Total Motion Release (TMR)

Total motion release (TMR) is an approach to therapy using a series of exercises to balance strength and range of motion. It was developed by Tom Delanzo-Baker, a physical therapist and former high school math teacher, who saw a need to incorporate data into a patient’s home program so they and the therapist could see which exercises were most beneficial and document the response to each.


This systematic approach starts by finding the “issue of the session”, i.e. a movement or position that consistently reproduces pain or shows a decrease in range of motion. We then test six motions involving large joints of the body and compare right to left, then rank them in order of significance. Exercises are then performed to balance the right and left, using a series of repetitions or sustained holds on the “good” side and rechecking the “bad” to see how it responded.

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