Review of integrated neuromusculoskeletal release and the novel application of a segmental anterior/posterior approach in the thoracic, lumbar, and sacral regions

J Am Osteopath Assoc. 2003 Dec;103(12):583-96.


Integrated neuromusculoskeletal release (INR) using a segmental anterior/posterior approach is an osteopathic manipulative treatment technique that is easily learned and applied. The segmental anterior/posterior approach to INR was developed as a practical osteopathic manipulative treatment procedure for the inpatient setting, but also has equal efficacy in the outpatient setting. It builds on the principles of INR and myofascial release techniques, as well as other techniques. This approach focuses on both the anterior and posterior connectivity of the body through the neuromusculoskeletal system and uses this connectivity to effectively treat somatic dysfunctions. The principles of INR are discussed, as well as the role of INR in the diagnosis and treatment of somatic dysfunctions in the thoracic, lumbar, and sacral regions.

Publication types

  • Review

MeSH terms

  • Fascia / anatomy & histology
  • Fascia / physiopathology
  • Humans
  • Manipulation, Osteopathic / methods*
  • Muscle, Skeletal / physiopathology
  • Myofascial Pain Syndromes / therapy*
  • Spine / physiopathology