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Proprioception/Neuromuscular

Control

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Afferent Inputs (3 subsystems)

Vision Horizontal and vertical

references

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Afferent Inputs (3 subsystems)

Vision Vestibular

Head movement Inner ear Balance and posture

Somatosensory Peripheral Afferent

Receptors

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Somatosensory System

Afferent Receptors Free Nerve Endings

Hair follicles

Pain receptors

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Somatosensory System

Afferent Receptors Free Nerve Endings

Cutaneous Receptors Few respond Respond at extreme

ROM

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Somatosensory System

Afferent Receptors Free Nerve Endings

Cutaneous Receptors Articular (Joint)

QA and SA Pacinian Corpuscle

Joint capsule RA

sensitivity

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Somatosensory System

Afferent Receptors Free Nerve Endings

Cutaneous Receptors Articular (Joint)

QA and SA Pacinian Corpuscle

Ruffini Endings Capusular collagen SA Sensitive to

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Somatosensory System

Afferent Receptors Free Nerve Endings Cutaneous Receptors Articular (Joint)

QA and SA Pacinian Corpuscle Ruffini Endings

Golgi-tendon LikeOrgans

Ligaments Sensitivity

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Somatosensory System

Afferent Receptors Free Nerve Endings

Cutaneous Receptors Articular (Joint) Musculotendinous

Receptors

Muscle Spindles Golgi tendon organs

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Location of Muscle Spindle

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Somatosensory System

Afferent Receptors Free Nerve Endings

Cutaneous Receptors Articular (Joint) Musculotendinous

Receptors

Muscle Spindles Golgi tendon organs

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Path of GTO to Spinal Cord

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Spinal Cord Entry

Dorsal Roots Synapse with

interneurons

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Spinal Cord Entry

Dorsal Roots Synapse with

interneurons Monosynaptic Stretch

Reflex

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Spinal Cord Entry

Dorsal Roots Synapse with

interneurons Monosynaptic Stretch

Reflex Polysynaptic Reflex

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Pathways to the Brain

Anterolateral Pathway Dorsal Column

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The Brain

Brain Stem

Cerebral Cortex

Cerebellum

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Motor Control Maintenance:How do we control motor

Performance? FEEDFORWARD AND FEEDBACK

Feedforward Preactivation Functions

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Motor Control Maintenance:How do we control motor

Performance? FEEDFORWARD AND FEEDBACK

Feedback So what? The Key

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Components of Neuromuscular

Control Training Proprioception Kinesthesia Dynamic Stability Preparatory Muscle Contractions Reactive Muscle Characteristics Conscious and Unconscious Movement

Patterns

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Re-establishing Neuromuscular

Control Four Basic Elements

Proprioceptiom Dynamic Joint Stabilization Reactive Neuromuscular Control Functional Motor Patterns

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Phases of Neuromuscular Control

Training Phase I Phase II Phase III Phase IV