Total Motion Release (TMR) is used to evaluate and treat body motion imbalances. Pain or dysfunction in one area of the body may be affected by movements that take place somewhere else.
TMR treatment uses six motions:
1. Arm raise (shoulder flexion)
2. Bent arm wall push (single arm push up)
3. Trunk twist (rotation)
4. Single leg sit to stand
5. Leg raise (hip flexion)
6. Weight bearing toe reach (unilateral bent knee squat).
These are compared bilaterally and the motion with the greatest imbalance is treated first, providing that both sides are not perceived as dysfunctional (Gamma 2014). Total Motion Release treatment includes repetitions, static holds, or some combination that are performed to the good side (none painful). The TMR is evaluated every two sets of exercises. Based on the results of the treatment, the clinician decides to continue with that motion, modify the motion, or move to the next area of imbalance (Gamma 2014). Treatment then increases to the second highest imbalance score and continues until the six main motions are balanced. A general recommendation is to resolve one upper body, trunk, and lower body imbalance each treatment to maximize treatment effect and retention of gains (Gamma 2014).
- Gamma SC, Baker RT, Iorio S, Nasypany A, Seegmiller JG.A total motion release warm-up improves dominant arm shoulder internal and external rotation in baseball players. Int J Sports Phys Ther. 2014 Aug;9(4):509-17.