Outsmart Pain E-Book
Outsmart Pain E-Book
Copyright ©2008 Total Motion Physical Therapy Inc. All Rights Reserved
  All Marks indicated by ® are trademarks of Thomas Dalonzo-Baker
                                                                         1
     This publication does not attempt to
    replace your physician or other health-
    care provider.
    Before undertaking any course of exercise,
    or treatment, the publisher, author,
    medical advisors and technical advisors
    recommend that you check with your
    physician or other health-care provider.
2
Outsmart Pain!
   Teaching You
  How To FixYou
         (2nd Edition -August 2008)
      The
 FAB 5 Program
    Thomas Dalonzo-Baker, MPT
   Founder of Total Motion Release
               Author
             Alan T. Baker
 Layout, Illustrator and Photographer
      Total Motion Physical Therapy, Inc.
          3500 Bush Street, Suite 101
             Raleigh, NC 27609
               (919) 872-2828
                                            3
                                   Acknowledgements
    Before you begin learning about the principles of Total Motion Release, I want to
    introduce you to all the people who helped make this book possible.
    The first people I want to acknowledge are those at my clinic. They are the ones who
    have truly made this book possible. In fact, they have made the whole Total Motion
    Release program possible. Without their dedication to the everyday chore of treating
    patients and keeping the clinic running I would not have the time to teach the Total
    Motion Release Seminars or write this book. Chip Moseley, Margaret Mitsock, Jeanine
    Vignjevic and Tonia Hargrove are the front line of Total Motion Release. Chip, Margaret
    & Jeanine treat patients everyday using only the Total Motion Release concepts. I teach
    the basics at the seminars while they apply the process to real patients. Their input on
    what they have learned has been so helpful and important to our growth. Tonia takes
    care of all the office work and keeps things running on an even keel. Without her
    diligence we wouldn’t progress as far as we have. To all of these wonderful people I
    say a profound Thank You.
    My Father, Alan Baker, for his attention to detail with spending hour after hour writing,
    rewriting, designing and redesigning all the changes that took place. Without him, this
    book never would have been started, let alone finished.
    My Mom, Bonalyn Baker, for proofing my father’s work and giving him the time to work on it.
    Chip Moseley, MPT - a wonderful colleague & friend that has been with Total Motion
    Physical Therapy from almost the inception of Total Motion Release. He has been an
    invaluable asset in the evolution of TMR. He made sense out of my nonsensical ideas
    and created forms and processes that allowed the Total Motion Release approach to be
    easily understood by everyone.
    Demian Gutierrez, MPT, Jen Morlock, MPT, Margaret Mitsock, PTA for taking time
    out of their busy schedules to provide ideas for improving the book and for the hours
    they spent editing it.
    All my patients and students, without them none of this would have been possible.
    My wife Sarah, for the many hours she spent making this publication grammatically
    correct, and for her and our children having to put up with my late nights and inattentive
    disposition over the last several months. They are what makes all this worth it.
    Tom Dalonzo-Baker
4
                            TABLE OF CONTENT
Acknowledgements------------------------------------------------------------------ 4
Introduction:
 	 What you can expect:------------------------------------------------------ 6 - 7
	 Why It Works So Wlll------------------------------------------------------ 8 - 9
Testimonials:------------------------------------------------------------------------10
User’s Guide-------------------------------------------------------------------------11
The Fabulous Five: The Five Steps to Freedom-------------------------- 13 - 16
The Fabulous Five: Step 0 – The Issue of the Session------------------- 17 - 18
The Fabulous Five: Step 1 – Testing--------------------------------------- 19 - 26
	 The Arm Raise-----------------------------------------------------------------21
 	 The Twist------------------------------------------------------------------------22
	 The Leg Raise------------------------------------------------------------------23
	 The Sit-To-Stand---------------------------------------------------------------24 	
    The Toe Reach-----------------------------------------------------------------25
The Fabulous Five: Step 2 – Ranking-------------------------------------- 27 - 28
The Fabulous Five: Step 3 – Treatment------------------------------------ 29 - 50
	 The Toe Reach----------------------------------------------------------- 32 - 35	
    The Sit-To-Stand--------------------------------------------------------- 36 - 39
	 The Twist------------------------------------------------------------------ 40 - 43 	
    The Arm Raise----------------------------------------------------------- 44 - 47	
    The Leg Raise------------------------------------------------------------ 48 - 50
The Fabulous Five: Step 4 – Continue Until Issue is Fixed------------- 51 - 52
The Fabulous Five: Step 5 – Train it to Stay Happy--------------------- 53 - 56
Frequently Asked Questions------------------------------------------------ 57 - 62
Pages For Photo Copying---------------------------------------------------- 63 - 65
	 5 Steps To Freedom------------------------------------------------------------64
	 FAB5 Worksheet---------------------------------------------------------------65
	 FAB5 Worksheet - Back Side------------------------------------------------66
The Founder-------------------------------------------------------------------------67
                                                                                      5
    	                       What You Can Expect?
    I have to assume that you have heard about Total Motion Release® (TMR®) either
    from our web site, a friend, a physical therapist, a chiropractor, a massage therapist, a
    personal trainer or your physician. You might have even heard about us on the news.
    You are likely reading this book for 1 of 2 reasons. You treat people who are in pain
    or you yourself have pain, tightness, numbness, stiffness, swelling or imbalance(s)
    in your body that you have been unable to resolve or keep away for an extended
    period of time.
    This book will teach you step-by-step the Total Motion Release – Fabulous 5 Pro
    gram. There is also a companion Fabulous 5 (FAB 5) video that can be purchased
    at www.totalmotionrelease.com. This is an interactive video where I guide you
    through the entire FAB 5 program as I treat myself for a shoulder restriction in my
    own body. This video will speed up your healing and learning process ten-fold. If
    you are serious about your results and want greater success in less time then pur-
    chase the FAB 5 companion video.
    The FAB 5 Program is an educational process designed to help you gain relief from
    your pain or musculoskeletal issues. By setting aside time to learn this program,
    and consistently performing the exercises prescribed, you will become your own
    healer. This program will provide many of you with significant relief the first time
    you perform the given exercises, even if you have had the issues for years.
    Believe it or not, at our physical therapy clinic approximately eighty percent of
    musculoskeletal pain & issues are reduced and resolved simply by teaching pa-
    tients the exact program you have in your hands. In fact, when I teach this FAB 5
    program at the beginning of my Total Motion Release seminars to 20 students who
    have 20 different pain complaints, typically 18 of them will experience an 80 to
    90% reduction of their issue using only the 5 exercises outlined in this book. No
    other pain relief program can provide these results on a multitude of issues with the
    use of the same 5 exercises.
    Another great thing I love about the Total Motion Release Programs is that you will
    not have to purchase any special equipment or be required to understand difficult
    concepts. All you will need is a chair, motivation and commitment. That’s it! In
    fact, if you visit our facility in Raleigh, NC, you will not be greeted with an array
    of intimidating exercise equipment only chairs, stools, white boards and charts on
    the walls. Your other tools are a pen and a copy of our Fabulous Five Worksheet to
    keep track of your progress.
    All the Total Motion Release Programs are designed to be easy to understand and
6
able to be performed anywhere, including a street corner. It is this simplicity which
allows you to understand and practice the Total Motion Release program just from
reading of this book.
And finally, this is the best part of all, if you went to a health professional for low
back pain and then three months later you had neck pain you would need to return
to the health professional for additional help. This is not the case with Total Mo-
tion Release. If three months after you have learn the Total Motion Release FAB
5 Program you have neck pain, you simply treat yourself by repeating the FAB 5
process for the neck pain. Pretty cool! In essence, you have acquired a skill that
can be used for a lifetime allowing you to become your own pain manager. Now
that is true self-empowerment.
The entire Total Motion Release Program Series advances you through a deeper
and deeper understanding and awareness of your own body’s signals. As you prog-
ress in your awareness of these signals, and how to use them, you will have greater
and greater mobility with less and less pain.
The Series includes The Fabulous 5 Program, The Combinations Program, The
Alternate Positions Program, The Super Six Program, The Wind Up & Wow Pro-
gram and The Melting & Free Flow Program. These other Total Motion Release
Programs provide instruction beyond the Fabulous 5, going into more advanced
exercises that provide relief for more complex issues.
The majority of the above programs have been developed and are being used in our
clinic and being taught in our physical therapist training seminars. We are currently
working on writing booklets in the same easy to understand format used in this
booklet. In the future check our web site for their availability.
If you require or desire more advanced instruction please visit our web site www.to-
talmotionrelease.com to locate a Total Motion Release Clinician near you. You will
also find booklet and video which you can purchase right now, as well as seminars
which you can attend.
I hope you find the Total Motion Release FAB 5 Program as exciting as I do. I wish
you the best and please share with me your successes and allow me to help you
when you run into obstacles. My e-mail is totalmotionrelease@ncrrbiz.com.
Wishing You Total Pain Free Motion!
Tom Dalonzo-Baker, MPT
Founder of Total Motion Release
Owner of Total Motion Physical Therapy
                                                                                          7
                       Total Motion Release is Opposite
                 of What is Currently Practiced for Pain Relief.
