Proprioception and Neuromuscular Control in Joint Stability

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Scott Lephart
2001
US Price: $68
464 pages
9780880118644

About the Authors | Table of Contents

This is the first comprehensive reference to address the basic science of proprioception and neuromuscular control. Drawn from the research of internationally respected authorities and spanning several disciplines, this is the one book you need in order to learn the status of scientifically supported knowledge regarding proprioception and its role in motor control and joint stability.

This is your best resource for

• reviewing the structure and function of the sensorimotor system,
• gaining insight into the neuromuscular system as it relates to joint stability and proprioception, and
• developing rehabilitation programs aimed at correcting neuromuscular control and proprioception problems.

Proprioception and Neuromuscular Control in Joint Stability draws from the work of renowned experts in the fields of orthopaedic surgery, biomechanics, physiology, athletic training, physical therapy, and engineering. It presents specific content and management strategies related to knee, shoulder, and ankle injuries.

Based on the proceedings of a conference conducted by the Foundation for Sports Medicine Education and Research/American Orthopaedic Society for Sports Medicine, this reference explores directions for future research and clinical protocols.

Divided into four sections, the reference first examines the contribution of the sensorimotor system to joint stability in Section I. Section II examines the effects of ligament injury on proprioception and neuromuscular control. Section III identifies special issues related to proprioception and neuromuscular control, while Section IV presents the role of rehabilitation in reestablishing proprioception and neuromuscular control.

Proprioception and Neuromuscular Control in Joint Stability offers a unified and inclusive body of knowledge regarding proprioception and serves as a valued guide for directing future research and clinical applications.

About the Authors

Scott M. Lephart, PhD, associate professor at the University of Pittsburgh, is director of the internationally recognized Neuromuscular Research Laboratory, one of the first clinical research laboratories dedicated to sports medicine.

Dr. Lephart received the Inaugural New Investigator Award from the National Athletic Trainers' Association Research (NATA) and Education Foundation in 1998. In 1994, he received the Charles Neer Award for Outstanding Basic Science Research from the American Shoulder and Elbow Surgeons Society, the first nonorthopaedic surgeon to receive the honor. In 1999, he received the Distinguished Educator Award from the NATA. Dr. Lephart is a Fellow with the American College of Sports Medicine and a member of the NATA. He has served as editor of the Journal of Sport Rehabilitation since 1996. He received his PhD in Sports Medicine from the University of Virginia in 1989.

Freddie H. Fu, MD, DSc (Hon.) is the David Silver Professor and Chairman of the Department of Orthopaedic Surgery in the School of Medicine at the University of Pittsburgh, an adjunct professor in the School of Health and Rehabilitation Sciences and the School of Education, and the Head Team Physician for the university's athletic department.

Dr. Fu attained his medical degree from the University of Pittsburgh in 1977. He completed his general surgery internship at Brown University before returning to Pittsburgh to complete his residency and an orthopaedic research fellowship. He also completed an A.O. International Fellowship at the Hanover Trauma Center in Germany and at an arthroscopic surgery center in East Lansing, Michigan.

Dr. Fu's major research interests are clinical outcomes, biology, and biomechanics of the knee and shoulder in sport-related injuries. He has presented at numerous international and national conferences and has written textbooks, book chapters, and research publications. He is a member of and has held offices in several academic organizations, including the prestigious Herodicus Society, the American Shoulder and Elbow Surgeons Society, and the American Orthopaedic Association. In 1997, he was elected to the Inaugural Executive Board of the International Cartilage Repair Society. He is a corecipient of the Kappa Delta award for his shoulder research and a recipient of the Presidential Challenge Award from the NATA for significant contributions in athletic training.

