Document Type
Journal Article
Publication Title
BMJ Open Sport and Exercise Medicine
Volume
10
Issue
2
Publisher
BMJ Publishing Group
School
Nutrition and Health Innovation Research Institute / School of Medical and Health Sciences
RAS ID
71493
Funders
Raine Medical Research Foundation / Western Australian Department of Health Innovation / Near-Miss Award
Grant Number
1006856, G1006615, G1006605
Abstract
Rehabilitative practice is often criticised for being non-individualised, monotonous and not well aligned with foundational principles that drive continued physiological adaptation(s). However, our understanding of neuromuscular physiology is rapidly increasing and the way we programme rehabilitation is improving. This viewpoint highlights some of the potential considerations around why the adaptations achieved during rehabilitation programmes may be suboptimal. We provide basic, clinician-focused discussion about potential confounding physiological factors, and put forward several exercise-based programming recommendations and novel approaches to consider in contemporary rehabilitative practice. Specifically, we outline several potential mechanisms contributing to poor muscle activation and function that might be present following musculoskeletal injury. However, clinicians require strategies capable of attenuating these impairments to restore proper function. Therefore, we also provide an overview of recommended strength and conditioning guidelines, and novel strategies (such as external pacing and electrical stimulation techniques) that clinicians can consider to potentially improve the efficacy of musculoskeletal rehabilitation.
DOI
10.1136/bmjsem-2024-001935
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Comments
Murphy, M. C., Rio, E. K., Whife, C., & Latella, C. (2024). Maximising neuromuscular performance in people with pain and injury: moving beyond reps and sets to understand the challenges and embrace the complexity. BMJ Open Sport & Exercise Medicine, 10(2), e001935. https://doi.org/10.1136/bmjsem-2024-001935