For me this has been the gift of developing the TMR Tots & Teens program. Here are some examples of where we can use a facilitated method to precisely identify and treat complex medical issues

· Sociosis 37 degree curve
Precise identification of apex of curves matched with associated hard side directions.
Utilizing motions to increase range Utilizing strengths in whole body to precisely shorten and build control on convex side. 
Curve reduced from 37 to 17 degrees – in ongoing therapy to continue progress – surgery for rods cancelled 

· Post open chest surgery 
protective splinting limiting chest mobility 
Improved ventilation & comfort 

· Child with Down syndrome  
delay standing/walking 
Improved COM and balance for gait

· Patient with reflux/ constipation  Limited upper twist/ extension -palpated restriction pulling on stomach and colon palpated and treated Symptoms resolved
· Hospice patient
uncomfortable with pelvis rolled to left 
Limited upper twist/ lower twist bias) position with pillows to move progressively into more ease 
More positioning options/ less chance of skin breakdown
 
· Post mastectomy surgery 
pain and impingement in shoulder on same side 
Identify fascial bias from acromion to opposite ASIS treated with motions and myofascial treatment into ease over pecs. 
Improved chest scar mobility and range in arm
 
· Soccer player inefficient posture forward head posture and right heel hip
Task analysis of gait asymmetries using FAB 8 palpating limitations 
Improved balance and posture for better sport 

· Brachial Plexus injury – Erbs palsy 
Used lower body to get full range in UE. 
Used cross transfer to get full motor control in hand

· Autism 
can’t do steps 
Delayed motor development, poor body awareness resulting in immature gait pattern with limited mobility causing restrictions 
Therapeutic play into ease with parent 
Step aerobic step on easy side to teach steps with ease and build on what he can do 
Independent alternating steps at 3rd visit. 

· Young Baseball player  
back pain with batting
Using FAB 8 palpated each motion to identify 2 ribs limiting range  Crafted precise motor control/ release pattern with switch-hitting at a specific height to eliminate pain and improve game. 

· Brain Hemorrhage 
can’t transfer to toilet 
TMR motions identify restriction in trunk limiting elongation of side and ability to weight shift to advance to edge of chair to initiate pivot 
(Identified component movement what’s blocking skill rather than practicing ask itself) 
Able to then weight shift to relearn transition without frustration building on their strength step by step
 
· Preemie from NICU on oxygen, fussy, can’t get comfortable 
Made a “nest” using motions for child to be in womb like posture 
Breathing stabilized able to get off oxygen. 

· Post Brain Tumor Surgery 
forearm fixed in pronation 
Pelvic asymmetry causing pronation to stabilize in standing 
Emerging forearm supination with motions and facilitation Susan