                          That is Why it Works So Well.
    The major difference between Total Motion Release® and other pain relief ap-
    proaches is the area being treated. Conventional pain relief programs almost always
    treat or exercise the area that hurts. Total Motion Release treats or exercises the
    good area or areas that do not hurt.
    For example, if you can’t raise your right arm, you may fix it by exercising the
    left arm or one of your legs. If your left leg hurts, you may resolve the pain by
    exercising the opposite leg or maybe even doing twist exercises in your trunk. If
    your low back aches with right rotation, then perhaps left rotation will reduce your
    symptoms.
    No more working through pain to get to pain relief. That never made sense to me.
    No more having to assume perfect form or perfect posture, which never felt good in
    the first place. You will begin to learn your body knows how to heal, yet for years
    neither you nor the medical field knew how to listen to it.
    Your observation and awareness skills have been lacking and this has kept you in
    pain. Do you believe in the saying “Continue to do what you have always done and
    you will get what you have always gotten?” In the situation of pain and pain relief,
    if you want relief you need to begin to see your experiences in a different light.
    You need to act and do differently. And the differently is to simply observe what
    the body likes doing and give it more of what it likes. Stop trying to force the body
    where it doesn’t want to go and start moving in the ways the body likes to move.
    The results are astonishing and the simplicity seems almost stupid. It is almost too
    easy. Nobody ever said common sense was common practice.
    If you ever get stuck and feel Total Motion Release is just crazy and you are having
    a hard time wrapping your mind around this new concept of exercising the good
    areas of the body, please go back to our web site www.totalmotionrelease.com and
    watch the free videos again and again. Don’t give up. Keep practicing, keep filling
    out the form in its entirety and before you know it something will click and it will
    all make sense.
    It is kind of like learning to ride a bike. You never fully “get it” until you have prac-
    ticed and practiced and then one day you take off to practice some more and some-
    thing clicks and you are riding for the first time. You go from not knowing how to
    ride to having an “ah-hah” moment. In that split second you and your entire being
8
“gets it.” Learning Total Motion Release is a similar experience. Make a promise
to yourself not to give up until you have that ah-hah moment of how it feels to ride
the “bike” of Total Motion Release.
We ask our patients to write testimonials when they are being discharged from our
care. Below is typical of what we hear from people just like you:
“Initially, I thought this stuff was crazy and I was skeptical. It sounded more
like a sales pitch than a pain relief method. I figured I would give it a try for a
few visits to see what happened and to see if maybe there was something to this.
I was in severe pain from what I believed to be a failed back fusion. At the end
of the first session I was pleasantly surprised how much a simple sit-to-stand on
my good side helped reduce my back pain 80%. The same back pain I had tried to
reduce with 2 other forms of therapy and yoga. I still don’t know how it works,
but it works and I am so glad I stuck with it. I can honestly say Total Motion
Release IS common sense and has provided me far better results than any other
pain relief approach I have tried. I know I didn’t feel this way in the beginning,
but I sure do now. If you are wondering if TMR works, it does. On top of all these
amazing things the most valuable part to me is I love that I now have the tools
and the skills to treat myself. Thank you so much! RH
I couldn’t do a better job than the above testimonial to sum up the process and the
power of Total Motion Release – The Fabulous 5 Program.
                                                                                       9
                                         Testimonials
     ♦	I constantly suffer from tightness in my back and hands, feet, knees . . . As a scientist
       by trade, I am skeptical of EVERYTHING. What I saw and experienced was amazing.
       People who couldn’t move almost immediately regained their range of motion. I
       almost immediately regained my range of motion and my back pain improved dra-
       matically! I am a believer! Beth R.
     ♦	Being able to move my left shoulder/arm with no constriction is amazing. The
       immediate release was unexpected, exciting and mind altering! There are so many
       problems I face with fibromyalgia - I’m relieved to see a therapy technique which
       really helps. Christy N.
     ♦	I came to Total Motion for relief from my migraine headaches. In only 4 sessions,
       my areas of restricted movement were moving more freely than I can ever recall.
       The migraine medication dosage has been cut by half. I know what to do if I ever
       feel a headache coming on or if I start to stiffen up again. Total Motion has definitely
       improved my quality of life! Lisa E.
     ♦	I came in and was just going to observe and as I sat here I realized things that I just
       thought were old age weren’t. I haven’t really had any true pain. I was shown how to
       observe my own body. By the time he helped me I was able to put my leg behind my
       head. It is nothing short of amazing. If you know you truly are in pain you must do
       this for yourself. Donna V.
     ♦	I was totally amazed at the improvement of the motion in lifting my arm. It helped
       with some of the pain in my neck and I’m going to try all of the 5 tests to help my
       whole body. Thanks so much - this is incredible! Elizabeth M.
     ♦	I was very impressed with what we were shown. I had big problems with my hips
       and climbing stairs. After Tom showed us how to treat the good side to improve the
       bad side, it really worked. I would really recommend it. Ann L.
     ♦	I have suffered with hip pain for going on four years. I have tried chiropractic
       and physical therapy. Total Motion has been a great addition to the journey toward
       healing. I have made great improvements and have learned techniques to manage the
       pain. Thank you! S. G., Personal Trainer.
     ♦	I came tonight as a doubting Thomas and leaving a new patient. I raised my right arm
       over my head for the first time since I was 10 (over 32 years.) Thank You. Wendy H
10
                                 User’s Guide
The remainder of the book is your step-by-step guide to using the FAB 5 exercises
for pain and restriction relief.
You will need a copy the Fabulous 5 Worksheet and the 5 Steps to Freedom Work-
sheet in the back of the book. They will need to be enlarged to fill an 8.5 by 11 page.
You can also download them from our web site: www.totalmotionrelease.com.
This book is designed to be easy to read. Don’t think too much, or make the work-
sheet more difficult than it is. The worksheet is a method to help you organize your
thoughts and record the progress you are making. It is an extremely powerful tool,
but don’t let it be confusing. Initially, simply fill out the form the best you know
how, and as you practice more the form will become easier.
First, you will be introduced to the five steps in the Fabulous 5 process. The steps
are represented by the circled faces. You will notice these five steps are at the top
of the Fabulous 5 Worksheet. These steps are as important as following a recipe. If
you skip steps or don’t follow the steps in order, they will not produce the desired
result.
Next, you will be guided on how to fill out the FAB 5 worksheet by the use of pic-
tures and an interactive example. The worksheet is the essence of the FAB 5. Once
you know how to fill it out correctly, you will be well on your way to mastering
your own pain and restriction relief.
Lastly, a list of frequently asked questions has been included at the end of the book
to help you through potential trouble spots.
Now turn the page and let’s get started!
                                                                                          11
     Notes
12
       The
   Fabulous Five
The Five Steps to Freedom
                            13
                              The Five Steps To Freedom
                                                                     Retest
                                                                                                                   
                                                                        
                       
                                                                                                   $POUJOVF6OUJM   %P*U"HBJO-BUFS
                                                                                &YFSDJTF             5IF*TTVF          5SBJO*U
                                                3BOLUISV                 (PPE4JEF
                            5FTU"MM          (SFBUFTU                                     PGUIF4FTTJPO    5P4UBZ)BQQZ
       'JOE5PVDI                                                           6OUJM#BE4JEF          JT'JYFE
                        .PUJPOT$PNQBSF       %JúFSFODF              JT'JYFE
     *TTVFPG4FTTJPO     -FGUUP3JHIU         -FBTU%Jú
                                                                               TMR Recipe For Pain Relief
3	 Treat the Good Side	 The next step will be to treat the exercise
                                ranked #1. The good side is exercised until
                              the bad side is fixed, plateaus, or until you
                                become too fatigued to continue.
             &YFSDJTF
            (PPE4JEF
           6OUJM#BE4JEF
             JT'JYFE
                                                                                  15
     Notes
16
                The
            Fabulous Five
              Step O
       Issue of the Session
                                                            17
     Step 0: Issue of the Session
What Issues are bothering you now? Where do you feel pain,                                  
tightness, stiffness, heaviness, weakness, numbness, or anything
beside a normal sensation?                                                                        'JOE5PVDI
                                                                                                *TTVFPG4FTTJPO
Can you perform a motion that causes a worsening of your
above mentioned issue or a motion that creates a worse issue.        Our Example:
The motion you choose should produce an issue quickly and not With Patient’s Left
take an extended period of time.                                   arm out to the side,
1.	 Pick the worst issue you have and do a motion that makes it it hurts the shoulder
                                                                   when rotating. The
    worse. Record it on the line next to Issue of the Session. See issue scale is 65%. He
    the shoulder issue example below.                              touched his shoulder
2.	 Record your issue level on a scale of 0 to 100%. Is it a low with 3 fingers and
    issue level (0-30%), medium (40-60%) or high (70-100%)? moderate pressure.
    Mark this percentage on the form as shown.
3.	 Touch the issue. In the grey box on the upper right side of the worksheet, describe
    how you touched the issue. Record how much pressure you used to touch the affected
    area (deep, moderate or light.)
