Total Motion Release
A fellow therapist was telling me about an inservice he had that explained a new treatment philosophy called "Total Motion Release." The basic concept of this practice involves using non-affected body parts in normal ROM and functional activities to strengthen the involved area.
The specific techniques used are difficult to understand based on the Total Motion Release Website (http://www.totalmotionrelease/). With an example of a patient with a stroke, the message board question and answer suggests having the patient perform bicep curls on the strong side and then continue with active assisted bicep curls on the weak side, to eventually full return of function. A patient and therapist exercise form titled "FAB 5" follows an outline of finding a restriction, being aware of the issue, testing different motions and ranking the difficulty of those motions. Step four asks the patient to rank the motions in terms of difficulty, followed by "exercising the good side until the issue is fixed." Finally, the patient and therapist are instructed to recheck awareness of the issue.
The Website also clarifies that no formal research has been conducted with this method of treatment.
What raises my attention is this- there are probably thousands of experienced therapists who have found techniques that work. Perhaps the therapist who started Total Motion Release recognized a pattern in some patients where treating the strong side helped the weaker side recover. However, there needs to be some universal agreement as therapists that we all have a responsibility to maintain the integrity of the profession. Holding inservices to educate others on new treatment ideas is a good start, but providing detailed information, mechanism of action, supporting literature and case studies should also be included.
What have you seen in your work place regarding unique treatment options? Have you ever tried something, with no clear anatomical reasoning, that worked?