Force transmission between thoracic and cervical segments of the spine during prone-lying high-velocity low-amplitude spinal manipulation: A proof of principle for the concept of regional interdependence
According to Howarth, the Director of CMCC’s Human Performance Lab, “the concept of regional interdependence is based on clinical data demonstrating that applying treatment to a remote anatomical region can reduce pain in the area of the patient’s primary complaint. A common example is administering treatment to the upper thoracic spine for patients with neck pain. The contemporary model of regional interdependence suggests that biomechanical forces are transmitted within the body to initiate a cascade of neurophysiological responses that result in therapeutic benefits. Our study tested a precursor to this model; namely, that forces applied to the upper thoracic spine during spinal manipulation are transmitted to the cervical spine. These data provide a clear proof-of-principle for the first part of the proposed model for regional interdependence.”
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