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Letter to Editor
ARTICLE IN PRESS
doi:
10.25259/JMSR_261_2024

Unlocking the power of muscle memory: Advanced techniques for post-traumatic rehabilitation and return to competitive sports

Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.

*Corresponding author: Roberto Tedeschi, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy. roberto.tedeschi2@unibo.it

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Tedeschi R. Unlocking the power of muscle memory: Advanced techniques for post-traumatic rehabilitation and return to competitive sports. J Musculoskelet Surg Res. doi: 10.25259/JMSR_261_2024

Dear Editor,

Muscle memory is a fundamental concept in the field of rehabilitation, particularly relevant for athletes aiming to return to competition after an injury. It represents the neuromuscular system’s ability to “remember” specific movements, facilitating a quicker and more effective recovery. Muscle memory relies on both neurological and muscular adaptations that occur through repetitive training. These adaptations include synaptic plasticity, where synaptic connections strengthen with practice, enhancing the transmission of nerve impulses, and neural coordination, where neural pathways become more efficient at coordinating muscle movements.[1]

A well-structured training program is essential to effectively stimulate muscle memory. Gradual progression of exercise intensity and volume is crucial to avoid setbacks and maximize benefits. “Repetition of specific movements is crucial for reactivating muscle memory and restoring efficient motor patterns.”[2,3] This repetition enhances motor cortex plasticity, allowing for more refined motor control and increased movement efficiency.

TECHNIQUES FOR TRAINING MUSCLE MEMORY

Visualization and mental rehearsal

Mental rehearsal of movements is an effective technique for training muscle memory. This practice activates the neural circuits involved in muscle memory, preparing the brain and muscles for physical training. Visualization can be particularly useful during the early stages of rehabilitation when physical movement is limited. “Mental imagery not only prepares the brain for the execution of movements but also reinforces neuromuscular connections.”[4,5] Studies have shown that athletes who regularly use visualization techniques can improve their motor performance by up to 15%.[6]

Functional electrical stimulation (FES)

Using devices such as FES is another technique for training muscle memory. These devices can accelerate muscle recovery and improve neuromuscular coordination. FES stimulates muscles through electrical impulses that mimic natural nerve signals, helping reactivate atrophied muscles and improve their function. “FES is particularly effective in enhancing muscle strength and endurance in patients undergoing rehabilitation.”[7] FES can be used to maintain muscle tone and prevent atrophy in immobilized patients, significantly contributing to faster recovery once active rehabilitation begins.

Real-time feedback and monitoring

Implementing real-time feedback systems and continuous performance monitoring is fundamental for personalizing the rehabilitation program and optimizing muscle memory training. Technologies such as biofeedback and motion sensors provide real-time data, allowing immediate adjustments to enhance training effectiveness. “The use of real-time feedback allows for immediate correction of movement errors, improving motor learning and muscle memory.”[8] Advanced biofeedback systems can track various parameters, including muscle activation patterns, joint angles, and force production, providing a comprehensive overview of the athlete’s progress and areas needing improvement. Force production refers to the capacity of muscles to generate force during various physical activities. It is a critical parameter in assessing muscular strength and performance. In advanced biofeedback systems, tracking force production provides valuable insights into an athlete’s muscular function, enabling precise adjustments to training programs. This, in turn, helps optimize muscle activation, enhance performance, and prevent injuries by ensuring that muscles work efficiently against the resistance they encounter during sports or rehabilitation exercises.[9]

Clinical evidence and effectiveness

Several clinical studies have demonstrated the effectiveness of muscle memory in athlete rehabilitation. For instance, a study on athletes with anterior cruciate ligament injuries showed that a 16-week rehabilitation program based on muscle memory-specific exercises led to significant improvements in muscle strength, joint stability, and reaction time compared to a control group. “Exercises specific to muscle memory have been shown to reduce recovery times and improve functional outcomes in post-trauma athletes.”[10] Another study highlighted that incorporating neurofeedback into rehabilitation protocols enhanced motor learning and cortical reorganization, resulting in better functional recovery.

