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Invited Commentary

CT Leonard, PhD, PT, is Director, Motor Control Research Laboratory, Assistant Professor, Physical Therapy Department, Adjunct Assistant Professor, Division of Biological Sciences, School of Pharmacy and Allied Health Sciences, The University of Montana, 026 McGill Hall, Missoula, MT 59812-1076

This excerpt was created in the absence of an abstract.

Dr Bullock-Saxton's article examines theoretical concepts of neural adaptation and motor control changes following soft tissue injury. Equally as important, the author poses the clinical question, Should motor planning/learning rehabilitation be an integral part of treatment protocols following orthopedic-type injuries? These issues are ripe for investigation, and, as a neuroscientist and a physical therapist, I was very pleased to be invited to provide this commentary.

First and foremost, I would like to commend the author for tackling a technically, and theoretically difficult, problem. The hypothesis that changes within articular sensory receptors—as a result of soft tissue injury—alter postural reflexes, has a strong theoretical rationale. The Bobaths and Signe Brunnström were among the first to make clinical use of the importance of sensory input to motor control.

Scientists, such as Goldberger,¹ Hulliger,² and Pearson,³ have shown the importance of afferent information to motor control....

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