	 Touching the Issue will allow you to see how your Issue is changing and progress-
    ing. Sometimes you will think your issue has not changed, then after you touch it
    you realize it has. For example, the original issue area is now smaller and you use
    less pressure when touching it. So, don’t forget to touch.
                                                                                                       Touch
                                   Issue of the Session                    %
                                                                                          Touch Issue of the Session
   Issue of Left. Shoulder Pain, Arm Raised Out To                         65%
                                                                                         Write Where and How Touched
Arm Raise
Twist
Leg Raise
Sit-to-Stand
 Toe Reach
18
    The
Fabulous Five
Step 1 - Testing
                   19
	               The Fabulous Five: Step 1 - Testing
                                                                                  
Once you determined your Issue of the Session, you will test five areas of
your body, comparing the left side to the right side, looking for differences.        5FTU"MM
                                                                                  .PUJPOT$PNQBSF
These are the five exercises you will test left side versus right side.             -FGUUP3JHIU
20
                                                      Arm Raise: Testing
    Our first step is to find out which arm, when raised, causes the
    most discomfort.
    Raise one of your arms as high and as far back as you can. Do
    not allow your back to touch the chair. As you raise it, what do
    you feel (pain, tightness, heaviness, weakness, loss of motion,
    unsteadiness, not as quick to move)? How far back does your
    arm go?
    Now raise your other arm as high and as far back as you can. As
    you raise it, what do you feel? How far back does your arm go?                               Good Side
    Compare both sides. Which one causes you more discomfort when
    you move it? Remember, there is always one that is worse than the
    other, even if it is a very small difference. The one that causes the
    most discomfort, or is more difficult, will be called the bad side.
    (Ex. Right)
    1.	 Record the bad side as seen below.
    2.	 Record how much difference there is between the bad side
        and the good side. Is the difference low (0-30%), medium
        (40-60%) or high (70-100%)? (Example: 25%) Do not use
        the same percentage more than once (for ranking purposes.)                                Bad Side
                                                                                         Touch Issue of the Session
                                                                                        Write Where and How Touched
  Issue of Left. Shoulder Pain, Arm Raised Out To                         65%
the Session Side at 90o - Forward Rotation
                                                                                   Circular Rub Front Shoulder.
                                                                                  3 Fingers - Moderate Pressure
Day 1 - Session	   Bad	 0% –		 Bad Side (after exercise)	   Issue (after exercise)	 Re- Check Where and How you Touch
	                  Side	 100%	 Rank	 (Start - End) %	           (Start - End)	           The Issue of the Session
Arm Raise          R 25
Twist
Leg Raise
Sit-to-Stand
Toe Reach
                                                                                                                      21
The Twist: Testing
Here you will find out which side, when the trunk is
rotated, causes the most discomfort.
Place your hands over your belly button. Rotate as far as you
can to one side. Remember to keep your neck in a comfort-
able position while rotating. As you rotate, what do you feel
(pain, tightness, heaviness, weakness, loss of motion, un-
steadiness, not as quick to move)? How far can you rotate?
Now rotate as far as you can to the other side. As you rotate,
what do you feel? How far do you rotate?
Compare both sides. Which side causes you more discomfort                                   Good Side
when you move? Remember, there is always one that is worse
than the other, even if it is a very small difference. The one
that causes the most discomfort, or is more difficult, will be
called the bad side. (Ex: left)
1.	 Record the bad side as shown below.
2.	 Record how much difference there is between the bad side
    versus the good side. Is the difference low (0-30%), me-
    dium (40-60%) or high (70-100%)? (Example: 40%) Do
    not use the same percentage more than once (for ranking
                                                                                             Bad Side
    purposes.)
                                                                                          Touch Issue of the Session
   Issue of Left. Shoulder Pain, Arm Raised Out To                         65%
                                                                                         Write Where and How Touched
 Arm Raise          R 25
 Twist              L 40
 Leg Raise
Sit-to-Stand
Toe Reach
22
                                                                        Leg Raise: Testing
   Next you will find out which leg, when raised, causes the                                  Starting
   most discomfort.                                                                           Position
   Start by extending one of your legs with your knee locked
   and your heel on the ground. (If using a chair, turn it and
   sit without the b	 ack support behind you.) Raise your leg as
   high as you can. What do you feel (pain, tightness, heavi-
   ness, weakness, loss of motion, unsteadiness, not as quick to
                                                                                                        Bad Side
   move)? How far did you raise your leg?
   Now do the same with your other leg, raising it as high as possible.
   Compare both sides. Which side causes you more discom-
   fort when you move? Remember, there is always one that is
   worse than the other, even if it is a very small difference. The
   one that causes the most discomfort, or is more difficult, will
                                                                                                    Good Side
   be called the bad side. (Example: left)
   1.	 Record the bad side as seen below.
   2.	 Record how much difference between the bad side ver-
       sus the good side. Is the difference low (0-30%), medium
       (40-60%) or high (70-100%)? (Ex: 15%) Do not use the
       same percentage more than once (for ranking purposes.)
                                                                                         Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                         65%
                                                                                        Write Where and How Touched
Arm Raise          R 25
Twist              L 40
Leg Raise
    R ais          L 15
Sit-to-Stand
Toe Reach
                                                                                                                      23
Sit-To-Stand: Testing
Next you will find out which one-legged Sit-To-Stand
causes the most discomfort.
Lift one of your feet off the floor and stand using only your
other leg. What do you feel (pain, tightness, heaviness, weak-
ness, loss of motion, unsteadiness, not as quick to move)?
Now do the exercise on the other side. What do you feel?
If you cannot stand up with either leg, go to a higher stool, chair,
table or add pillows or books to your seat. Increase the height
until you can raise yourself with one leg. If you can raise your-
self easily, use a lower stool or go to a step stool (8˝ high.)
Compare both sides. Which leg causes you more discom-                               Left Leg Stand
fort when you stand up on it? Remember, there is always
one that is worse than the other, even if it is a very small
difference. The one that causes the most discomfort, or the
most difficult, will be called the bad side. (Example: Left)
1.	 Record the bad side as shown below.
2.	 Record how much difference between the bad side ver-
     sus the good side. Is the difference low (0-30%), me-
     dium (40-60%) or high (70-100%)? (Example: 50%)
     Do not use the same percentage more than once (for                            Right Leg Stand
     ranking purposes.)
                                                                                          Touch Issue of the Session
                                                                                         Write Where and How Touched
   Issue of Left. Shoulder Pain, Arm Raised Out To                         65%
 the Session Side at 90o - Forward Rotation
                                                                                     Circular Rub Front Shoulder.
                                                                                    3 Fingers - Moderate Pressure
 Day 1 - Session	   Bad	 0% –		 Bad Side (after exercise)	   Issue (after exercise)	 Re- Check Where and How you Touch
 	                  Side	 100%	 Rank	 (Start - End) %	           (Start - End)	           The Issue of the Session
 Arm Raise          R 25
 Twist              L 40
 Leg R
 Leg Raise
       ais          L 15
     Sit-To-Stand   L 50
     Toe Reach
24
                                            Bent Knee Toe Reach: Testing
   Lastly, you will find out which Bent Knee Toe Reach causes the most
   discomfort for the weight-bearing back leg.
   Place a bar, or a piece of paper on the floor, or use a wall as your                             Bottom
   marker. Stand approximately one big step away from your marker.                                  of foot
                                                                                                  parallel and
   Standing on one leg, reach out with your other foot while keeping the                            1” from
                                                                                                     Floor
   sole, or heel, of that foot 1″ above the floor. Keep the back, weight bearing
   foot flat on the ground. If you can easily reach the marker, then back up
   3 or 4 inches and try again. What do you feel (pain, tightness, heaviness,
   weakness, loss of motion, unsteadiness)? How far did you reach?
                                                                                                      Bad Side
   Do the exercise on the other side. What do you feel? How far did you reach?
   The leg you are standing on, not the leg you are reaching with, is the one
   used to determined which is your good or bad side.
   Compare both sides. Which leg causes you more discomfort? Remem-                                 Bottom
   ber, there is always one that is worse than the other, even if it is a very                      of foot
                                                                                                  parallel and
                                                                                                    1” from
   small amount. The one that causes the most discomfort, or is more                                 Floor
Arm Raise          R 25
Twist              L 40
Leg Raise          L 15
Sit To Stand       L 50
Toe Reach          R 70
                                                                                                                      25
     Notes
26
    The
Fabulous Five
 Step 2 - Rank
                 27
                                         Step 2 - Rank                                         
                                                                                                   3BOLUISV
                                                                                                    (SFBUFTU
                                                                                                   %JúFSFODF
                                                                                                   -FBTU%Jú
                      Now you must rank each exercise from 1 to 5.
                      Number one is the exercise with the greatest
                      percentage of difference.
                              Rank
                                                                                         Touch Issue of the Session
                                                                                        Write Where and How Touched
   Issue of Left. Shoulder Pain, Arm Raised Out To                        65%
 the Session Side at 90o - Forward Rotation
                                                                                    Circular Rub Front Shoulder.
