UNIVERSITY OF CENTRAL LANCASHIRE SCHOOL ...

UNIVERSITY OF CENTRAL LANCASHIRE
SCHOOL OF ALLIED HEALTH PROFESSIONS
Msc Sports Therapy
Student no:
Module title: Sports and Exercise Rehabilitation
Module code: PZ 4006
Essay Title:
Using examples from specific sports discuss the effectiveness of Neuromuscular control Activities as part of a sports rehabilitation Programme.
This essay is to discuss the effectiveness of Neuromuscular Control Activities in Sports Rehabilitation programme.
Introduction:
If an injury occurs to articular tissue resulting into altered neuromuscular control due to impaired proprioception which is associated with position senses and limb movements. This perception and joint movement are controlled by Somatosensory, Vestibular and Visual systems (Lephart, M.S. and Fu, H.F. 2000) Proprioception mostly depends on the receptors situated at muscles, joints, tendons and skin. This proprioceptive sensation depends on the synchronized activity of afferent receptors carrying stimulus to neural signals and transmit to central nervous system, which in turn controls the motor commands by controlling voluntary muscle contraction to carry out compound motor skills with unconscious motor responses that gives to joint stability. So, reduction or alteration in any of the neuromuscular components leads to joint instability, changes in movement patterns or gait responsible for recurrence of injury (Lephart, M.S, 2000), based on this responsibility Lephart M.S, et al (2000) defined Neuromuscular control as ‘‘unconscious efferent response to an afferent signal concerning dynamic joint stability’’, by determining the above mechanism, neuromuscular control and proprioception are means of vital factors in maintaining the joint stability along with dynamic stabilizers (Kaumeyer, G and Malone, T. 1980).
Usually sports injuries are managed in variety of settings like surgical reconstruction to restore joint kinematics or through rehabilitation promoting the joint stabilization through muscular reflex activity. The neuromuscular control mechanism is regulated by mechanoreceptors present in the joints and supplies the person with sensations of proprioception of kinaesthesia and joint position sense (Lephart, S.M. and Fu, F.H. 1995). Based on the evidence neuromuscular and strength deficits are the major problems with post ACL injuries in sports rehabilitation (Chmielewski, T.L. et al 2002, Lewek, M. et al 2002 and Risberg, M.A. et al 2004).
In a recent research based at Norway, scientists have conducted a study comparing neuromuscular training with strength training in post operative anterior cruciate ligament reconstruction with 74 patients, 27 female and 47 male ages of 15 and 40.9 years and it was single blinded randomized trial. The arthroscopic surgery used for ACL was bone patellar tendon bone method; those are expelled from the study with degenerative arthritis, menisci tears, previous injury and any articular ...