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膝关节病理和异常通路功能障碍:将肌肉抑制从运动皮层映射到肌肉力量

David A Sherman¹, Justin Rush², Neal R Glaviano³

¹Department of Physical Therapy, Movement, and Rehabilitation Sciences, Northeastern University, Boston, MA, USA; Live4 Physical Therapy and Wellness, Acton, MA, USA.

Musculoskeletal science & practice

|October 19, 2024

概括

影响运动皮质和运动单元的情感通路功能障碍,导致 ACL 撕裂或关节骨炎等膝关节损伤后的长期肌肉损伤. 了解这些中枢神经系统的变化是有效康复和预防慢性问题的关键.

科学领域:

神经科学是一个神经科学.
整形外科整形外科整形外科
康复科学康复科学康复科学

背景情况:

膝关节病理往往导致四头肌和腿筋肌肉功能,日常活动和生活质量的持续损害.
了解这些不同通路功能障碍的根本原因对于预防骨关节炎或需要关节置换等不良结果至关重要.

研究的目的:

审查和综合当前关于efferent路径功能障碍的研究,特别是涉及运动皮质和运动单元,在患有膝盖病理的人中.

主要方法:

进行了全面的文献审查,检查了运动皮质,皮质脊髓和运动神经元池的研究.
研究重点关注三个普遍的膝关节疾病:前十字带 (ACL) 损伤,前膝关节疼痛 (AKP) 和膝关节关节炎 (OA).
使用神经影像和神经生理技术收集了广泛的视角.

主要成果:

患有膝盖病理的个体在运动皮层,皮质脊髓和运动神经元池中表现出适应性,影响四头骨和腿筋功能.
变化的运动系统刺激性和减少的肌肉激活/力量产生是显而易见的,尽管在所有研究的膝关节病理中只有少数特定障碍是常见的.
这些发现强调了运动皮质和运动单元行为在膝盖疾病的长期预后中的重要作用.

结论:

中枢神经系统在不同路径中的适应性有助于在常见的膝盖病理之后持续的肌肉功能障碍.
本综述巩固了神经生理学和神经成像发现,指导了未来的研究和临床应用在关节损伤康复中.

关键词:

前膝关节疼痛前膝关节疼痛关节性肌肉抑制关节性肌肉抑制腿筋腿筋腿筋腿筋膝关节带受伤的情况膝关节骨关节炎是一种关节炎.汽车路径上的汽车路径.发动机单位发动机单位关节关节疼痛是一种疼痛.四头四头的四个.

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