                                                                                   3 Fingers - Moderate Pressure
 Day 1 - Session	   Bad	 0% –		 Bad Side (after exercise)	   Issue (after exercise)	 Re- Check Where and How you Touch
 	                  Side	 100%	 Rank	 (Start - End) %	           (Start - End)	           The Issue of the Session
 Arm Raise          R 25 4
 Twist              L 40 3
 Leg Raise          L 15 5
 Sit-to-Stand       L 50 2
 Toe Reach          R 70 1
28
     The
 Fabulous Five
Step 3 - Treatment
                     29
         Fabulous Five: Step 3 - Ranking for Treatment
The treatment of the FAB 5 exercises on the following pages are explained in the
ranked order of our patient example.
         Arm Raise          R 25 4
         Twist              L 40 3           This is the Rank order the book follows.
         Sit-to-Stand       L 50 2
         Toe Reach          R 70 1
You should read through the Treatment Section one time to get the feel of how to
perform and record treatment of the FAB 5 exercises.
Then, begin your treatment by starting on the pages that demonstrate your #1 ranked
exercise. Sequence through the exercises in the order of your ranking, reviewing the
pages that correspond to them.
30
                   Fabulous Five: Step 3 - Treatment
                                                                                         Touch Issue of the Session
                                                                                        Write Where and How Touched
  Issue of Left. Shoulder Pain, Arm Raised Out To                         65%
the Session Side at 90o - Forward Rotation
                                                                                    Circular Rub Front Shoulder.
                                                                                   3 Fingers - Moderate Pressure
Day 1 - Session	   Bad	 0% –		 Bad Side (after exercise)	   Issue (after exercise)	 Re- Check Where and How you Touch
	                  Side	 100%	 Rank	 (Start - End) %	           (Start - End)	           The Issue of the Session
Arm Raise          R 25 4
Twist              L 40 3
Leg Raise          L 15 5
Sit-to-Stand       L 50 2
Toe Reach          R 70 1
    You can see by looking at the above example that the Toe Reach exercise was ranked
    number 1 and the Leg Raise was ranked number 5.
    You now will do Step 3 - Treatment. During this step, you will exercise the good
    side for each of the five exercises. Begin with the exercise ranked number 1 (in our
    example, the Toe Reach.)
    Before you start treatment on the sit-to-stand, re-test it. You must always re-test
    because sometimes the bad side, or the Issue, will change after going through Step
    1 - Testing.
    You will treat each of the exercises by following the rank order shown in the worksheet
    above. Pay attention to the written instructions on the pages that follow and always
    record your results in the FAB 5 worksheet as demonstrated at the bottom of each
    page.
    Note:
    You will see the term End-Range used quite a bit during Step 3 - Treatment. It refers to
    the furthest point you can achieve. At End-Range you will continue to test your limits.
    If you stop pushing when you reach your first End-Range and “just hang out there,”
    you will not get the maximum benefit from these exercises.
                                                                                                                        31
The Toe Reach: Treatment
                                                                                                        
                                                                                                               &YFSDJTF
                                                                                                              (PPE4JEF
                                                                                                             6OUJM#BE4JEF
                                                                                                               JT'JYFE
 Arm Raise          R 25 4
 Twist              L 40 3
 Leg Raise          L 15 5
 Sit To Stand       L 50 2
 Toe Reach R 70 1 70                            65
    •	 Remember, you have already established either a bar, a piece of
       paper or a wall as your reach point.
   •	 While standing on the good leg (left), bend it and reach the toe of your
       other foot out as far as possible, keeping the bottom of the reaching foot
       one inch above the floor. Keep the back foot’s heel on the ground.
       •	 Continue reaching the front foot by bending the knee of the back leg further.
       •	 Perform two sets of 20 seconds.
32
                                                           The Toe Reach: Treatment
     2.	 Check the bad side after the two sets. Is the bad side better? By how much?
          •	 If the bad side was originally 70 and you now feel it is a 35, then
             record it in the 5th column of the worksheet on the opposite page.
     3.	 Re-check the Issue of the Session after the two sets. Check it exactly as you did
         during Step 0, either still or with motion.
          •	 Record your improvement for the Issue of the Session in the 6th
             column of the worksheet. (Our example: was 65; now 20)
          •	 Touch the issue. In the last column record how you touched the issue
             (with your fist, with the whole hand, with your fingers) and with how
             much pressure (light, moderate, heavy.)
                                                   5th                      6th
                                                                                                  Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                 Write Where and How Touched
Arm Raise          R 25 4
Twist              L 40 3
Leg Raise          L 15 5
Sit To Stand       L 50 2
                                                                                            Going further - 1 finger Med. Pres.
Toe Reach          R 70 1              x 70 -35                     65 -20
                                                                                                                                  33
 The Toe Reach: Treatment
          4.	 If the bad side is not fixed, or the issue is not resolved, do an-
              other toe reach of two sets of 20 seconds to the good side.
              •	 Check the bad side for percentage of improvement. In
                 the 5th column of the worksheet below, record any 	
                   improvement, or lack of improvement. (Ex: 35 to 10)
                    •	 Check the Issue of the Session after this set. Record the
                       percentage of change in the 6th column. (Ex: 20 to10)
                    •	 Touch the issue area. Has it changed? How? In the last
                       column, record how you now touch the issue.
                                                      5th                      6th
                                                                                                     Touch Issue of the Session
                                                                                                    Write Where and How Touched
   Issue of Left. Shoulder Pain, Arm Raised Out To                                    65%
 the Session Side at 90o - Forward Rotation
                                                                                                Circular Rub Front Shoulder.
                                                                                               3 Fingers - Moderate Pressure
                                          R
 Day 1 - Session	     Bad	 0% –		         E
                                          T   Bad Side (after exercise)	 Issue (after exercise)	 Re- Check Where and How you Touch
 	                    Side	 100%	 Rank	           (Start - End) %	           (Start - End)	           The Issue of the Session
                                          E
                                          S
                                          T
 Arm Raise             R 25 4
 Twist                 L 40 3
 Leg Raise             L 15 5
 Sit To Stand          L 50 2
                                                                                              3.Going further - 1 finger Med. Pres.
 Toe Reach            R 70 1 x 70 -35-10                               65-20-10               4. Much further - 1 finger Light Pres.
34
                                                                           Toe Reach: Treatment
                     5.	     If the bad side is not fixed, or the issue is not resolved, do another 2 sets
                               of 20 seconds to the good side (we used one set of 30 to 40 seconds in-
       &YFSDJTF
      (PPE4JEF
                               stead of 2 sets of 20 seconds.), and record all the information as done in
     6OUJM#BE4JEF            Step 4. Continue until the bad side is fixed (a zero), your issue is fixed (a
       JT'JYFE
                               zero), improvement has plateaued or you are too fatigued to continue.
                       	       Example: Bad Side 10 - 0 – Issue 10 - 8 – Record touch
                                               5th                 6th
                                                                                                     Touch Issue of the Session
   Issue of Left. Shoulder Pain, Arm Raised Out To                                    65%
                                                                                                    Write Where and How Touched
Arm Raise             R 25 4
Twist                 L 40 3
 Leg Raise            L 15 5
Sit To Stand          L 50 2
                                                                                               3. Going further - 1 finger Med. Pres.
Toe Reach             R 70 1 x 70 -35 -10 -0 65-20 -10 -8                                      4. Much further - 1 finger Light Pres.
                                                                                               5. Very Very Lightly - 1 finger
•	 Take the final number in column 6 and write it as the starting point for your #2 ranked
   exercise. – Then move on to that exercise.
                                    5th              6th
                                                                                                     Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                     65%
                                                                                                    Write Where and How Touched
Arm Raise             R 25 4
Twist                 L 40 3
 Leg Raise            L 15 5
Sit To Stand L 50 2                                                    8
                                                                                               3. Going further - 1 finger Med. Pres.
Toe Reach             R 70 1 x 70 -35 -10 -0 65-20 -10 -8                                      4. Much further - 1 finger Light Pres.
                                                                                               5. Very Very Lightly - 1 finger
                                                                                                                                   35
Sit-To-Stand – Treatment
                                                                                                                 
                                                                                                                        &YFSDJTF
                                                                                                                       (PPE4JEF
                                                                                                                      6OUJM#BE4JEF
                                                                                                                        JT'JYFE
 1.	 In the 5th column of the worksheet, write down the bad side
     beginning percentage. In the 6th column write the Issue of the
     Session beginning percentage, respectively. (See worksheet below.)
                                    5th                6th
                                                                                                       Touch Issue of the Session
       Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                      Write Where and How Touched
     Arm Raise          R 25 4
     Twist              L 40 3
     Leg Raise          L 15 5
     Sit To Stand L 50 2 50                                              8
                                                                                                 3. Going further - 1 finger Med. Pres.
     Toe Reach          R 70 1 70 -35 -10 -0 65-20 -10 -8                                        4. Much further - 1 finger Light Pres.
                                                                                                 5. Very Very Lightly - 1 finger
            •	 Stand up on your good leg. The worksheet shows the bad side as the left leg,
               therefore, the Right leg is the good side.
