integrated systems model



Clinical Perspectives on Motor Control in the Management of Lumbopelvic Pain

In clinical practice, it is common to see complex patients with a combination of impairments in multiple systems including the musculoskeletal, urogynecological and respiratory. A thorough evaluation often reveals many past injuries, thoughts/beliefs, emotional states and movement habits that have collectively led to changes in strategies for posture, movement, continence and respiration.

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The Thorax – An Integrated Approach

It has been over 30 years since Erl Pettman introduced the ‘Quadrant Approach’ for assessment and treatment of musculoskeletal disorders (Pettman 1981, 1984). Today, we understand that the thorax is part of many integrated systems including the musculoskeletal, respiratory, cardiac, digestive and urogynecological.

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