In segmental approaches, the involved motion segments may be identified by radiographic procedures which assess intersegmental disrelationships, or by clinical examination procedures such as motion palpation. Postural approaches . In postural approaches, subluxation is seen as a postural distortion. Tonal approaches . Tone is the normal degree of nerve tension.
Tonal approaches tend to view the spine and nervous system as a functional unit.
Tonal approaches emphasize the importance of functional outcomes, and acknowledge that clinical objectives may be achieved using a variety of adjusting methods. In reviewing the basic science and clinical models of the subluxation, it may be seen that the wide diversity of techniques in chiropractic may use different methods, but generally share the common objective of correcting spinal nerve interference caused by vertebral subluxation. Commonality and accountability may be achieved through the development of models which emphasize clinical outcomes, yet afford the practitioner flexibility in determining how those objectives are achieved. Such outcomes include, but are not limited to, evidence of functional integrity of the nervous system, and improvement in general health and quality of life indicators. Research resources should be directed toward the development of models and clinical strategies which result in more predictable and more efficient practice procedures.