TMR 1 - Outline & Agenda

Total Motion Release® (TMR) – Level 1

Target Audience:  PTs, PTAs, ATCs

Instructional Level:  Beginner

Instructional Method:  80% Lab, 20% Lecture

Course Goals:  This continuing education course is intended to instruct the professional through a the application of the Total Motion Release concept

Detailed Total Motion Release Description
Prerequisites: None
Contact Hours: 30*
Schedule

Saturday 8 am - 7 pm
Sunday 8 am - 3 pm

NOTE ABOUT - CONTINUING EDUCATION CREDITS

This is a comprehensive training program. Ceu's for most states are all or none.  You must attend the Live Seminar [or watch the videotaped homestudy] AND do the post seminar homework  to receive any credit hours. The home work is simple and is designed to help you succeed.  You are asked to fill out our TMR Form on 10 people and 5 forms on yourself.  You then fax it to us and we review the forms for accuracy.  

We seek approval in just about every state that requires it for TMR 1.  Most Boards or Associations have approved our comprehenisve training program for 30 credit hours.  A few states have approved it for less.  

Click here for State PT Approvals & ATC Approvals.  

Two states [NJ & NC] do divide the Seminar hours up into 2 parts, so you can get seperate credit for the seminar and then seperate credit for the pre & post seminar homework.  

You are responsible for understanding your state rules & regs, however we attempt to stay up to date on them.  We are here to help so feel free to contact us at tmr.soros@gmail.com or totalmotion@gmail.com or call us at 919.675.1665 or 919.749.2106.  We make every effort to get back to you within 48 hours, so if you don't hear from us by then, get back in touch with us.  We do find that some emails get lost in cyberspace.  

TYPES OF LEARNING FORMATS - 3 format to choose from

Live Seminars:  
Student come to the seminar location to interact with the instructor.  The manual [50 pages] & course material is emailed to you 1 week prior to the seminar.  You will be asked to print out and bring with you.

Live Online Seminar:  
Student watches seminar from their computer either at home/work at the exact same time a Live seminar is being held in Raleigh, NC. You will be able to chat live with the instructor and watch all interaction between instructor and students.  It is the next best thing to attending a live seminar.  The seminar is - streamed live over your internet connection.  No special computer skill is needed.  A webpage link will be sent to you prior to the seminar that you will click on to see the video screen.  If you have dial up, a slow internet connection, or attempting to watch on a cell phone or ipad this format would not be appropriate.  We also suggest you check to make sure your speakers are working.  Simply go to www.youtube.com and click on any video.  If you can hear it loud and clear then you are good to go.  If you can hear it, but the volume is low, we suggest you purchase some external speakers from a retailer store like Walmart, Best Buy, Staples - for about $20.  

All course material is sent to you via an email 1 week prior to the seminar.

Home Study Course:
This format is a Live Seminar that has been videotaped that you can watch anytime from the internet.  This format is on the internet and is NOT a DVD or CD.  You must have a high speed dial up connection.  This small video you can click on to see if you have a high enough internet connection to view the home study.  Of course the home study videos are much larger than the one below.  The real videos take up almost 1/2 the page and are very easy to see. 

All course material is sent to you via an email 1 week prior to the seminar.

 

OVERVIEW of TMR 1

Total Motion Release – Level 1 will teach & provide extensive lab time for the therapist to learn the foundational TMR Exercises called the FAB 4, the rules of how to and when to progress these exercises, tweaks to speed the results, a formula that shows why a person is in pain, stays in pain or gets better, how to take the FAB 4 exercises into multi-planar motions & different body positions for more complex conditions.  Additionally, you will learn how to get more patients to comply & complete treatment by increasing their awareness to the purpose of why they are coming to you.

Upon completion of TMR – 1 the participant will understand the neuromuscular basis for Total Motion Release, know how to perform a full body assessment & treatment program and have learned the TMR documentation format for reimbursement. The attendee will have experienced a new understanding of how the body heals and will be able to use this knowledge effectively to perform TMR on their patients Monday morning. This is a workshop that the participant will be the patient and will experience their own pain relief and how to fix any future issues they may have elsewhere in their body. This is the same information they will be taking home and sharing with their patients. Attendees leave with a sense of empowerment and a renewed sense that they now can teach patients how to fix themselves – even the most difficult patients.

COURSE OUTLINE

  • Learn the FAB 4 Exercises that can be used on all patients to reduce pain and/or increase functional limitations.
  • Learn a fundamental process of recognizing when to & how to progress a patient
  • Learn the documentation for patient testing, treatment and tracking.  Also use as an eval note, daily note, DC note
  • Learn a less structured TMR form called the freedom form that can be used for those who get confused using forms and for those who want a little less structure
  • Learn a formula for the cause of pain/limitations and the cause for relief/total motion
  • Learn how a change in a planar motion or a body position can be the difference between success and failure
  • Learn how rekindling the patients purpose is all that is needed to gain greater compliance and completion of treatment.  