            •	 Stand up and sit down for 12 repetitions with 100% of your weight on the good
               side. (If you can’t do 12, do as many as you can.)
            •	 Perform two sets of 12 repetitions.
36
                                                                Sit-To-Stand – Treatment
     2.	     Check the bad side after the two sets. Is the bad side better? By how much?
             •	 If the bad side was originally 50 and you now feel it is a 25, then record
                it in the 5th column of the worksheet below.
     3.	     Re-check the Issue of the Session after the two sets. Check it exactly as you
             did during Step 0, either still or with motion.
             •	 Record your improvement for the Issue of the Session, in the 6th column
                of the worksheet. (Our example: was 8; now 8)
             •	 Touch the issue. In the last column record how you touched the issue
                (with your fist, with the whole hand, with your fingers) and with how
                much pressure (light, moderate, heavy.)	
                                        5th              6th
                                                                                                  Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                 Write Where and How Touched
Arm Raise          R 25 4
Twist              L 40 3
Leg Raise          L 15 5
                                                                                            3. Touched The Same
Sit To Stand L 50 2 x 50-25                                         8-8
                                                                                            3. Going further - 1 finger Med. Pres.
Toe Reach          R 70 1 x 70 -35 -10 -0 65-20 -10 -8                                      4. Much further - 1 finger Light Pres.
                                                                                            5. Very Very Lightly - 1 finger
                                                                                                                                  37
Sit-To-Stand: Treatment
       4.	     If the bad side is not fixed, or the issue is not resolved, do another 2
               sets of 12 repetitions to the good side.
                •	 Check the bad side for percentage of improvement. In the 5th column
                   of the worksheet below, record any improvement, or any lack of im-
                   provement. (Ex: 25 to 10)
                •	 Check the Issue of the Session after this set. Record the percentage of
                   change in the 6th column. (Ex: 8 to 4)
                •	 Touch the issue area. Has it changed? How? In the last column,
                   record how you now touch the issue.
                                         5th            6th
                                                                                                   Touch Issue of the Session
   Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                  Write Where and How Touched
 Arm Raise          R 25 4
 Twist              L 40 3
 Leg Raise          L 15 5
                                                                                             3. Touched The Same
 Sit To Stand L 50 2 x 50-25-10                                      8-8-4                   4. More Motion - Very Very Light
38
                                                                  Sit-To-Stand: Treatment
                     5.	     If the bad side is not fixed, or the issue is not resolved, do another 2 sets
                               of 12 repetitions to the good side, and record all the information as done
       &YFSDJTF
      (PPE4JEF
                               in Step 4. Continue until the bad side is fixed (a zero), improvement has
     6OUJM#BE4JEF            plateaued or you are too fatigued to continue.
       JT'JYFE
                       	       Example: Bad Side 10 - 0 – Issue 4 - 0 – Record touch
NOTE: You are done! Your
Issue is 0! We will continue to                       5th                      6th
Balance the other exercises.                                                                         Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                     65%
                                                                                                    Write Where and How Touched
Arm Raise             R 25 4
Twist                 L 40 3
Leg Raise             L 15 5
                                                                                               3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                                 4. More Motion - Very Very Light
                                                                                               5. Nothing Left - All Better
                                                                                               3. Going further - 1 finger Med. Pres.
Toe Reach             R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                               5. Very Very Lightly - 1 finger
•	 Take the final number in column 6 and write it as the starting point for your #3 ranked
   exercise. – Then move on to that exercise.
                                    5th              6th
                                                                                                     Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                     65%
                                                                                                    Write Where and How Touched
Arm Raise             R 25 4
Twist                 L 40 3                                           0
Leg Raise             L 15 5
                                                                                               3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                                 4. More Motion - Very Very Light
                                                                                               5. Nothing Left - All Better
                                                                                               3. Going further - 1 finger Med. Pres.
Toe Reach             R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                               5. Very Very Lightly - 1 finger
                                                                                                                                   39
The Twist (Trunk) – Treatment
                                                                                                             
                                                                                                                    &YFSDJTF
                                                                                                                   (PPE4JEF
                                                                                                                  6OUJM#BE4JEF
                                                                                                                    JT'JYFE
 Arm Raise           R 25 4
 Twist               L 40 3 40                                       0
 Leg Raise           L 15 5
                                                                                             3. Touched The Same
 Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                             5. Nothing Left - All Better
                                                                                             3. Going further - 1 finger Med. Pres.
 Toe Reach           R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                    4. Much further - 1 finger Light Pres.
                                                                                             5. Very Very Lightly - 1 finger
     •	 Place your hands on your belly button and then rotate toward your good side
        as far as possible. Keep neck in a neutral/comfortable position. (Right side in
        our example - see worksheet on opposite page.)
     •	 Continue pushing further into the end range for 20 seconds. Push hard!
     •	 Perform two sets of 20 seconds.
40
                                                The Twist (Trunk) – Treatment
      2.	 Check the bad side after the two sets. Is the bad side better? By how much?
           •	 If the bad side was originally 40 and you now feel it is a 10, then record
              it in the 5th column of the worksheet on the opposite page.
      3.	 Re-check the Issue of the Session after the two sets. Check it exactly as you
          did during Step 0, with motion.
           •	 Record your improvement for the Issue of the Session in the 6th column
              of the worksheet. (Our example: was 0; still 0)
           •	 Touch the issue. In the last column record how you touched the issue
              (with your fist, with the whole hand, with your fingers) and with how
              much pressure (light, moderate, heavy.)
                                                   5th                      6th
                                                                                                  Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                 Write Where and How Touched
Arm Raise          R 25 4
                                                                                            3. Nothing
Twist              L 40 3 x 40 -10                                  0 -0
Leg Raise          L 15 5
                                                                                            3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                            5. Nothing Left - All Better
                                                                                            3. Going further - 1 finger Med. Pres.
Toe Reach          R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                            5. Very Very Lightly - 1 finger
                                                                                                                                41
              The Twist (Trunk): Treatment
        4.	         If the bad side is not fixed, or the issue is not resolved, do another twist of
                    2 sets of 20 seconds – pushing further and further into the End-Range.
                •	 Check the bad side for percentage of improvement. In the 5th
                   column of the worksheet below, record any 	improvement, or lack
                   of improvement. (Ex: 10 to 0)
                •	 Check the Issue of the Session after this set. Record the percentage
                   of change in the 6th column. (Ex: 0 to 0)
                •	 Touch the issue area. Has it changed? How? In the last column,
                   record how you now touch the issue.
                                                        5th                      6th
                                                                                                       Touch Issue of the Session
   Issue of Left. Shoulder Pain, Arm Raised Out To                                      65%
                                                                                                      Write Where and How Touched
 Arm Raise              R 25 4
                                                                                                 3. Nothing
 Twist                  L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
 Leg Raise              L 15 5
                                                                                                 3. Touched The Same
 Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                                  4. More Motion - Very Very Light
                                                                                                 5. Nothing Left - All Better
                                                                                                 3. Going further - 1 finger Med. Pres.
 Toe Reach              R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                                 5. Very Very Lightly - 1 finger
NOTE: Our bad side is fixed so we are moving on to the next exercise - Arm Raise #4.
	     If your bad side isn’t fixed continue on to step 5.
5.	    If the bad side is not fixed, or the issue is not resolved, do another twist exercise of two
       sets of 20 seconds to the good side, and record all the information as done in Step 4.
       Continue until the bad side is fixed (a zero), the Issue is fixed (a zero), improvement
       has plateaued or you are too fatigued to continue.
42
                                                      The Twist (Trunk): Treatment
                            •	 Take the final number in column 6 and write it as the starting
       &YFSDJTF
      (PPE4JEF               point for your #5 ranked exercise. – Move on to that exercise.
     6OUJM#BE4JEF
       JT'JYFE
                                                      5th                      6th
                                                                                                     Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                     65%
                                                                                                    Write Where and How Touched
Arm Raise R 25 4                                                       0
                                                                                               3. Nothing
Twist                 L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
Leg Raise             L 15 5
                                                                                               3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                                 4. More Motion - Very Very Light
                                                                                               5. Nothing Left - All Better
                                                                                               3. Going further - 1 finger Med. Pres.
Toe Reach             R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                               5. Very Very Lightly - 1 finger
                                                                                                                                   43
 Arm Raise – Treatment
                                                                                                             
                                                                                                                    &YFSDJTF
                                                                                                                   (PPE4JEF
                                                                                                                  6OUJM#BE4JEF
                                                                                                                    JT'JYFE
 Arm Raise R 25 4                           25                       0
                                                                                             3. Nothing
 Twist              L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
 Leg Raise          L 15 5
                                                                                             3. Touched The Same
 Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                             5. Nothing Left - All Better
                                                                                             3. Going further - 1 finger Med. Pres.
 Toe Reach          R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                             5. Very Very Lightly - 1 finger
        •	 Raise your good arm up as high as possible and back as far as possible (Left arm in
           our example - see worksheet on opposite page.) Do not lean against chair.
        •	 Push your fingertips further to the ceiling (lifting the rib cage) and continue
           pushing your arm further back.
        •	 Continue pushing further into the End-Range for 20 seconds. Push hard!