Table of Contents

• Preface
  • Introduction to the Sensorimotor System
  • Scott M. Lephart, PhD, ATC, Bryan L. Riemann, MA, ATC, and Freddie H. Fu, MD
• Section I. Contribution of the Sensorimotor System to Joint Stability
  • Section Leaders: Hakan Johansson, MD, and Scott Dye, MD
• Chapter 1. Peripheral afferents of the knee: their effects on central mechanisms regulating muscle stiffness, joint stability, and proprioception and coordination
  • Hakan Johansson, MD, Jonas Pedersen, PhD, M. Bergenheim, and M. Djupsjobacka
• Chapter 2. Contribution of the three levels of nervous system motor control: spinal cord, lower brain, cerebral cortex
  • Roland Biedert, MD
• Chapter 3. Functional anatomy of the cerebellum
  • Scott Dye, MD
• Chapter 4. Contribution of the peripheral somatosensory system to balance and postural equilibrium
  • Bryan L. Riemann, MA, ATC, and Kevin Guskiewicz, PhD, ATC
• Chapter 5. Motor learning, motor control, and knee injuries
  • William Garrett, Jr., MD, PhD
• Chapter 6. Functional anatomy of the knee: bony geometry, static and dynamic restraints, sensory and motor innervation
  • Scott Dye, MD
• Chapter 7. Neuromuscular contributions to knee kinematics and kinetics: the normal versus the pathologic state
  • Timothy Hewett, PhD, Mark V. Paterno, MS, PT, and Frank R. Noyes, MD
• Chapter 8. Gross anatomy of the shoulder: bony geometry, static and dynamic restraints, sensory and motor innervation
  • Lucio S. Ernlund, MD, and Jon JP Warner, MD
• Chapter 9. Peripheral afferents of the shoulder: relationship between active and passive restraints regulating muscle activation
  • Carlos Guanche, MD, Moshe Solomonow, PhD, and Robert D. DíAmbrosia, MD
• Chapter 10. Neuromuscular contribution to normal shoulder joint kinematics
  • Answorth A. Allen, MD
• Chapter 11. Peripheral afferent nerve regeneration
  • Kevin Black, MD, and Michael H. Rieber, MD
• Section II. Effects of Ligament Injury on Proprioception and Neuromuscular Control
  • Section Leaders: Thomas Andriacci, PhD, and Joerg Jerosch, MD
• Chapter 12. Validation of techniques to measure knee proprioception
  • Bruce Beynnon, PhD, Per Renstrom, MD, PhD, Lars Konradsen, MD, Daniel J. Gottlieb, MS, Marco Dirks, MD, and Lars-Gunnar Elmqvist, MD, PhD
• Chapter 13. Techniques for measuring sensorimotor control of the ankle: evaluation of different methods
  • Lars Konradsen, MD, Bruce Beynnon, PhD, and Per Renstrom, MD, PhD
• Chapter 14. The role of electromyography in the assessment of neuromuscular control
  • Thomas Bochdansky, MD, Josef Kollmitzer, PhD, and Gerold Ebinbechler, PhD
• Chapter 15. A method for analyzing standing and reactive balance and neuromuscular responses of the spine and lower extremity
  • Jennifer Ocit, Christine Gardner, John Albright, MD, and Malcom Pope, Dr. Med Sci
• Chapter 16. Neuromuscular performance in the ACL deficient knee
  • Laura Huston, MS, and Edward Wojtys, MD
• Chapter 17. Functional adaptations in patients with ACL deficient knees
  • Thomas Andriacci, PhD, Debra Hurwitz, PhD, Charles Bush-Joseph, MD, and Bernard Bach, MD
• Chapter 18. Neuromuscular profile of the functionally stable ACL deficient knee
  • Christian Fink, MD, Ivan Vassilev, MD, Arthur Kleipool, MD, Freddie Fu, MD, and Scott Lephart, PhD, ATC
• Chapter 19. Effects of knee ligament injury and reconstruction on proprioception
  • Robert Barrack, MD, and Barry Munn, MD
• Chapter 20. Effects of ACL reconstruction on proprioception and neuromuscular performance
  • David Beard, PhD, PT, and Katheryn Refshauge
• Chapter 21. Effects of injury and reconstruction of the PCL on proprioception and neuromuscular control
  • Marc Safran, MD, Jorge Giraldo, MD, Christopher Harner, MD, and Freddie Fu, MD
• Chapter 22. Proprioception and sensorimotor control in the functionally unstable ankle
  • Lars Konradsen, MD, Bruce Beynnon, PhD, and Per Renstrom, MD, PhD
• Chapter 23. Effects of shoulder instability of joint proprioception
  • Joerg Jerosch, MD
• Chapter 24. Role of shoulder stabilization relative to restoration of neuromuscular control and joint kinematics
  • Roger Pollack, MD
• Section III. Special Issues Related to Proprioception and Neuromuscular Control
  • Section Leaders: Peter Fowler, MD, and Per Renstrom, MD, PhD
• Chapter 25. Proprioceptive thresholds at the ankle: implications for the prevention of ligament injury
  • James Ashton-Miller, PhD
• Chapter 26. Proprioception and neuromuscular control related to the female athlete
  • Mary Lloyd Ireland, MD
• Chapter 27. The influence of knee and ankle support on proprioception and neuromuscular control
  • Per Renstrom, MD, PhD, Lars Konradsen, MD, and Bruce Beynnon, PhD
• Chapter 28. Surgical considerations related to proprioception and neuromuscular control
  • Ian K.Y. Lo, MD, and Peter Fowler, MD, FRCSC
• Chapter 29. The role of proprioception in patients with DJD and following total knee arthroplasty
  • C. Buz Swanik, MS, ATC, Harry Rubash, MD, Robert Barrack, MD, and Scott Lephart, PhD, ATC
• Chapter 30. Overview of the neuromuscular control of the shoulder: its status in patients with DJD and after total shoulder arthroplasty
  • Jorge Giraldo, MD, Christian Fink, MD, Ivan Vassilev, MD, and Jon JP Warner, MD
• Section IV. Role of Rehabilitation in Re-establishing Proprioception and Neuromuscular Control
  • Section Leaders: David Perrin, PhD, ATC, and Jay Irrgang, PhD, PT, ATC
• Chapter 31. Models for clinical research involving proprioception and neuromuscular control
  • David H. Perrin, PhD, ATC, and Sandra Shultz, PhD, ATC
• Chapter 32. Rationale for open and closed kinetic chain activities for restoration of proprioception and neuromuscular control following injury
  • Jay Irrgang, PhD, PT, ATC, and Randy Neri, PT, ATC
• Chapter 33. Role of fatigue on proprioception and neuromuscular control
  • Susan Rozzi, PhD, ATC, Pongsak Yuktanandana, MD, and Danny Pincivero, PhD
• Chapter 34. The role of coactivation and eccentric activity in the ACL injured knee
  • Louis Osternig, PhD, ATC
• Chapter 35. Restoration of dynamic stability in the ACL deficient knee
  • Kathrine Rudolph, MS, PT, Kelley Fitzgerald, PhD, PT, OCS, and Lynn Snyder-Mackler, ScD, PT
• Chapter 36. Restoration of proprioception and neuromuscular control of the unstable shoulder
  • Scott Lephart, PhD, ATC, and Timothy Henry, PhD, ATC
• Chapter 37. Restoration of functional motor patterns and functional testing in the throwing athlete
  • Kevin Wilk, PT

Audiences

Reference for athletic trainers, sports medicine specialists, physical therapists, orthopaedic surgeons, physiotherapists, and motor behaviorists.