GOALS & OBJECTIVES - at the end of the course the student will be able to: 
[These are the questions students will be asked to answer to show mastery]

  1. List the FAB 4 motions used to test & treat the balance dyscrepancies found throughout the body
  2. List the 6 directions of motion of any joint that can also be used to make any issue worse
  3. Define the Issue Scale & Explain it relates to pain relief
  4. Define the 4 pain characteristics and explain how this can be an obstacle of the patient reporting they are not improving.
  5. Define the sets & time frame used for each of the FAB 4 motions
  6. Demonstrate understanding of the FAB 4 process by accurately Fill out the FAB 4 form and
    1. Show accurate use of the rules of progression
  7. List & Explain the 7 most Frequently Asked Questions of the FAB 4 treatment
  8. Write the story of Tom's [the founder's] Ah-hah moment
  9. Define the 3 Theories he uses to explain TMR to patients [Knife Cut, Sprained Ankle, Turtle Guy]
  10. List the last 2 FAB exercises & briefly instruct how to do them
  11. Demonstrate understanding of the FAB 4 process by accurately Fill out the FAB 4 form again using these last two exercises [don't forget to use the rules of progressing an exercise]
  12. List the 3 main body areas we use with the freedom form
  13. Accurately Fill out the Freedom form [don't forget to use the rules of progressing an exercise]
  14. Explain when to use the FAB 4 Form versus the Freedom Form
  15. Explain what to do about soreness
  16. Explain the difference TMR is not working versus when the patient is not working
  17. List the 5 Tweaks that can be used with each of the FAB 4 Exercises
  18. Explain when to use each of these tweaks.  
  19. List the Super 6 Positions
  20. List the 7 Body Positions that can be used with the FAB 4 Motion Tests & Treatment
  21. Explain when to progress to the Super 6 or the 7 Body Positions
  22. Define the Issue Equation
  23. Explain the yellow zone of healing and explain why awareness of comfort is vital for healing
  24. Demonstrate understanding of the Issue Equation by Filling out the Postures, Posiitions & Activities of Daily Living form
  25. Construct [set up] how to set up an experiment to see what the best leg position to lift a heavy weight.
  26. Demonstrate the understanding of  the 7 levels of the Awareness Scale by thinking about and role playing the scenario of taking that patient up the awareness scale.  Write this down.

TMR 1 - AGENDA

DAY 1  
8 am – 8:30 am
  • Student Introductions
  • Review TMR Agenda & Manual
8:30 - 9:50 am
  • Demonstrate & Practice
    • Twist
    • Sit to Stand
    • Arm Raise
    • Leg Raise
    • Arm Push
    • Toe Reach
  • Demonstrate & Practice the 6 Motions for finding an Issue
  • Demonstrate & Practice the 3 body areas for finding an Issue 
9:50 am - 10:00 am Break
10 am – 10:30 am
  • Review FAB 4 Form
10:30 am - 12:00 pm
  • Demo of filling out of form on student in front of class as rest of class performs & fills out FAB 4 form on self
    • 6 Directions of Motion
    • The Issue Scale
    • 4 Pain Characteristics
    • Finding an Issue
    • FAB 4 Tests
    • Treatment
    • Rules to Wellness
12:00 pm - 1:00 pm
  • Review of Student Results - Pre & Post Scores
  • Review the 7 most Frequently Asked Questions
    • What if I can't find a motion that hurts my issue?
    • What if - My issue only hurts more as the day progresses or if I stand, sit, walk, run, etc for X period of time?
    • What if - Not Able to Choose a Side?
    • What if - Not able to pick a %?
    • What if - Both Sides Hurt?
    • What if another pain occurs while treating or it gets worse or something funky happens?
1 pm – 2 pm
  • Lunch
2 pm – 3:20 pm
  • Explain History of TMR
    • Ah-hah Moment 
    • Bent Over Backwards Lady Session
  • Theories
    • Observing Nature to learn about healing
      • How a Wound Heals - the Knife Cut
      • The sprained ankle - the deer in woods
      • Turtle Guy
      • P=F/A
3:20 pm - 3:30 pm Break
3:30 pm - 4:20pm 
  • Review the Rules to Progressing an Exercise
  • Practice FAB 6 on Self or Partner And Use these Rules on Form
4:20 pm - 4:30 pm Break
4:30 pm - 5:00 pm
  • Review Results
  • Review Freedom Form
5:00 pm - 6:00 pm
  • Demo the Freedom Form with Student in front of class as class practices on self
  • Practice on Self or Partner
6:00 pm - 6:30 pm
  • Review the results of the Freedom form
  • FAQ of Freedom form
    • Why don't we just do this form and not the FAB 4 form
6:30 pm - 7pm
  • Have Students Answer the Objectives for Day 1
  • Review Objectives
DAY 2  
8 am – 8:30 am
  • Review of Day 1
  • Questions
  • What about soreness?  
  • When is TMR not working versus the patient not working?
9:00 am - 10:20 am
  • Tweaks
    • Chunking
    • Connect the Body
    • 2D
    • 3D
    • Extreme End Range
10:20 am - 10:30 am Break
10:30 am - 11: 30 pm
  • Super 6 - The Other Directions
  • 7 Body Positions
11:30 pm - 12:00 pm
  • Review What Causes or Continues an Issue [The Issue Equation]
    • Comfort vs. Discomfort Scale
    • Red Light - Yellow Light - Green light.
      • How the Yellow Light is the most important area of healing
12:00 - 12:10 Break
12:10 pm - 1:00 pm Life Skills
  • Sitting Heights
  • Sitting Straight vs. slouched
  • Sitting & Trunk Positions
  • Sitting & Leg Positions
  • Lifting Postures
    • heavy weight
    • moving rocks into wheelbarrow
  • Transitions
    • Sitting to Standing - getting out of a car
    • kneeling to standing
    • belly to standing
    • side sit to standing - with arms
    • side sit to standing - without arms
  • Desk Set Up
1:00 - 2:00
  • Is it TMR that is not working or is it the patient who is not working and what to do about it? 
  • Patient Compliance & Completion
    • Review & Demo of the Awareness Scale Reviewed
    • Practice teh The Awareness Scale
2:00 - 2:45 
  • Wrap Up
  • Answering of Objective Questions
2:45 - 3:00
  • Evaluation & Testimonial
No Lunch on Sunday  Day 2 has no lunch – snacks will be provided and feel free to bring any food you may want.  Lunch is not taken in order to make this a shorter day so students who are flying home can catch a flight out on Sunday.