        •	 Perform two sets of 20 seconds.
44
                                                                    Arm Raise – Treatment
    2.	     Check the bad side after the two sets. Is the bad side better? By how much?
            •	 If the bad side was originally 25 and you now feel it is a 5, then record the
               new number in the 5th column of the worksheet on the opposite page.
    3.	     Re-check the Issue of the Session after the two sets. Check it exactly as you
            did during Step 0, with motion.
            •	 Record your improvement for the Issue of the Session in the 6th column
               of the worksheet. (Our example: was 0; still 0)
            •	 Touch the issue. In the last column, record how you touched the issue
               (with your fist, with the whole hand, with your fingers) and with how
               much pressure (light, moderate, heavy.)
                                                   5th                      6th
                                                                                                  Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                 Write Where and How Touched
                                                                                            3. Nothing
Arm Raise R 25 4 x 25 -5                                            0 -0
                                                                                            3. Nothing
Twist              L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
Leg Raise          L 15 5
                                                                                            3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                            5. Nothing Left - All Better
                                                                                            3. Going further - 1 finger Med. Pres.
Toe Reach          R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                            5. Very Very Lightly - 1 finger
                                                                                                                                45
Arm Raise: Treatment
       4.	     If the bad side is not fixed, or the issue is not resolved, do another arm
               raise of two sets of 20 seconds to the good side, – pushing further and
               further into the End-Range.
               •	 Check the bad side for percentage of improvement. In the 5th column
                   of the worksheet below, record any	 improvement, or any lack of
                   improvement. (Ex: 5 to 0)
               •	 Check the Issue of the Session after this set. Record the percentage
                  of change in the 6th column. (Ex: 0 to 0)
               •	 Touch the issue area. Has it changed? How? In the last column,
                  record how you now touch the issue.
                                                    5th                      6th
                                                                                                   Touch Issue of the Session
   Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
                                                                                                  Write Where and How Touched
                                                                                             3. Nothing
 Arm Raise R 25 4 x 25 -5 -0                                         0 -0 -0                 4. Nothing
                                                                                             3. Nothing
 Twist              L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
 Leg Raise          L 15 5
                                                                                             3. Touched The Same
 Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                             5. Nothing Left - All Better
                                                                                             3. Going further - 1 finger Med. Pres.
 Toe Reach          R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                             5. Very Very Lightly - 1 finger
NOTE: Our bad side is fixed so we are moving on to the next exercise - Leg Raise #5.
	      If your bad side isn’t fixed continue on to step 5.
5.	 If the bad side is not fixed, or the issue is not resolved, do another arm raise ex-
    ercise of 2 sets of 20 seconds to the good side, and record all the information as
    done in Step 4. Continue until the bad side is fixed (a zero), your issue is fixed (a
    zero), improvement has plateaued or you are too fatigued to continue.
46
                                                                  Arm Raise: Treatment
                        •	      Take the final number in column 6 and write it as the starting point
                                for your #5 ranked exercise – Then move on to that exercise.
       &YFSDJTF
      (PPE4JEF
     6OUJM#BE4JEF
       JT'JYFE
                                                      5th                      6th
                                                                                                     Touch Issue of the Session
  Issue of Left. Shoulder Pain, Arm Raised Out To                                     65%
                                                                                                    Write Where and How Touched
                                                                                               3. Nothing
Arm Raise R 25 4 x 25 -5 -0                                            0 -0 -0                 4. Nothing
                                                                                               3. Nothing
Twist                 L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
Leg Raise             L 15 5                                           0
                                                                                               3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                                 4. More Motion - Very Very Light
                                                                                               5. Nothing Left - All Better
                                                                                               3. Going further - 1 finger Med. Pres.
Toe Reach             R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                               5. Very Very Lightly - 1 finger
                                                                                                                                   47
Leg Raise – Treatment
                                                                                                             
                                                                                                                    &YFSDJTF
                                                                                                                   (PPE4JEF
                                                                                                                  6OUJM#BE4JEF
                                                                                                                    JT'JYFE
                  Treat the Good side to fix the Bad side
                • Always Re-Test the Exercise Prior to Starting •
           The OLD Bad side may now be the Good side. - Always treat the NEW good side!
1.	 In the 5th column of the worksheet, write down the bad side
    beginning percentage. In the 6th column write the Issue of the
    Session beginning percentage, respectively. (See worksheet below.)
                                                    5th                      6th
                                                                                                   Touch Issue of the Session
                                                                                                  Write Where and How Touched
   Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
 the Session Side at 90o - Forward Rotation
                                                                                              Circular Rub Front Shoulder.
                                                                                             3 Fingers - Moderate Pressure
                                        R
 Day 1 - Session	   Bad	 0% –		         E
                                        T   Bad Side (after exercise)	 Issue (after exercise)	 Re- Check Where and How you Touch
 	                  Side	 100%	 Rank	           (Start - End) %	           (Start - End)	           The Issue of the Session
                                        E
                                        S
                                        T
                                                                                             3. Nothing
 Arm Raise R 25 4 x 25 -5 -0                                         0 -0 -0                 3. Nothing
                                                                                             3. Nothing
 Twist              L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
 Leg Raise          L 15 5 x 15                                      0
                                                                                             3. Touched The Same
 Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                             5. Nothing Left - All Better
                                                                                             3. Going further - 1 finger Med. Pres.
 Toe Reach          R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                             5. Very Very Lightly - 1 finger
     •	 Raise your good leg up as high as possible. (Right leg in our example - see
        worksheet on opposite page) If using a chair, turn it and sit without the back
        support behind you.
     •	 Continue lifting higher into the end range for 20 seconds. Lift hard and higher!
        (Allow your body to lean back as it wants to. As long as you are raising
        your leg higher this is not cheating.)
     •	 Perform two sets of 20 seconds.
48
                                                                Leg Raise – Treatment
     2.	 Check the bad side after the two sets. Is the bad side better? By how much?
          •	 If the bad side was originally 15 and you now feel it is a 0, then record it
             in the 5th column of the worksheet on the opposite page.
     3.	 Re-check the Issue of the Session after the two sets. Check it exactly as you
         did during Step 0, with motion.
          •	 Record your improvement for the Issue of the Session in the 6th column
             of the worksheet. (Our example: was 0; still 0)
          •	 Touch the issue. In the last column, record how you touched the issue
             (with your fist, with the whole hand, with your fingers) and with how
             much pressure (light, moderate, heavy.)
                                      5th             6th
                                                                                                  Touch Issue of the Session
                                                                                                 Write Where and How Touched
  Issue of Left. Shoulder Pain, Arm Raised Out To                                  65%
the Session Side at 90o - Forward Rotation
                                                                                             Circular Rub Front Shoulder.
                                                                                            3 Fingers - Moderate Pressure
                                       R
Day 1 - Session	   Bad	 0% –		         E
                                       T   Bad Side (after exercise)	 Issue (after exercise)	 Re- Check Where and How you Touch
	                  Side	 100%	 Rank	           (Start - End) %	           (Start - End)	           The Issue of the Session
                                       E
                                       S
                                       T
                                                                                            3. Nothing
Arm Raise R 25 4 x 25 -5 -0                                         0 -0 -0                 4. Nothing
                                                                                            3. Nothing
Twist              L 40 3 x 40 -10 -0                               0 -0 -0                 4. Nothing
                                                                                            3. Nothing
Leg Raise          L 15 5 x 15 -0                                   0 -0
                                                                                            3. Touched The Same
Sit To Stand L 50 2 x 50 -25 -10 -0 8 -8 -4 -0                                              4. More Motion - Very Very Light
                                                                                            5. Nothing Left - All Better
                                                                                            3. Going further - 1 finger Med. Pres.
Toe Reach          R 70 1 x 70 -35 -10 -0 65 -20 -10 -8                                     4. Much further - 1 finger Light Pres.
                                                                                            5. Very Very Lightly - 1 finger
                                                                                                                                49
Leg Raise – Treatment
     NOTE: Our bad side is fixed and this is our last exercise, so we are done.
     	     If your bad side isn’t fixed continue on to steps 4 amd 5.
     4.	   If the bad side is not fixed, or the issue is not resolved after the first
           exercise sets, do another leg raise of two sets of 20 seconds to the
           good side, – pushing further and further into the End-Range.
           •	 Check the bad side for percentage of improvement. In the 5th
              column of the worksheet below, record any improvement, or lack
              of improvement.
           •	 Check the Issue of the Session after this set. Record the percentage
              of change in the 6th column.
           •	 Touch the issue area. Has it changed? How? In the last column,
              record how you now touch the issue.
     5.	   If the bad side is not fixed, or the issue is not resolved after the second
           exercise sets, do another leg raise exercise of two sets of 20 seconds
           to the good side, and record all the information as done in Step 4.
           Continue until the bad side is fixed (a zero), improvement has pla-
           teaued or you are too fatigued to continue.
           •	 If this is not your last exercise, take the final number in column 6
              and write it as the starting point for your next ranked exercise. –
              Then move on to that exercise.
