IMEMR
EMRO
66.92
Index Copernicus
ICICICICICICICIC
Volume 4, Issue 4 (2023)
J Clinic Care Skill 2023, 4(4): 207-211 |
Back to browse issues page
Article Type:
History
Received: 2023/11/19 | Accepted: 2023/12/7 | Published: 2023/12/7
Received: 2023/11/19 | Accepted: 2023/12/7 | Published: 2023/12/7
How to cite this article
Najafi Doulatabad S, Afrasiabifar A, Parandvar Y. Effect of Proprioceptive Neuromuscular Facilitation Exercises on Muscle Strength in Stroke Patients. J Clinic Care Skill 2023; 4 (4) :207-211
URL: http://jccs.yums.ac.ir/article-1-221-en.html
URL: http://jccs.yums.ac.ir/article-1-221-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
1- Department of Nursing, Faculty of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
2- Department of Nursing, Faculty of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran ,y.parandvar@gmail.com
2- Department of Nursing, Faculty of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran ,
Abstract (2233 Views)
Aims: Stroke is a localized and sudden neurological disorder in the brain that can decrease muscle strength. This study aimed to determine the effect of Proprioceptive Neuromuscular Facilitation exercises on the muscle strength of stroke patients.
Materials & Methods: This pre-post clinical trial with a randomized control group was conducted in 2017-2018. Patients with stroke were referred to the Neurology Department of Shahid Beheshti Hospital in Yasuj City, Iran. Sixty eligible stroke patients were selected through convenience sampling and assigned to intervention and control groups using random block allocation. Data were collected through a muscle strength questionnaire at baseline, immediately post-intervention, and four weeks after the last intervention. Statistical analysis was performed using SPSS 21 software, employing Wilcoxson and Mann-Whitney U.
Findings: There was no statistically significant difference in muscle strength between the research samples before and immediately after the intervention. However, one month after the intervention, a statistically significant difference was reported between the two groups (p<0.05). The difference in the mean muscle strength was significant in the test group (p=0.001).
Conclusion: Implementing proprioceptive neuromuscular facilitation techniques improves muscle strength in stroke patients.
Materials & Methods: This pre-post clinical trial with a randomized control group was conducted in 2017-2018. Patients with stroke were referred to the Neurology Department of Shahid Beheshti Hospital in Yasuj City, Iran. Sixty eligible stroke patients were selected through convenience sampling and assigned to intervention and control groups using random block allocation. Data were collected through a muscle strength questionnaire at baseline, immediately post-intervention, and four weeks after the last intervention. Statistical analysis was performed using SPSS 21 software, employing Wilcoxson and Mann-Whitney U.
Findings: There was no statistically significant difference in muscle strength between the research samples before and immediately after the intervention. However, one month after the intervention, a statistically significant difference was reported between the two groups (p<0.05). The difference in the mean muscle strength was significant in the test group (p=0.001).
Conclusion: Implementing proprioceptive neuromuscular facilitation techniques improves muscle strength in stroke patients.
