Corrective Exercise Strategy for Neuromusculoskeletal Dysfunction
The muscular system and skeletal system are generally referred to as one musculoskeletal system, which consists of bones, joints, muscles, and related structures, such as connective tissue and tendons that function in the support and movement of the human body parts and organs. On the other hand, the human movement system (HMS) consists of the skeletal system, muscular system and nervous system, referred to as one neuromusculoskeletal system, and appropriate human movement patterns are produced by these three interdependent systems. An impairment in the neuromusculoskeletal system must be approached by accurate analysis and descriptions of human movement. These neuromusculoskeletal impairments are generally caused by biomechanical problems, and corrective exercise as a treatment approach could be very effective. By applying the principles of physic, biomechanics is a study of how bones, ligaments, muscle and tendons work together and produce movement patterns.
Corrective Exercise Approach
The corrective exercise approach is used: a) to identify and evaluate neuromusculoskeletal problems in the body, and b) to design and execute a well-devised plan.
1- Identifying and Evaluating Neuromusculoskeletal Problems
Since the human movement system is an integrated system, any dysfunction in one system causes compensation and adaptations in other systems. For this reason, such movement impairment/dysfunction leads to a lack of neuromusculoskeletal efficiency, performance, and tissue fatigue and breakdown. For instance, if the gluteus medius is underactive, then the tensor fascia latae (TFL) may become overactive to produce enough force to accomplish frontal plane stability of the lumbopelvic-hip complex (LPHC). An overactive TFL leads to tightness in the iliotibial band (ITB) and results in ITB tendonitis, low-back pain and patellofemoral joint pain. For this reason, to treat a movement impairment syndrome, identifying the neuromusculoskeletal problem is the first stage of a corrective exercise strategy.
To uncover the root causes of movement limitations, alleviate pain and improve optimal structural functioning, this stage of corrective exercise strategy, evaluation of movement impairment, requires an understanding of the neuromusculoskeletal system, human anatomy, kinesiology and biomechanics, muscle testing (length and strength), as well as standard posture.
The evaluation stage of a corrective exercise procedure starts with an examination of muscle length and strength (balance and functionality) through applying the principles of standard posture as well as taking into account the uniqueness of one’s musculoskeletal system. After testing muscle, the second step is to examine the movement patterns and functional efficiency of the neuromusculoskeletal system. To put it another way, checking whether the neuromuscular system recruits correct muscle synergies, at the right time, with the appropriate force to perform a movement and the least amount of energy and stress on the body.
2- Designing a Corrective Exercise Plan
Once the evaluation of a movement limitation is done, it’s time to fix the problem and restore the optimal functionality of the neuromusculoskeletal system by designing a well-devised corrective exercise program. Since the root cause of a movement impairment may vary from person to person, a client needs a specific periodized corrective exercise plan. For this reason, an exercise program should be modified to a client’s needs and must be executed by following good initial guidance.
Other features of a corrective exercise plan are to be progressive, flexible and functional. You have to see optimal results in a movement dysfunction after executing a program, such as muscle balance, stability and mobility, strength and power, all are one’s fitness components. If one doesn’t get considerable outcomes, there should be another program within a corrective exercise plan. Additionally, if a client can perform, a plan must be designed based on functional and compound movements through effective management of load (bodyweight and free weight), sets, repetitions, rest and recovery time between each training session.
The Bottom Line
Optimum functionality of the neuromusculoskeletal system, the three interrelated and interdependent systems – muscular system, nervous system and skeletal system, results in optimum alignment and optimum human movement patterns. This structural alignment in the human body is named posture. The structural efficiency of each system allows posture to be balanced to one’s centre of gravity. Proper posture and neuromusculoskeletal efficiency enable one to maintain his/her centre of gravity during functional movements, referred to as functional efficiency. Indeed, functional efficiency is the ability of the neuromusculoskeletal system to monitor and recruit the right group of muscle, at the right time, with the appropriate amount of strength to execute functional movements with the least amount of energy and stress on the human movement system.
As you know that the purpose of applying corrective exercise is to improve the functional efficiency of those who have movement impairment syndromes or movement dysfunction. For this reason, neuromusculoskeletal rehabilitation is a part of Personal Training Program at Bring You Health.