Neuromuscular coordination is the ability of the central nervous system to control muscles to execute multi-limb movements. It involves coordination between nerves and muscles at the neuromuscular junction, where motor neurons activate individual muscle fibers or groups of fibers within motor units. There are two types of coordination: intermuscular, which involves individual muscle activation; and intermuscular, which involves interaction between agonist, antagonist, synergist and fixator muscle groups to perform smooth, rhythmical movements for specific tasks. A lack of coordination is called incoordination and can be caused by neurological conditions like flaccidity, spasticity, cerebral ataxia, loss of proprioception, or tabes dorsalis, resulting

1. NEUROMUSCULAR
COORDINATION
Presented by AASMA MEHAK
Presented to SIR ARSHID
DPT BATCH-I (2018)
KIHST
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2. INTRODUCTION
• It is a coordination between nerves & muscles
• Neuromuscular coordination can be defined as the ability of the central nervous
system (CNS) to control the muscles in the execution of multi-limb functional
movements.
• Neuromuscular Coordination, also known as “motor control” or “muscle
memory” is the ability of the nervous system to efficiently recruit a muscle or a
group of muscles in order to perform a specific task unconsciously.
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3. MOTOR SYSTEM
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4. MOTOR SYSTEM
• Each muscle is innervated by motor nerve at the upper part of muscle
membrane called neuromuscular junction.
• Bundle of fibres innervated by nerve called motor unit
• Action potential travels through NMJ.
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7. COORDINATION or MOTOR RESPONSE
• There are two types of co ordinations (motor responses) between nerve and
muscles
I. Intera-muscular coordination
II. Inter-muscular coordination
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8.  INTERAMUSCULAR COORDINATION
• The activation of individual neuro muscular units
• The activation of individual muscle fibre
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9.  IINTERMUSCULAR COORDINATION
• Relates to the interaction between group of muscles i.e. agonists, antagonists,
synergists, fixators
• It is smooth rhythmical and correct movement to perform specific task
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11. INCOORDINATION
(Asynergia)
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12. DEFINITION
• Coordination is smooth, rhythmical, and accurate harmonial activity performed
in correct sequence of action of the group of muscles
• Incoordination is jerky, inaccurate and non-purposeful movement done by the
group of muscles
 Causes
I. Flaccidity
II. Spasticity
III. Cerebral ataxia
IV. Loss of kinaesthetic sensation
V. Tabes dorsalis 12

13. FLACCIDITY
• Lower motor neuron lesion results in flaccidity
• Nerve impulses cut off before reaching the muscle
• As the result of weakness the patient cannot perform movement in coordinate manners
SPASTICITY
• Upper motor neuron lesion results in spasticity
• Muscles are tight & contracted (hpertonia)
• Due to spasticity muscles do not perform rhythmic movement
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CEREBRAL ATAXIA
• It occurs when there is abnormality in cerebellum
• It effects vision and balance of body
• Wide based gait

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17. TABES DORSALIS
• Also called posterior column disease of spinal cord due to injury of posterior column &
sensory loss
• Patient cannot perform smooth coordinate movement due to loss in sensation
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18. FRENKLE EXERCISE
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19. INTRODUCTION
• This is specialized exercise regimen for the sensory ataxia patient
Principles
• Concentration
• Precision
• Speed and range
• Repetition
• Complications
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