Neuromuscular Exercise Program NEMEX

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Top Contributors - PARIVESH KUMAR, Lucinda hampton, Kim Jackson, Rucha Gadgil, Rachael Lowe and Aminat Abolade  

The Neuromuscular exercise topic has been chosen from the ‘Good Life with osteoArthritis in Denmark’ (GLA:D™) program. It’s an evidence-based education and supervised neuromuscular exercise targeting Hip and knee osteoarthritis. The program focuses on Neuromuscular exercises, aerobic program, and patient education.

The rationale for Neuromuscular Exercises

The neuromuscular training method that is described is based on biomechanical and neuromuscular principles and aims to improve sensorimotor control and achieve compensatory functional stability. Unlike conventional strength training, neuromuscular exercise addresses the quality of movement and emphasizes joint control in all three biomechanical/movement planes.

Neuromuscular exercise has effects on functional performance, biomechanics, and muscle activation patterns of the surrounding joint musculature. Simply restoring mechanical restraints is not enough for the functional recovery of a joint because the coordinated neuromuscular controlling mechanism required during daily living and sport-specific activities would be neglected.

Rehabilitation programs cannot alter mechanical joint instability but may affect neuromuscular control and the dynamic joint stability. A lag in the neuromuscular reaction time can result in dynamic joint instability with recurrent episodes of joint subluxation and deterioration. Therefore, both mechanical stability and neuromuscular control are probably important for long-term functional outcome, and both aspects must be considered in the design of a neuromuscular rehabilitation program.

Neuromuscular control is defined as the unconscious trained response of a muscle to a signal regarding dynamic joint stability. The movements of the lower extremity, including the knee joint, are controlled through this system, which needs to provide the correct messaging for purposeful movement. Neuromuscular training programs should address several aspects of sensorimotor function and functional stabilization to improve objective function and alleviate symptoms.

Sensorimotor control or neuromuscular control is the ability to produce controlled movement through coordinated muscle activity. Functional stability or dynamic stability is the ability of the joint to remain stable during physical activity.

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