006 5:03:00 PM
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Amy Bennett
Posts: 8
Joined: August 9, 2006
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OK, fair enough. I understand your take on it. But I'm happy I can teach my patients to treat themselves using these techniques.
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Re: Total motion release - August 10, 2006 6:50:00 PM
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volusiapt
Posts: 1
Joined: February 23, 2006
Status: offline
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I agree with Amy, Eric, and Julie. I took the course after noticing the advertisement in Advance Magazine and was intrigued by the claims. I went with questions and a mildly skeptical attitude. I have a background in utilizing strain/counterstrain, manual therapy techniques, LLLT, PNF, NDT...,you get the picture, with great success. I found that the TMR techniques are based in sound theory and are very easy to instruct patients and therapists. I have noticed progress with patients that I would not expect in 3 to 4 sessions. I have utilized the techniques for cervical pain and dysfunction on a 43 y/o woman with complete resolution of pain and dysfunction in 5 minutes. I did not even perform a manual technique or modality. After treating her neck, she asked about a hip injury sustained over the weekend, which she alleviated in 3 minutes utilizing TMR. Since that treatment she states that she continues to be pain free and does not notice any problems with the hip or neck, and she has not needed any treatment since.
Another patient 41 y/o male who sustained a R subscapularis tear with medial subluxation of the long head of the biceps tendon. He demonstrated 138* flexion, 130* abduction, severe limitation of shoulder internal and external rotation. Functionally he was unable to utilize his R UE with dressing and grooming. He was unable to perform any lifting greater than 5# without pain and demo severe pain at end range(actively and passively). He was considering shoulder surgery to repair the subscapularis tendon. After 4 treatments he demonstrated 172* flex, 169* abd, pain free functional internal and external rotation, also he is able to lift 25# pain free. Functionally he is able to fully utilize the R UE with ADLs and work duties. Now, he is not considering surgery and is extremely happy with his progress.
No, these are not the only patients I have utilized TMR with, however their results are typical with all of the patients I am treating with TMR.
All I can do is repeatedly state that the techniques work. For those who want proof and research, don't worry it will be there. The techniques that TMR utilizes are not new, however the process is, and it will take time for TMR to show up in literature.
This is my first time posting and I am not a paid endorser. I am a therapist who always questions techniques, theory, and what Physical Therapists' consider protocol treamtents and so called recipes for success.
For those who question if the techniques/process works, they have on 100% of my patients.
Questioning is a healthy part of the learning process and refining techniques/processes. We would not be the profession we are without critical inquiry.
For those who doubt, what about techniques developed and utilized by Mulligan (SNAGS, NAGS, MWM), Dr. Jones (strain/counterstain), Paris, Mckenzie, Williams, Kaltenborn, and others that have developed techniques used by a majority if not all Physical Therapists today. Do you doubt that these techniques work? Or is it that you have experienced the benefits of those techniques and utilize them for your patients' benefit.
I will tell you all this....there are many doubters of Physical Therapy interventions and necessity period! Many have indicated that the interventions we perform are not required and that the individual will heal in due time under the direction of a physician. That's why we are where we are today with reimbursement and the questions of the efficacy of our interventions. On the whole the question is, do Physical Therapy interventions work and where is the research to back them up? Sounds familiar????
With that in mind I would think that you would agree there are many techniques and interventions that we all use, including TMR, that need to be researched to prove and validate their value in rehabilitation for our patients to insurers, the medical community, our peers, and potential clients/patients.
In the course I took, there were several doubters and skeptics at the start....they left just the opposite. If you are a skeptic or doubter take the course from Tom and then take him to task in person. He would want you to do just that and question him about the process, techniques, and theories...that way you will learn and decide for yourself. I guarantee you and your patients will benefit from it.
For those who are posting in an attempt to learn the techniques.....do yourself and your patients a service and attend a course. I seriously doubt that any therapist can become proficient at techniques learned through posting. I, along with everyone else performing TMR, paid to learn the techniques and become educated for the benefit of our patients. To educate somebody through posting would do that person, myself, others that have paid for the course, and the developer/founder, Tom, a disservice.
If you have seen the article/advertisement for the course and you have posted a query, then you must be interested...so do yourself a service and go take the course.
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Re: Total motion release - August 11, 2006 4:26:00 AM
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Shill
Posts: 1097
Joined: February 13, 2003
From: Madison WI USA
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"I am simply a professional who has personally benefitted from the techniques"
"All I can do is repeatedly state that the techniques work."
"I guarantee you and your patients will benefit from it."
Just a few quotes from the proponents. I am glad you are excited about TMR.
Enthusiasm is healthy.
Skepticism is healthy.
Being excited because it helped YOU can be dangerous.
Results may have nothing to do with your approach.
Results may have everything to do with your approach.
Cautious optimism is good.
Credibility for an approach comes from studying it versus controls, not testimonials and quoted statistics from those who use it.
