neuromuscular control Flashcards

1
Q

what is neuromuscular control?

A

-involves the subconscious integration of sensory information that is processed by the CNS, resulting in controlled mvt through coordinated muscle activity

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2
Q

why might someone have impaired neuromuscular control?

A

-pain
-injury
-habitual / resisted to repeated mvt (sport, occupation etc)

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3
Q

what are other words / terminology for neuromuscular control?

A

-movement control
-movement pattern retraining

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4
Q

what is motor control?

A
  • the process of initiating, directing and grading purposeful voluntary movement
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5
Q

what is motor learning?

A

the process of acquiring a skill by which the learner, through practice and assimilation, refines and makes automatic the desired movement

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6
Q

what are the 3 phases of motor learning?

A
  1. cognitive
  2. associative
  3. autonomous
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7
Q

what does the cognitive phase involve?

A

-conscious effort to attempt to determine what exactly needs to be done in a step by step manner
-requires great concentration & attention

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8
Q

what does associative phase involve?

A

-acquisition of the basic mvt pattern
-focus on refining the skill
-physio should try make the task more complex

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9
Q

what does the autonomous phase involve?

A

-requires extensive practice to reach
-characterised by efficient and almost automatic performance
-mvts should be accurate, consistent and efficient

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10
Q

what are the 3 main components of neuromuscular training?

A

-proprioceptive training
-quality of mvt
-balance training

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11
Q

what is proprioception?

A

-specialised variation of sensory information
-info to the brain regarding position, location, orientation and movement of the body

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12
Q

what is balance?

A

-the ability to maintain a position
-the ability to voluntarily move

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13
Q

what is static balance?

A

-an individuals ability to maintain a stable antigravity position while at rest by maintaining the centre of mass within the available base of support

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14
Q

what is dynamic balance?

A

-automatic postural responses to the disruption of the centre of mass position

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15
Q

what does 3D motion analysis of balance involve?

A

-assessment of movement in 3 dimensions
-info in sagittal, frontal ad horizontal planes
-

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16
Q

what are different ways of assessing neuromuscular control in the lower limb?

A

-bilateral squat
-step down
-SL squat
-drop jump

17
Q

what is a bilateral squat?

A

-feet hip width apart
-arms 90 degrees flexion facing forward
-patient asked to perform a squat, flexing the knees and dorsi-flexing the ankle while keeping heels on the floor

18
Q

what is a step down?

A

-participant stands on a 20cm step
-place arms across chest
-the participant asked to lower the non stance leg until the heel touches the floor and to return to the start position

19
Q

what is a single leg squat?

A

-standing on 1 leg
-hands across chest
-NWB leg behind with knee flexed to 90 deg
-squat as low as you can go

20
Q

what is an example of an upper limb neuromuscular control exercise?

A

-shoulder abduction
-standing arms by side, elbows straight, palm of the hand facing forward
-slowly bring one arm out to the side and up to the ear
-lower slowly to bring arm back to start position

21
Q

what is a drop jump?

A

-standing up on 30cm step
- drop directly to land on the floor with both feet
-immediately perform a vertical jump

22
Q

what are examples of common drop jump faults?

A

-dynamic knee valgus
-lateral trunk lean
-insufficient knee flexion

23
Q

what is the aim of neuromuscular training?

A

-improve the nervous systems ability to generate a fast and optimal muscle firing pattern, to increase dynamic joint stability, to decrease joint forces and to relearn movement patterns and skills

24
Q
A