Exploring physiotherapy strategies in arthrogenic muscle inhibition: A scoping review

Ajitha Makkuva * and Pooja surve

Associate Professor, Department of Physiotherapy, Yashoda college of physiotherapy, Gowdavally, KNR University, Telangana, India.
 
Review
International Journal of Science and Research Archive, 2024, 12(02), 2609–2620.
Article DOI: 10.30574/ijsra.2024.12.2.1572
Publication history: 
Received on 14 July 2024; revised on 20 August 2024; accepted on 23 August 2024
 
Abstract: 
Arthrogenic muscular inhibition (AMI) is the presynaptic continual reflex inhibition of the surrounding muscles. It is a defensive reaction that lowers motor neuron activity to prevent further damage; however, if it persists, it can cause muscle atrophy and weakness, which can cause functional limitations. It usually involves quadriceps muscle post knee injuries and surgeries. Though it can be appreciated at any joint post injury or surgery like shoulder , elbow and ankle.
Recent studies shows that post injury or surgery, tissues respond by reflex inhibition mechanism and is unnoticed by many therapists. The aim of this review is to analyse the various approaches available in the physiotherapy rehabilitation for treating AMI of any joint and to know the best treatment approach to be used for optimising the effects of AMI. Total of 37 articles were considered to identify the different outcomes and interventions used in treating AMI.
In conclusion, Effective physiotherapy interventions are necessary to address AMI and enhance joint function and muscle activation. NMES, cryotherapy, and certain strengthening exercises are a few examples of interventions that can help get past the neural inhibition limiting muscle activation surrounding an injured joint.
The implementation of early physiotherapy interventions is essential for preventing
muscle atrophy and regaining normal movement patterns. In order to advance patient rehabilitation and maximize healing and functional outcomes, a customized protocol with particular demands is required.
 
Keywords: 
Arthrogenic muscle inhibition (AMI); Knee injury; ACL reconstruction; Musculoskeletal rehabilitation; Functional outcome
 
Full text article in PDF: 
 
Copyright information: 

Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0