While manual techniques are used to work on joint and tissue mobility, neuromuscular re-education addresses stability and proprioception, or the ability of specific muscles to respond appropriately to outside forces.
Neuromuscular Re-education for orthopedic patients
Neuromuscular re-education consists of manual techniques (i.e.PNF-proprioceptive neuromuscular facilitation), activities for balance ,core control (i.e Bosu exercises and Therapeutic Ball exercises) and other therapeutic exercises that are designed to re-develop normal, controlled movement patterns. The goal of neuromuscular re-education activities in the out-patient orthopaedic setting is the same as it is in any other setting: to re-train a body part to perform some task that the body part was previously able to do.
When is Neuromuscular Re-education Employed?
In the orthopedic setting, the need to re-establish normal kinesthetic sense and proprioception of the cervical, thoracic, lumbar spine and appendicular skeleton is critical to eliminate many of the symptoms that a patient presents with during their treatment time. When these neurological characteristics are not functioning properly, a patient cannot maintain proper posture and many of the muscles of the involved area do not function properly.
At re+ACTIVE, our approach to stability training is very hands on. We believe that the therapist can create the ultimate "unstable environment" using their hands to apply perturbations from different directions, intensity and duration.