Total Motion Release/TMR Tots


Level 1: Focus on the Pediatric Patient

Speaker Susan Blum, PT
November 18, 19, 2016

This training is specially designed for PT, OT, PTA and COTA professionals working in Early Intervention, School Programs, Pediatric Sports Medicine, and Rehabilitation Programs.

Contact Hours: 16
INOTA Approval as Certified Provider
IL EI Approval: 2.75 Assessment, 2.25 Atypical Development, 8.5 Intervention, 1.0 Typical Development, 1.5 Working with Families.
FSBPT Approval for 16 CEU credits
Texas PTA (Chapter of APTA) Approval

Hampton Inn and Suites
8936 Calumet Ave
Munster, IN 46321

Hotel Phone 219-836-5555

Seminar Description
TMR uses the ICF model and follows an 8 step process to identify limitations in mobility and their connection with functional outcomes which match caregiver concerns. Range of motion and/or control improves using indirect techniques by understanding the relationship between a hypo mobile area in one area creating hyper mobility elsewhere. When postural symmetry improves the patient can better access control. Caregivers are instructed in family friendly therapeutic play and position activities to incorporate into daily routines. Therapeutic positions are in the direction of ease which is well received by patients as it is a pain free concept. Functional outcomes are rechecked post treatment. Total Motion Release‐Level 1 will provide extensive lab time for the therapist to learn the foundational TMR concepts, a systematic process to identify restriction in mobility, the single plane exercises, combos and alternative positions. The student will also be introduced to increasing range of motion with a pain free method, strengthening, postural control, transitions, weight shifting, pre‐gait and gait training.

A unique feature of the Tots course is individualized post course coaching and support for the attendees. Postcourse coaching by phone and email help therapists master the TMR concepts and is included in the price of the course.

Seminar Objectives
After 16 hours of face‐to‐face instruction, plus post‐course support, participants will be able to:

  • Assess areas of restricted mobility and weakness
  • Make quick, clear assessments of right‐sided and left‐sided strength and mobility
  • Log quantitative results from session to session and from beginning to end of session
  • Identify the priority of what to treat in a session
  • Know how to progress in a treatment session
  • Use TMR to improve flexibility, strength and function
  • Integrate TMR and present tools of therapy, such as NDT or strength training
  • Develop home programs for family‐friendly training
Price includes 16 hour live course, FREE retake of live course (online or in‐person) and access to a FREE home study “link” to review course material.

Basic Registration fee includes FREE 1:1 post‐course Coaching via email or phone.

Price includes 16 hour live course only.
You must call us at 219-322-1415 to get a discount code for this option.


Day 1  
7:30‐8:00 am Sign-In & Continental Breakfast
8:00‐9:30 Morning Program: Learning the TMR System

  • TMR Program Overview How the Process Works‐Treatment Demonstration
  • Single Plane Motions
9:30‐9:45 Break
9:45‐12:00 System of Assessment: the Process of Identifying & Ranking Issues, Testing, The Feedback Loop
12:00‐1:00 Lunch
1:00‐3:15 Afternoon Program: Applying the Method

  • Patient Demonstration ‐ADLS & Therapeutic Positioning to Incorporate into Daily Routines‐ Assessment Lab & Practice
  • Case Examples & Videos ‐Children w/CP & Hypotonia
315:‐3:30 Break
  • Lab: Practice the Concept on Self & Dolls
  • Problem‐Solving & Discussion
5:30 Adjourn
Day 2  
7:30‐8:00 am Sign-In & Continental Breakfast
8:00‐9:30 Morning Program: Applying the Method

  • Review of Basics—Progressing from Assisted to Active
  • Torticollis & Lower Tort—The Equal Opposite Action
  • Contralateral Lengthening Lab: Assessment & Treatment Practice in Small Groups
9:30‐9:45 Break
  • Review Patient Demo Video—Proficiency in Documentation
  • Beyond Symmetry—Progression to Motor Control
12:00‐1:00 Lunch
1:00‐3:30 Afternoon Program: Introduction to Advanced Techniques

  • Treatment Progression: Know When to Continue Treating
  • Lab: Optional Positions—Practice Modified Techniques & Optional Motions
  • Home Exercise Programs
  • Complex Cases: Children with SMA, Gait Asymmetries, Spina‐Bifida & Shaken Baby Syndrome
3:30‐3:45 Break
  • Introduction to the TMR 2 Concepts—Building Blocks for Motor Control
  • Task Analysis System Selection of Motor Activities Based on Objective Data
  • Adolescents & Complex Cases Caregiver Empowerment ‐Evidence—Discussion
  • Q&As
5:30 Adjourn


About the Speaker:

Susan Blum obtained her Bachelor’s degree in Physical Therapy in 1975. She is the owner of Susan Blum Pediatric Physical Therapy, a private practice specializing in treatment of children in natural environments. Susan provides PT services in the York, Pennsylvania area both in Early Intervention and private consultation. In addition to using traditional pediatric strategies, Susan employs the step by step TMR approach, and is able to create more effective care plans. Earlier in her 40-year career Susan had extensive experience treating adults with neurological, orthopedic and women’s health disorders using a variety treatment technique which she has incorporated in her approach with children. She has adapted TMR for the pediatric population and has witnessed a dramatic improvement in the functional outcomes of her patients. Her practice includes patients with a wide variety of pediatric issues including cerebral palsy, orthopedic issues, gait asymmetries torticollis, developmental delays and other neuro‐motor disorders. All have benefited from TMR and exceeded former expectations.


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