The fact that one paid for a course should not shroud said course in secrecy. There are and will always be those who want to know what it is about BEFORE shelling out the cash.
I thoroughly checked out the website, and must have missed the evidence part. Im sure the founder has done a lot of work on his approach, but if it is to come into acceptance, there should at least be some studies cited that pertain to the principles of what is done.
And finally, the TMR website notes at the bottom "Often Works When All Else Fails!"
That statement preys on those who feel hopeless, and further adversely effects its credibility.
Its a marketing statement no better than the infomercials. Its hard for me to get excited about things like this.
Take a look at http://www.quackwatch.org/01QuackeryRelatedTopics/quackvul.html
and you will see why the founder may wish to remove such statements from the site.
DISCLAIMER: I am not calling anyone a quack. Just pointing out why people (patients) are vulnerable to techniques.
_____________________________
Steve Hill PT
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Re: Total motion release - August 11, 2006 5:04:00 AM
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proud
Posts: 944
Joined: March 22, 2006
Status: offline
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If we have such blind followers hanging around...I fear for my own professional future.
I once had a patient come to see me after I had evaluated him( no treatment provided,I had only just started) and claim that his back pain was cured by a "gel" that he drank. I suppose I should go tell all my patients to go buy this Gel?
Come on people. What sets us apart from the current state of chiropractic? You guessed it, Our comittment to evidence based practice. Let's let some evidence come out before we jump on the 'technique of the week" shall we.
DISCLAIMER: Not implicating individual chiro's...just the political state of their trade at the moment.
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Re: Total motion release - August 11, 2006 5:31:00 AM
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Sean Weatherston
Posts: 102
Joined: August 3, 2005
From: Idaho
Status: offline
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I don't have a problem paying to go to a course to learn new skills...so long as I know those skills have some evidence to back up their use.
"TMR" sounds a lot like "PRRT" and other "miracle techniques" that make a lot of promises, but simply don't stand up under the scrutiny that Shill mentioned much more eloquently than I ever could.
Back it up with some research and I'll be amongst the first on board to sign up for the course.
_____________________________
Sean Weatherston, PT, OCS, CSCS
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Re: Total motion release - August 11, 2006 5:48:00 AM
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drbuddy
Posts: 429
Joined: July 30, 2005
From: Pennsylvania
Status: offline
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Proud,
When you take continuing education, and maybe you learn a new manual therapy technique, or maybe a new exercise, do you check the literature before putting it to use?
How do you practice? Do you provide any manual therapy? If so, what types of maneuvers do you apply? If rehab, what exercises do you teach?
If this Total Motion Release is just a variation of something we are already doing, then why let the lack of RCT's prevent you from using it?
I guess what I'm saying is, evidence based practice is not only doing things supported by well designed RCT's. There's more to it than that. I know I've said it before, but there seems to be a lack of understanding of what evidence based practice really means.
I dont know, maybe you're looking for a cookbook approach. If x, then use y treatment. I just dont see how that line of thinking applies to a musculoskeletal based practice.
I dont think the gel drink example is a good one. We can use our knowledge to determine that the drink probably did not cure the back pain. The same is true for various techniques. We can analyze what is occurring and come to an educated and reasonable conclusion based on our knowledge. If the technique is safe, cost effective, and it's reasonable that it could work better than something we're already doing, then why not give it a try?
I think there is a problem with misinterpreting the definition of evidence based practice and only practicing based on the outcomes of well designed RCTs. I think people miss out on a lot by working in that manner.
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Re: Total motion release - August 11, 2006 6:20:00 AM
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proud
Posts: 944
Joined: March 22, 2006
Status: offline
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Buddy T DC,
Evidence based practice simply does not hold authority based knowledge in very high regard. It states that intuition, unsystematic clinical experience, and pathophysiologic rationale do not constitute suffient grounds for clinical decision making. If you wish to hide behind the loop holes...that should work for a short while longer.
Sackett et al defined EBP as the process of integrating the best research evidence available with both clinical expertise and patient values...
Don't assume I am unaware of the definition...I am. Read: "Best research evidence available..."
Manual therapy can be supported. We still cannot say manual therapy is undeniable in its benefit...but that is where the " integration" part comes in...at least we can produce some literature.
Exercise can obviously be supported...even ultrasound can be supported for calcific tendonitis with correct paramaters used. I am not suggesting avoiding all techniques without RCT's, just give me SOMETHING!.
I also think it is against EBM to fly in the face of what the overwhelming current literature is suggesting... as in the case of manual therapy and our ability to motion palpate. Manual therapy does not have to be that specific to be effective, and to claim otherwise is just fooling ourselves and our patients.
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Re: Total motion release - August 11, 2006 6:42:00 AM
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dfjpt
Posts: 238
Joined: April 9, 2006
Status: offline
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Probably good to check someone out by googling their name in quote marks, plus "scientology." Interesting the funny things your cont.ed. $ can end up getting hoovered into.
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