FENOMENUL DE INHIBIȚIE MUSCULARĂ DE CAUZĂ ARTROGENĂ ÎN PRACTICA FIZIOTERAPEUTICĂ

THE PHENOMENON OF MUSCULAR INHIBITION OF ARTHROGENIC CAUSE IN PHYSIOTHERAPEUTIC PRACTICE

Abstract

Arthrogenic muscle inhibition (A.M.I.) is a presynaptic, continuous reflex inhibition of the muscles surrounding a joint, due to edema or damage to the structures that make up the joint. It is a natural response designed to protect the joint from further damage. It is a phenomenon most often encountered in patients, both after a trauma or surgery, but also in a degenerative process, in the joints of the knee or ankle.

The symptoms encountered in the case of A.M.I. are decreased muscle strength, decreased muscle volume and decreased voluntary muscle activity. It is very important in this case to differentiate between the decrease in muscle strength caused by immobilization or non-use of the muscles and the involvement of the phenomenon of arthritic muscle inhibition. This can have major implications for recovery time, the effectiveness of therapy and the prevention of subsequent injuries. It is reported and highlighted in studies that patients undergoing A.M.I. they have a higher prevalence of injuries and in many cases result in long-term joint instability, muscle hypotrophy or decreased strength that is very difficult to recover through classic treatment.

The importance for physiotherapists of recognizing this phenomenon and appropriate treatment is very high and has a positive impact on the quality of treatment of patients.

This paper aims to conduct a bibliographic research that aims to find conclusive information about this phenomenon and its treatment to improve the quality of services that physiotherapists can provide.