Muscle memory is an essential component of post-traumatic rehabilitation, facilitating the recovery of motor skills and return to competitive sports. Implementing specific training programs, visualization techniques, assistive technologies, and feedback systems can optimize the rehabilitation process and improve outcomes for injured athletes. Investing in the understanding and application of muscle memory can make the difference between a safe and effective return to competition and incomplete recovery. “Muscle memory not only facilitates recovery but can also prevent future injuries by enhancing stability and neuromuscular coordination.”[6]

Future research should focus on optimizing rehabilitation protocols, technological innovations to support neuromuscular recovery, and personalized training to maximize the benefits of muscle memory based on the type of sport and specific injury. Understanding the molecular and cellular mechanisms underlying muscle memory will also provide deeper insights into how to enhance this process further.

ETHICAL APPROVAL

The Institutional Review Board approval is not required.

DECLARATION OF PATIENT CONSENT

Patient’s consent was not required as there are no patients in this study.

USE OF ARTIFICIAL INTELLIGENCE (AI)-ASSISTED TECHNOLOGY FOR MANUSCRIPT PREPARATION

The author confirms that no artificial intelligence (AI)-assisted technology was used to assist in the writing or editing of the manuscript, and no images were manipulated using AI.

CONFLICTS OF INTEREST

There are no conflicting relationships or activities.

FINANCIAL SUPPORT AND SPONSORSHIP

This study did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

References

  1. . Muscle memory: Gathering the data, lifting the veil. J Clin Endocrinol Metab. 2024;109:e1305-6.
    [CrossRef] [PubMed] [Google Scholar]
  2. , , , , , , et al. 3-D virtual reality surgery training to improve muscle memory and surgical skills in head and neck residents/young surgeons. Eur Arch Otorhinolaryngol. 2024;281:2767-70.
    [CrossRef] [PubMed] [Google Scholar]
  3. , , , , , , et al. Effects of proprioceptive neuromuscular facilitation technique on scapular dyskinesis in patients with subacute stroke. J Musculoskelet Surg Res. 2024;8:125-32.
    [CrossRef] [Google Scholar]
  4. , . Skeletal muscle memory. Am J Physiol Cell Physiol. 2023;324:C1274-94.
    [CrossRef] [PubMed] [Google Scholar]
  5. , , . Effects of Brunnstrom movement therapy versus mirror therapy on hand function in post-stroke hemiplegic population. J Musculoskelet Surg Res 2024:1-6. doi: 10.25259/JMSR_77_2024
    [CrossRef] [Google Scholar]
  6. . Unlocking the power of motor imagery: A comprehensive review on its application in alleviating foot pain. Acta Neurol Belg 2024 doi: 10.1007/s13760-024-02492-2
    [CrossRef] [Google Scholar]
  7. , , , , , , et al. Therapeutic effects of functional electrical stimulation on physical performance and muscle strength in post-stroke older adults: A review. Ann Geriatr Med Res. 2022;26:16-24.
    [CrossRef] [PubMed] [Google Scholar]
  8. , . Vibrotactile feedback in virtual motor learning: A systematic review. Appl Ergon. 2022;101:103694.
    [CrossRef] [PubMed] [Google Scholar]
  9. , , , . Individuals with chronic ankle instability show abnormalities in maximal and submaximal isometric strength of the knee extensor and flexor muscles. Am J Sports Med. 2024;52:1328-35.
    [CrossRef] [PubMed] [Google Scholar]
  10. , , , , , , et al. Optimization of the anterior cruciate ligament injury prevention paradigm: Novel feedback techniques to enhance motor learning and reduce injury risk. J Orthop Sports Phys Ther. 2015;45:170-82.
    [CrossRef] [PubMed] [Google Scholar]
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