Exploring physiotherapy strategies in arthrogenic muscle inhibition: A scoping review

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.