50
    The
Fabulous Five
   Step 4 -
Continue Until
Issue is Fixed
                 51
      Continue Until The Issue is Fixed
                                                                                               
Throughout Step 3 - Treatment, you were asked to re-check
the issue and see if it had improved. In the examples shown                                        $POUJOVF6OUJM
throughout the book, only 2 exercises were required to fix                                            5IF*TTVF
                                                                                                   PGUIF4FTTJPO
the issue. This is not always the case (see example below.) In                                        JT'JYFE
 Arm Raise L 40 4
                                                                                    3. Touched Lightly With Index Finger
 Twist              R 60 3 60 - 20 - 00                      20 - 10 - 00           4. Wow! It’s Gone!
 Toe Reach          R 30 5
52
        The
    Fabulous Five
Step 5 - Train It to Stay
         Happy
                            53
                Train It to Stay Happy
                 Practice * Practice * Practice                                  
     How often do you need to perform the exercises?
                                                                               %P*U"HBJO-BUFS
     In Total Motion Release® there are three goals of therapy.                      5SBJO*U
     •	 Pain or Issue Relief. You want your Pain or Issue to be 90-             5P4UBZ)BQQZ
         100% improved.
     •	 Fix the underlying restrictions that cause your pain or issue. You do this by
         being able to reduce and keep all the FAB 5 exercises below 10-15%. This
         will create a greater balance in your body and the more balanced your body
         the less pain or issues you will experience.
     •	 Be able to fix yourself now and into the future using the FAB 5 Program. You
         understand and can use the FAB 5 worksheet to resolve any musculoskeletal
         issue you may experience in your lifetime.
     Here is how you achieve these three goals.
     For 4-5 days set aside 15-30 minutes to practice filling out the FAB 5 worksheet
     in its entirety. The goal is to be able to do this without difficulty and with good
     understanding. As you begin to master the program the worksheet will take ap-
     proximately 5-10 minutes.
     For the remainder of the day, perform your top 1 & 2 ranked exercises 3-4 times
     a day. For example, if the top two ranked exercises are the leg raise and arm raise
     there a couple ways you can break this up during the day. You can choose to do sets
     of the leg raise 2 times that day and sets of the arm raise 2 times that day, or you can
     do four sessions where you do sets of the arm raise followed by sets of the leg raise.
     Better results will be seen with the later. Perform the exercise until the exercise
     and/or issue resolves or plateaus. This may take two sets or it could take 10 sets.
     Continue the above sequence until you have achieved a 90-100% reduction in your
     pain or issue and have been able to keep the FAB 5 exercises below 10-15%.
     Most people achieve significant pain relief in 4-5 days. Some will respond quicker
     and some will respond slower. As long as progress is being seen continue with the
     FAB 5 Program. If you are not seeing progress please read the frequently asked
     questions section in the back of this book. The number one reason why this pro-
     gram is not reducing a persons’ pain is because that person is not working for the
     program. The program works, are you working hard enough for it?
54
Once you have achieved the three goals of therapy, you now are into what we refer
to as the Maintenance Stage or the Predictor Stage of Pain Relief. During this stage
your goal is to maintain the gains you have made. You do this by:
TESTING All FAB 5 Exercises 2 times a day.
Treat if these tests are worse than the last time you tested. It is as simple as that!
Sometimes the tests will feel the same or better. In these instances you do not need
to do anything. Other times the tests will show you have gotten worse. When they
are worse, simply treat out your body using the FAB 5 Process.
Soon you will have a better and better understanding of your body and will know
if your body needs to be treated or not. There will be activities of your daily living
that will give you clues as to if your body feels good and doesn’t need to be treated
or is getting worse and needs to be treated.
For example, I love to sleep on my belly at night. If, however, this hurts my neck
or back then I know I am tight and I need to treat myself. I also purposefully put
my socks on standing up. If I go to do this and I am stiff then I know I need to treat
myself. Lastly, I have a shoulder that can flare up from time to time if I am not
regularly treating myself. So if I am playing basketball and I go to shoot a basket
and it hurts my shoulder or neck I know it is time to treat myself.
You too will eventually learn motions and positions that you commonly do that let
you know what is going on in your body. Use them to gauge if your body is getting
worse and you need to treat yourself. Do not, however, forget to test from time to
time all the FAB 5. I recommend 2-3 times a week. These exercises were cleverly
designed to be used as a global predictor of where precisely in your body you are
getting worse.
One final note has to do with Progression and Wellness. Some of you will love and
be passionate about how Total Motion Release makes you feel and you will want
to learn the advanced programs. I applaud you if you are one of these people. You
understand that the more aware you become of your body the more healing will oc-
cur. The advanced programs are currently being put into a book and video format,
please check our web site for availability. The learning of the advanced programs
requires contacting us on our web site at www.totalmotionrelease.com to find a To-
tal Motion Release trained clinician near you.
                                                                                         55
56
Frequently
  Asked
Questions
             57
        Frequently Asked Questions
     1.	 I am really sore after doing the treatment exercises. Is this normal?
         •	 Soreness is normal. You have just exercised muscles that haven’t been
             used in a long time.
         •	 Don’t stop your treatment because you are sore.
         •	 Use your soreness as the Issue of Session. Go through your testing
             and treat the good sides. You will notice that as you balance out your
             FAB 5 exercises, your soreness will resolve.
     2.	 It seems like I could do some of these exercises in the standing position
         instead of sitting. Do I have to do them in the sitting position?
         •	 We teach the exercises in a sitting position to help standardize the
             process. This way, the process is more easily understood by the patient.
             However, doing them in a standing position can be as effective and
             even more effective for some specific issues. If you get better results
             standing, then go ahead and treat while standing.
         •	 For example, the Twist from a chair is different from a standing Twist.
             Different parts of the body are involved when standing that are not
             involved when sitting. For some, the results may be better in standing
             than sitting,
     3.	 At the clinic, I can see definite improvement between the good and bad
         sides. At home, I don’t seem to be able to get the same results.
          •	 At the clinic, you have your therapist to keep pushing you to work
              harder, go further, raise the rib cage, and reach beyond the bar. At
              home, you have to become your own coach as well as be the patient.
              Have a friend, husband, mom or best pal be your coach to help push
              you further.
          •	 If you have to go it alone, stick to it. You are working to reduce your
              pain and/or tightness. You must work hard at it. If you watch Tom
              (the founder) in any of his videos’ or during a seminar, you can see
              how hard he works. It tires you out just watching him.
58
4.	 Sometimes when I do an exercise, it eliminates my Issue of the Session,
    but then it seems to cause a new issue. Did I do something wrong?
     •	 No, you did nothing wrong. This is very common. As you remove one
          area of restriction, the tightness in another area may increase causing
          a new issue. As you continue through the rest of the exercises, you
          will probably decrease that new tightness and solve the new issue.
     •	 The reason we want you to do two sets at the beginning of each
          exercise is because of the above reaction. By the time you have gone
          through one set, you have changed some of the restrictions causing
          the issue. The second set of the same exercises will reduce your
          tightness even more. This is a progressive process. By the time you
          have done the 3rd and 4th sets and completed all 5 exercises, as
          illustrated in this handbook, your issues and their underlying areas of
          restriction should be substantially reduced.
5.	 I feel better when I do the FAB 5 routine, but it doesn’t last. It comes
    back later and sometimes feels worse than before I tried TMR.
    •	 Your body has spent some time in these restricted positions and will
        try to return to what it thinks is the normal position. Even though you
        were successful in moving a joint back to the position where you feel
        and move better, the body will try to shift it back to the normal spot.
        Because of this, it will hurt again. It may even feel worse because you
        made the good side work more.
    •	 You win this battle by continually using the FAB 5 process to keep
        your body in balance. During testing, keep an eye on these key
        movement restrictions and their symptoms. If they start to return, do
        the exercises again and again until it is better. You will have to repeat
        this for several weeks, until the mind and body get adjusted to the
        new good (balanced) position. Do not slack off and let this problem
        continue! You want your body to spend as much time as possible being
        balanced.
                                                                                    59
     6 .	 There are no differences between my left and right sides on any of the
          tests.
          •	 Re-do your tests. Pay close attention to your position in the End-Range.
             There is always a difference, even if it is minimal.
        •	 Here are some common errors when testing:
            •	 Are you testing further and further into the End-Range? Are you
                reaching/twisting far enough? Are you going deep enough into the
                movement to appreciate any differences, especially at the end of
                the movement?
            •	 Are you ignoring symptoms because they are different than a pain
                sensation? For example, they may be different because of tightness,
                weakness, numbness, stiffness or quality of motion. Do not ignore
                these important differences.
            •	 Are you comparing apples to oranges? Do you move differently
                on one side to reach the End-Range than you do on the other side?
                (Example: with the arm raise, I bend my left arm at the elbow and
                reach back, but I keep my right arm straight at the elbow when I
                reach back.) Make sure you test the same way on both sides.
            •	 Some people have a hard time feeling differences. Here is a tip
                to help: ask yourself, if I were to push into this End-Range for
                two hours, which side would I dislike doing more? Keep testing it
                until you can figure it out for yourself. Remember the difference
                between sides can be minimal.
