title: Clinical strategies for addressing muscle weakness following knee injury.
abstract: Muscle strength is a determinate of physical function and increasing muscle strength is an important clinical goal for patients with knee injury. This article discusses the emerging evidence regarding a novel rehabilitation strategy that uses disinhibitory modalities to increase neuromuscular activation in conjunction with traditional muscle strengthening for the purpose of maximizing strength gains following acute knee injury or surgery and in patients with knee osteoarthritis. The use of disinhibitory modalities and specific types of neuromuscular training for clinically maximizing strength are discussed.
authors.affiliation: Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA. Electronic address: brian@unc.edu.
authors.forename: Brian
authors.initials: B
authors.lastname: Pietrosimone
authors.affiliation: Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA.
authors.forename: J Troy
authors.initials: JT
authors.lastname: Blackburn
authors.affiliation: Human Movement Sciences, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA.
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Harkey
authors.affiliation: Human Movement Sciences, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA.
authors.forename: Brittney A
authors.initials: BA
authors.lastname: Luc
authors.affiliation: Human Movement Sciences, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA.
authors.forename: Derek N
authors.initials: DN
authors.lastname: Pamukoff
authors.affiliation: Department of Kinesiology, University of Virginia, 210 Emmet Street South, PO Box 4000407, Charlottesville, VA 22904, USA.
authors.forename: Joe M
authors.initials: JM
authors.lastname: Hart
mesh_terms: D019645:Arthroplasty, Replacement, Knee; D001676:Biofeedback, Psychology; D017679:Cryotherapy; D004599:Electric Stimulation Therapy; D006801:Humans; D007718:Knee Injuries / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D053580:Muscle Strength; D052580:Muscle Stretching Exercises; D018908:Muscle Weakness / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation*; D026201:Musculoskeletal Manipulations; D020370:Osteoarthritis, Knee / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D055070:Resistance Training; D050781:Transcranial Magnetic Stimulation; D004561:Transcutaneous Electric Nerve Stimulation; D014732:Vibration / Q000627:therapeutic use
keywords: Disinhibitory modalities; Electromyographic biofeedback; Transcranial magnetic stimulation; Transcutaneous electrical nerve stimulation