|
Message Board>
Explaining TMR
RonPT
16 posts
Jul 27, 2009
7:07 AM
|
Hello everyone!
I've been attending several CEUs after TMR, and while doing so, I picked up bits and pieces about treating pain.
Of course, TMR is still my primary eval and treat tool.
With some of the stuff I learned, I was thinking about how tmr works and how to explain it better. Tom's explanation make sense, but why does it relieve pain?
I guess, my logic about tmr is almost the same as reciprocal inhibition. That the agonist, being the prime mover will not move unless the antagonist allows it. TMR decreases the antagonist activity during movement, thus, increasing range of motion. Also, with strengthening, the good side increases the sympathetic activity on the bad side enabling the person to lift the weight he/she's unable to lift the first time.
But what about pain? Well, people have pain probably because of the same reason I mentioned, the agonist-antagonist relationship. Second reason might be that TMR is working in the sympathetic-parasympathetic pathway.
By the decreasing the sympathetic activity in the area of pain, the pain goes away? Thru reciprocal inhibition?
I picked up some of the theory during a chiro seminar. I'm a PT but I also listen to what other disciplines have to say.
Let me know if this makes sense.
Last Edited on 27-Jul-2009 7:11 AM
|
Tom Dalonzo-Baker
123 posts
Jul 27, 2009
7:52 AM
|
Ron,
I would agree that reciprocal inhibition plays into it. However, from what I read about inhibition the research doesn't go far enough. It refers a lot to agonist and antagonist, and even at times left versus right side, however very little is talked about between the muscles throughout the body that turn on when other muscles turn on, and off when other muscles turn off. Future research needs to begin exploring what happens throughout the kinetic chain when for example the calf muscles are contracting - what turns on and off all the way up the body. Once this type of research is being done (which is very broad)it will help explain much of this full body release that we see with TMR. People and clinicians are often puzzled by the full body effect TMR can have all at the same time on several dysfunctions. A good explanation I have heard about - actually with from the Gerson Institute is this - when the body heals - it all heals. You cannot heal one part of the body and not effect the whole system. Tom
|
DthuePT
11 posts
Jul 27, 2009
5:59 PM
|
some of this is explained in that old gait picture with the concentric/eccentric on/off timing of various muscle groups. gait starts (depending) at the foot, all the way up to the head. or another example is a cross punch uses every body part (right cross to left then switch to left cross). namely one motion incorporates multiple areas much like TMR. Tom mentioned Anatomy Trains by Tom Myers if anyone does not have this book get it, it is awsome and showing whole body connections.
|
ktoncapecod
7 posts
Jul 31, 2009
8:05 PM
|
Don't you think that maybe the research to date on agonist/antagonists just maybe did not study enough muscles (eg up the chain I was thinking of the anatomy chain book as well)? If the studies did nto go far enough then maybe it is not that it is not happening, we just weren't looking. If our traditional thoughts are leading the search then we might not find the right answers.
|
|
|
|
