Neuromuscular deficits after peripheral joint injury: a neurophysiological hypothesis

Ward, Sarah, Pearce, Alan J., Pietrosimone, Brian, Bennell, Kim, Clark, Ross and Bryant, Adam L. 2015, Neuromuscular deficits after peripheral joint injury: a neurophysiological hypothesis, Muscle and nerve, vol. 51, no. 3, pp. 327-332, doi: 10.1002/mus.24463.

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Title Neuromuscular deficits after peripheral joint injury: a neurophysiological hypothesis
Author(s) Ward, Sarah
Pearce, Alan J.
Pietrosimone, Brian
Bennell, Kim
Clark, Ross
Bryant, Adam L.
Journal name Muscle and nerve
Volume number 51
Issue number 3
Start page 327
End page 332
Total pages 6
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-03
ISSN 1097-4598
Keyword(s) central nervous system
joint injury
neuroplasticity
reorganization
transcranial magnetic stimulation
Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences
Neurosciences & Neurology
CORTICOMOTOR EXCITABILITY
ACL RECONSTRUCTION
BRAIN PLASTICITY
FORCE CONTROL
KNEE-JOINT
PAIN
QUADRICEPS
STRENGTH
MUSCLE
Summary In addition to biomechanical disturbances, peripheral joint injuries (PJIs) can also result in chronic neuromuscular alterations due in part to loss of mechanoreceptor-mediated afferent feedback. An emerging perspective is that PJI should be viewed as a neurophysiological dysfunction, not simply a local injury. Neurophysiological and neuroimaging studies have provided some evidence for central nervous system (CNS) reorganization at both the cortical and spinal levels after PJI. The novel hypothesis proposed is that CNS reorganization is the underlying mechanism for persisting neuromuscular deficits after injury, particularly muscle weakness. There is a lack of direct evidence to support this hypothesis, but future studies utilizing force-matching tasks with superimposed transcranial magnetic stimulation may be help clarify this notion.
Language eng
DOI 10.1002/mus.24463
Field of Research 11 Medical And Health Sciences
170101 Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30076858

Document type: Journal Article
Collection: School of Psychology
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