Total Motion Release
Total Motion Release is used in every setting of physical therapy except wound care. This includes Orthopedic, Pediatrics, Home Health, Acute Care, Sub Acute, Skilled Nursing, Women's Health, and Stroke Rehab.
Let's use an example to explain the concept of Total Motion Release.
The picture below represents what happens to a person who sprains their right ankle. The yellow rectangle shows a trajectory of where this person's center of balance was displaced after the injury.
To be simplistic, let’s assume a leg muscle went into spasm during the spraining of the ankle. The continued spasm will cause the body's center of balance to be pulled toward the yellow rectangle (as seen above).
As one can see from observing a person with a sprained ankle, the person does not like to weight bear on that extremity. They naturally place more weight on the opposite leg and also use their arms more:
- Weight bearing more on the left leg - pulls the yellow rectangle more into midline. Moves it to the right.
- Weight bearing or using the arms more pulls the rectangle more up and to the center. Pulls it more up and to the center
- The natural tendency for the hurt ankle is to be suspended or used significantly less
As a therapist you can view this concept similar to a joint mobilization. Instead of using our hands to test where it is restricted, Total Motion Release uses motions of the body to find restrictions.
The big difference between a traditional shoulder joint treatment is the therapist works the bad area (either manually or with exercise) to bring about change. Given the above Center of Balance concept this has been found to be significantly less effective and efficient when compared to exercising or treating the non-injured areas of the body.