Performance Health Core:Tx, Руководство пользователя

Страница: 9 / 188

v
Foreword
The Facts about Neuromuscular
Reeducation (NMR)
Neuromuscular control is essential to maximizing a patient’s
functional outcome. In a healthy joint, proprioceptive information
is relayed to the central nervous system triggering a coordinated
muscular response.
1
This coordinated effort controls joint
excursion and loading,
2
which enables dynamic joint stability and
prevents injury.
3
In an injured joint, proprioception may be compromised. As a
result, muscle activity associated with the joint is not well
synchronized, thereby reducing dynamic stability. This in turn
increases the risk of further injury.
4
Clearly, improving joint
stability is important in preventing reinjury in both early and late
stages of the recovery period.
5
A complete rehabilitation or
performance enhancement program should, therefore, address
these neural deficits to maximize recovery and prevent injury
recurrence.
6
1. S. M. Lephart, D. M. Pincivero, J. L. Giraldo, and F. H. Fu, “The Role of Proprio-
ception in the Management and Rehabilitation of Athletic Injuries,” American Journal
of Sports Medicine, 25, no. 1 (1997): 130–37.
2. B. L. O’Connor and J.A. Vilensky, “Peripheral and Central Nervous System Mech-
anisms of Joint Protection,” American Journal of Orthopedics, 32, no. 7 (2003): 330–36.
3. E. R. Laskowski, K. Newcomer-Aney, and Jay Smith, “Refining Rehabilitation with
Proprioception Training: Expediting Return to Play,” The Physician and Sportsmedicine,
25, no. 10 (1997): 89-97.
4. Laskowski et al., “Refining Rehabilitation.”
5. Lephart et al., “The Role of Proprioception.”
6. Laskowski et al., “Refining Rehabilitation.”