The Integrated Systems Model

Integrated systems model (ISM) is an evidence based approach used to treat disability and pain in musculoskeletal patients. ISM is functionally driven and the assessment process is developed based on what is referred to as “Meaningful Task Analysis” rather than focusing only on pain generators. This helps determine the root cause of the patient’s problem and can help bring lasting results in the everyday activities of the patient.

Meaningful Task Analysis teaches patients how to regain control of the body throughout whatever movement is most important to the patient. Finding the root cause or the “primary driver” in ISM involves determining the part of the body that is causing problems and pain, either in that part or another body part.

Once the root cause is determined, a multimodal treatment approach is targeted at the primary driver, considering the patient as a whole, their presenting complaint, their level of pain, and their expectations. The latest advancements in neuroplasticity (the ability of the nervous system to transform itself) are also used to facilitate the most desirable treatment plan for function and performance while performing significant tasks.

ISM overall is a multimodal treatment program which includes patient education, manual therapy, neuromuscular release, and movement training to reestablish normal function and performance for patients across all groups with the goal of improved function and performance