     7.	 I have no symptoms.
     •	 Rejoice! What a victory! You are winning! To continue to improve
          your body’s condition, move further and further into the End-Ranges or
          progress into more difficult positions. For example, if you are doing the
          Sit-to-Stand from a chair, do it from a low stool.
     8.	 My bad side is now where my good side was yesterday. Why did this
          happen? What side do I work on now?
     •	 Forget about yesterday! Work on the side that currently is the good side.
          As your body changes, so may your good and bad sides. This is a sign
          of improvement which indicates you are making progress.
60
9.	  I’m not sure how often I should exercise. How hard I should push?
     How many sets and repetitions should I do?
•	 It is all based on results. The goal is for the Issue of Session to be
     resolved (equal zero.) This may take one set of one exercise, several
     sets of each exercise or several sessions of the FAB 5. You should do
     the FAB 5 three to five times a day for the first four to five days, or
     until you are experiencing several days of pain relief. Your result is
     your answer. After you have gone beyond the Pain Relief Stage and
     into the Maintenance Stage, testing is recommended two times a day. If
     imbalances are found then treatment is to be performed.
10.	 What if I lift my left leg during the Leg Raise exercise and it causes
     pain on the right side of my lower back. Is my right side my bad
     side?
•	 Because you were lifting your left leg when you felt low back pain, the
     left side would be considered the bad side, not the location where you
     felt the pain.
11.	 What if both sides hurt me when I test an exercise?
•	 When both sides hurt, record the one that hurts the most. The percentage
     of difference typically will be low. This means it will be ranked lower
     than the other exercises and performed later in the treatment routine.
     By the time this exercise is ready to be treated, often the good side no
     longer hurts and it can be used to help fix the bad side.
                                                                                61
     Notes
62
    Pages For
  Photo Copying
Increase to 8.5 by 11
                        63
                                             5 Steps To Freedom
                     Mastering The Basic Concepts of Total Motion Release®
             0.	 STEP 0: Find, Touch & Record the “Issue of the Session”.
     Grade
                  •	   Find an “Issue for the Session”, either sitting or with motion. Touch it! Record how you
                       touched it and give the Issue a Percentage. (0-100). 100 being the Worst.
             1.	 STEP 1: Test All 5 Exercises First, Comparing The Left To The Right	
     Grade       •	    Test All 5 Exercises First – Quickly (<3 Min.), By Memory, Correctly and Into The
                 	     End-Range.
                 •	    Record the Bad side (Right or Left) & percent (%) of difference between the two sides
                 •	    Remember: it is not just about finding pain. It is also about tightness, weakness,
                       heaviness, stiffness, etc.
             2.	 STEP 2: Rank the Test in Order From the Greatest to Least Amount of 		
     Grade       	       Difference.
                 •	    1 = The most difference between right and left side. 5 = The least difference)
                 •	    Record the Rank on the FAB 5 form.
             3.	 STEP 3: Exercise “Good” Side Until Bad Side Is Fixed
     Grade       •	    Start with the exercise with the greatest difference from the tests (#1 Rank).
                 •	    RETEST this Exercise
                 •	    Exercise the Good Side Only Until the Bad Side is Fixed, plateaus, the good side
                       is fatigued or until the patient no longer wants to continue. (But, know that if the
                       Bad Side movement is not fully fixed to 0, you are leaving a problem in the system
                       that will need to be addressed again at a later time in order to have the issue fully
                       resolved.)
                 •	    Record the Bad side percentage (%) after each set is performed.
                 •	    Do Not Stop This Exercise Too Early - Use enough end range motion, and/or force,
                       with the exercise to make a change. (Greater tightness needs greater End-Range
                       or greater force)
             4.	 STEP 4: Re-Check, Record and Re-Touch the Issue. Continue until the
     Grade   			                 “Issue of the Session” is fixed.
                 •	    Re-Check the “Issue of the Session”. Record findings. Re-Touch the Issue. Is it fixed?
                 •	    If the “Issue” is Fixed – You Are Done For This Session. If desired, any remaining
                       exercises that are not balanced, left versus right side, can be performed. The more
                       balanced the body, the longer the issue stays gone.
                 •	    If the “Issue” is not fixed go to the next Ranked exercise.
                 •	    Continue from Step 3.
             5.	 STEP 5: Practice steps 0-4 again later. Achieve Body Balance!
     Grade   			             Train It To Stay Happy 	
                 •	    Understand That Gains Made Now May Not Last, especially at first due to
                       assuming bad body positions, continued movements into the bad motions, and
                       deeper tissue tightness.
                 •	    Consistency with the routine and progressing into more and more balance will
                       keep the issues from returning.
                 •	    Do the Routine Also To Get Rid Of Soreness.
64
      Name:____________________Date:______Visit #:_ ___ % Better____ UND_ ___ HEP_ ___Therapist: _________________
                                                                                                                              
                                                                                   
                                
                                                                                                                                                                  A:    Need Help: Where / When / How?
                                                                                                              $POUJOVF6OUJM    %P*U"HBJO-BUFS
                                                                                           &YFSDJTF             5IF*TTVF           5SBJO*U
                                                         3BOLUISV                   (PPE4JEF
                                     5FTU"MM          (SFBUFTU                                       PGUIF4FTTJPO     5P4UBZ)BQQZ
                'JOE5PVDI                                                             6OUJM#BE4JEF          JT'JYFE
                                 .PUJPOT$PNQBSF       %JúFSFODF                JT'JYFE
              *TTVFPG4FTTJPO     -FGUUP3JHIU         -FBTU%Jú
                                                                                        TMR Recipe For Pain Relief
     Arm Raise                       Twist                   Leg Raise                         Sit-To Stand              Bent Knee
                                                                                                                         Toe Reach                                P:
                                                                 Start With Knee
                                                                 Straight, Then
                                                                    Lift Leg.
                                                                                                                          This foot
                                                                                                                           1 inch
                                                                                                                                                                  Signature:_ _______________________
                                                                                                                           off the               Bend
                                                                                                                                                 Knee             Units:
                                                                                                                           ground
                                                                      RETEST
      1st Session	
     Arm Raise
Twist
Leg Raise
Sit-to-Stand
65
                                                                                                                                 All marks indicated by ® are trademarks of Thomas H. Dalonzo-Baker.   © Total Motion Physical Therapy, Inc. 2007
66
                                                                                                                                           Touch Issue of the Session:
 Session # ____                                                                                                                           Write Where and How Touched.
     Issue of Session: ___________________________________________ ____%
     	                     Bad	    %	       	             Re-Check the Bad Side %	      Re-Check the Issue %	                           Re-Check Where & How You Touch
                                                RETEST
     Day 1 - Session	      Side	 0-100	 Rank	            (Start % – Mid % – End %)	   (Start % – Mid % – End %)	                            The Issue of the Session
Arm Raise
Trunk (Twist)
Leg Raise
Sit-to-Stand
                                                RETEST
     Day 1 - Session	      Side	 0-100	 Rank	            (Start % – Mid % – End %)	   (Start % – Mid % – End %)	                            The Issue of the Session
Arm Raise
Trunk (Twist)
Leg Raise
Sit-to-Stand
        67
           About The Founder of Total Motion Release
                    Thomas H. Dalonzo-Baker Sr., MPT
     Tom received his Masters of Physical Therapy from the University of North
     Carolina at Chapel Hill. He also has a Masters in Mathematics Education
     from Wake Forest University and a Bachelors in Business and Economics
     from Hawaii Loa College.
     Tom owns and operates Total Motion Physical Therapy in Raleigh, NC and
     teaches Total Motion Release Seminars all over the United States. He has
     been trained in the following traditional and non-traditional approaches:
     •	  Strain Counter Strain: 1 (Spine (3 times)), 2 (Extremities (3 times)),
     	   3 (Cranials and lab assisted ))
     •	  Mulligan’s Mobilization with Movement, SNAG’s & NAG’s
     •	  John Barne’s Myofascial Release: MFR I, II, III, Unwinding I, II,
     	   Rebounding, Fascial Pelvis, Cervical-Thoracic, Skill Enhancement
     •	  Muscle Energy 1: Michigan State
     •	  Primal Reflex Release Technique’s- Beginner & Intermediate
     •	  Direct Action Thrust (Manipulation): Michigan State
     •	  Principles of Manual Medicine: Michigan State
     •	  Ola Grimsby: MT-1 Clinical & Scientific Rationale for Modern Manual
         Therapy,
     •	 MT-2 Modern Manual Therapy of the Extremities, MT-3 Modern Manual
         Therapy of the Spine
     •	 Upledger Institute: Cranial Sacral Therapy 1
     •	 Maitland Mobilization: MT-1 Basic Peripherals, MT-2 Basic Spinals,
     	 MT-3 Intermediate Spine, MT-4 Differential Diagnosis
     •	 Mckenzie: Parts A-D (twice)
     •	 Measurable Solutions Executive Training Courses in Clearwater, Florida.
         (12-Executive Courses)
     The loves of Tom’s life are his wife and four children. His passion is teaching
     Total Motion Release to as many people as possible showing them that pain
     relief can be simple if the basic principles of healing are understood.
68