Neuromuscular deficits after peripheral joint injury: A neurophysiological hypothesis

S Ward; A J Pearce; B Pietrosimone; K Bennell; Ross Clark; A L Bryant

doi:10.1002/mus.24463

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Neuromuscular deficits after peripheral joint injury: A neurophysiological hypothesis

Journal article

Peer reviewed

Neuromuscular deficits after peripheral joint injury: A neurophysiological hypothesis

S Ward, A J Pearce, B Pietrosimone, K Bennell, Ross Clark and A L Bryant

Muscle and Nerve, Vol.51(3), pp.327-332

2015

DOI: https://doi.org/10.1002/mus.24463

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Abstract

central nervous system

joint injury

neuroplasticity

reorganization

transcranial magnetic stimulation

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. © 2014 Wiley Periodicals, Inc.

Details

Title: Neuromuscular deficits after peripheral joint injury: A neurophysiological hypothesis
Authors: S Ward (Author) - University of Melbourne
A J Pearce (Author) - Deakin University
B Pietrosimone (Author) - University of North Carolina
K Bennell (Author) - University of Melbourne
Ross Clark (Author) - Australian Catholic University
A L Bryant (Author) - University of Melbourne
Publication details: Muscle and Nerve, Vol.51(3), pp.327-332
Publisher: John Wiley & Sons Inc.
Date published: 2015
DOI: 10.1002/mus.24463
ISSN: 0148-639X
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99450565902621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Clinical Neurology; Neurosciences