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J Am Acad Orthop Surg, Vol 16, No 9, September 2008, 497-505.
© 2008 the American Academy of Orthopaedic Surgeons
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Neuromuscular Control of Trunk Stability: Clinical Implications for Sports Injury Prevention

Bohdanna Zazulak, DPT, Jacek Cholewicki, PhD and N. Peter Reeves, PhD

Perspectives on Modern Orthopaedics articles provide an objective appraisal of new or controversial techniques or areas of investigation in orthopaedic surgery. Dr. Zazulak is Doctor of Physical Therapy and Research Associate, Yale New Haven Hospital, Yale University School of Medicine, New Haven, CT. Dr. Cholewicki is Walter F. Patenge Professor, Osteopathic Surgical Specialties, Michigan State University, East Lansing, MI. Dr. Reeves is Research Assistant Professor, Osteopathic Surgical Specialties, Michigan State University.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Zazulak, Dr. Cholewicki, and Dr. Reeves.

Reprint requests: Dr. Cholewicki, Michigan State University Center for Orthopedic Research, Ingham Regional Orthopedic Hospital, 2727 South Pennsylvania Avenue, Lansing, MI 48910.

Recent prospective evidence supports the hypothesis that impaired trunk control is a contributing factor to sports injuries of the spine as well as to segments of the kinetic chain. The current concepts regarding neuromuscular control of trunk stability are best described from a systems engineering perspective. In the analysis of current neuromuscular training protocols for sports injury prevention, these principles are applied to identify components that optimize neuromuscular control of trunk stability. Current perspectives of neuromuscular learning can be applied clinically to aid in the formulation of injury prevention strategies.




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Correspondence
J. Am. Acad. Ortho. Surg., January 1, 2009; 17(1): 1 - 2.
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