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A Regional Interdependence Model of Musculoskeletal Dysfunction

Chiro.Org Blog: The revised definition of RI refers to the concept and clinical model that a patient’s primary musculoskeletal symptom(s) may be directly or indirectly related to or influenced by impairments from various body systems regardless of proximity to the primary symptom(s). Although initial local treatment of a patient’s primary complaint is typically a first step in clinical management, RI is a model that may be helpful in identifying treatment strategies for recalcitrant and persistent symptoms that may be due to associated functional limitations and impairments in more distant body regions as well as other body systems. The model of RI is in its infancy and will no doubt change and evolve as our understanding is informed from the results of future, formal investigations. The model presented in this paper is meant to serve as a framework for clinicians and researchers alike as they seek to identify the factors that may contribute to a patient’s impairments as well as for stimulating future research. […]