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Neuromuscular deficits after peripheral joint injury: a neurophysiological hypothesis

Version 2 2024-06-06, 02:09
Version 1 2015-08-26, 14:38
journal contribution
posted on 2024-06-06, 02:09 authored by S Ward, AJ Pearce, B Pietrosimone, K Bennell, R Clark, AL Bryant
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.

History

Journal

Muscle and nerve

Volume

51

Pagination

327-332

Location

London, Eng.

eISSN

1097-4598

Language

eng

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2015, Wiley

Issue

3

Publisher

Wiley