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ARTICLE |

PRINCIPLES OF NEUROMUSCULAR REEDUCATION

O. Leonard Huddleston, M.D., Ph.D.
JAMA. 1954;156(15):1396-1398. doi:10.1001/jama.1954.02950150018005.
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Neuromuscular reeducation deals with retraining the brain and spinal cord in voluntary and reflex motor activities. Basic principles of neuromuscular physiology are applied clinically in the treatment of muscle paresis and paralysis. Physiological principles of both the muscular system and the nervous system are utilized, but more particularly the latter; strictly speaking, the term muscle reeducation is a misnomer, for only the nervous system is capable of being educated.

MUSCULAR CONTRACTION  The strength of contraction of a given muscle is determined by the following factors: anatomic and physiological status of the muscle fibers at the time of contraction; number and synchrony of the contracting fibers; number and frequency of nerve impulses reaching the muscle fibers; functional status of the neuromuscular junctions; and structural and functional condition of the tissues surrounding the muscle fibers, such as blood vessels and connective tissue. It will be recalled that individual skeletal muscle fibers follow

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