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Total Motion Release TOTs 1

8/23/2013 - 8/24/2013 8:00am - 5:30pm

Total Motion Release TOTs 1


Friday & Saturday, August 23, 2013 – August 24, 2013


8am – 5:30pm

What is pediatric TMR?

How is pediatric TMR the same/ different? The pediatric approach was developed as a modification of TMR as developed by Tom Dalonzo Baker. Using the information Tom taught in TMR 1, I was able to use 25 years in pediatrics preceded by experience in home health and adult orthopedics to adapt the approach to meet the needs of children.

Changes included: to teach the parent (rather than the patient), to change the issue to achievement of a functional outcome (rather than elimination of pain/ immobility), to modify FAB5 positions to meet the developmental level of the child assisting them to move in direction (rather than exclusively active), to add therapeutic positioning (melting, relaxation) using the FAB 5 motions, and to use the achievement of symmetrical mobility as a foundation for the application of other pediatric techniques and skill development.

How does TMR approach complement NDT?

TMR and NDT both address alignment, elongation and activation. When a child is evaluated using the FAB5, we look at lack of elongation or limits in range that compromise the child’s alignment. Better symmetry in alignment is achieved as range improves using elongation on one side and shortening on the other. With improved alignment we can progress toward further elongation. As elongation increases many children are able to discover how to move in ranges that were previously inaccessible to them due to soft tissue restrictions. Ultimately as he progresses with the resistance of gravity and finally additional resistance the child develops control in these ranges. While treatment combining the 2 approaches may appear the same, my experience is that TMR has enhanced my NDT skills. The main differences are the ability to teach the parent and the amount of improvement in alignment which in turn increases the improvement in function. As with NDT, with each improvement the cycle repeats as there is an assessment of alignment, treatment with elongation repeatedly and activation of control leading to achievement of a functional outcome.

Learning Objectives for TMR Tots 1

At the end of this course you will be able to:

  • Perform a full body TMR® evaluation
  • Perform TMR® treatment exercises for most musculoskeletal and neurological dysfunctions
  • Use the TMR® documentation format to evaluate, treat and instruct in home programs
  • Describe the neuromuscular basis for Total Motion Release®
  • Design and assess home programs using the TMR® philosophy

Agenda: 30 hours/3 CEUs

Includes 16 hours of face-to-face instruction and 14 hours of home study

There will be Pre-course work and Post course work needed with Coaching and Support available by phone and email as needed


Susan Blum, PT, has provided pediatric PT services and consultation for over 25 years in outpatient, school and home settings. She provides Early Intervention services as well as treatment for children using natural learning environments. She consults with other physical therapists treating children with torticollis and gait/bracing issues. Susan incorporates TMR® in treatment of her patients with diagnoses such as developmental delay, cerebral palsy, other neuro-motor disorders, orthopedic issues, gait asymmetries and torticollis.

What Therapists Say About This Course

* Great new way of looking at old issues

* I can't wait to get back and try this on my kids!

* I have never been able to touch my toes before--after the first treatment on myself, I was able to touch my toes!!

* After 30 years of attending seminars, no other course has made such a dramatic difference as TMR. Don't miss it!

* This course gives you a tremendous way to empower families to help their children

* It is exciting to learn a new treatment approach with faster results

Who Should Attend

We are approved by AOTA.

What to Bring/Wear

REQUIRED: Doll with flexible joints such as a therapy doll or a large Raggedy Ann doll. Baby dolls with rigid joints won't work. Wear comfortable clothes you can move in.


Susan Blum



Dates and Locations

8/23/2013 - 8/24/2013 8:00am - 5:30pm
Children's Therapy Unit
402 15th Ave. S.E.
Puyallup, WA 98372

Contact Info

Normajean McClure