Keywords:
References
1. GBD 2016 Lifetime Risk of Stroke Collaborators; Feigin VL, Nguyen G, Cercy K, Johnson CO, Alam T, Parmar PG, et al. Global, Regional, and Country-Specific Lifetime Risks of Stroke, 1990 and 2016. N Engl J Med. 2018;379(25):2429-37. [Link] [DOI:10.1056/NEJMoa1804492]
2. Biswas N, Uddin KM, Rikta ST, Dey SK. A comparative analysis of machine learning classifiers for stroke prediction: A predictive analytics approach. Healthc Analytics. 2022;2:100116. [Link] [DOI:10.1016/j.health.2022.100116]
3. Noor MB, Zenia NZ, Kaiser MS, Mamun SA, Mahmud M. Application of deep learning in detecting neurological disorders from magnetic resonance images: A survey on the detection of Alzheimer's disease, Parkinson's disease and schizophrenia. Brain Inform. 2020;7(1):11. [Link] [DOI:10.1186/s40708-020-00112-2]
4. Ghandehari K. Epidemiology of stroke in Iran. Galen Med J. 2016;24(5):3-9. [Link] [DOI:10.31661/gmj.v5iS1.588]
5. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics-2017 update: A report from the American heart association. Circulation. 2017;135(10):e146-603. [Link] [DOI:10.1161/CIR.0000000000000491]
6. Tanashyan MM, Antonova KV, Lagoda OV, Maximova MY, Glebov MV, Shabalina AA. Аcute stroke and type 2 diabetes. Ann Clin Experimental Neurol. 2014;8(3):4-8. [Russian] [Link]
7. Krisdianto EJ. Range of motion exercise to improve muscle strength among stroke patients. Int J Nurs Health Serv. 2018; 1(2):41-5. [Link]
8. Wan CY, Zheng X, Marchina S, Norton A, Schlaug G. Intensive therapy induces contralateral white matter changes in chronic stroke patients with Broca's aphasia. Brain Lang. 2014;136:1-7. [Link] [DOI:10.1016/j.bandl.2014.03.011]
9. Ahmadabadi S, Alavian F, Sedaghati P. Effectiveness of Motor Interventions in Improving the Motor Abilities of Post-stroke Patients: A Systematic Review. Scientific J Rehabil Med. 2022;10(6):1140-55. [Link] [DOI:10.32598/SJRM.10.6.2]
10. Hindle KB, Whitcomb TJ, Briggs WO, Hong J. Proprioceptive Neuromuscular Facilitation (PNF): Uts mechanism and effects on range of motion and muscular function. J Human Kinet. 2012;31:105-13. [Link] [DOI:10.2478/v10078-012-0011-y]
11. Gunning E, Uszynski MK. Effectiveness of the proprioceptive neuromuscular facilitation method on gait parameters in patients with stroke: A systematic review. Arch Phys Med Rehabil. 2019;100(5):980-6 [Link] [DOI:10.1016/j.apmr.2018.11.020]
12. Jacob JR. Effectiveness of Rhythmic Stabilization Technique (Pnf) with Conventional Physiotherapy in Osteoarthritis (Oa) Knee. Int Neurourol J. 2023;27(4):120-5. [Link]
13. Cayco CS, Gorgon EJR, Lazaro RT. Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke: A case report. J Bodyw Mov Ther. 2017;21(4):767-74 [Link] [DOI:10.1016/j.jbmt.2016.10.008]
14. Majhi, M, Mondal S. Effect of proprioceptive neuromuscular facilitation stretching on physical fitness: A critical analysis. GSC Adv Res Rev. 2021;6(1):71-5 [Link] [DOI:10.30574/gscarr.2021.6.1.0010]
15. Mazlom SR, Bahrami M, Hasanzadeh F, Gh& Ehari K. Effect of mirror therapy on walking ability in patients with stroke. J Birjand Univ Med Sci. 2015;22:134-44. [Persian] [Link]
16. Nobahar M, Babamohaqmmadi H, Soleymani M, Askari M, Vafaei A. Comprehensive textbook of nursing surgery. 1 ed. Tehran: Boshra Publishers; 2002. pp. 170.[Persian] [Link]
17. Soltandoost H. Duration of maintained hamstring flexibility after a one-time PNF-crca stretching protocol in non-athlete [dissertation]. Tehran: Tarbiat Moallem; 2011. [Link]
18. Tonak HA, Büker N, Kitiş A, Kavlak E. Comparison of Two different applications of proprioceptive neuromuscular facilitation techniques to increase upper-extremity muscle strength. Bezmialem Sci. 2021;9(2):190. [Link] [DOI:10.14235/bas.galenos.2020.3854]
19. Chaturvedi P, Tyagi V. Ischemic lesion volume correlation with functional outcome after PNF application in middle cerebral artery stroke survivors. Ind J Phys Occupat Ther. 2015;9(2):52-7. [Link] [DOI:10.5958/0973-5674.2015.00053.2]
20. Rhyu HS, Kim SH, Park HS. The effects of band exercise using proprioceptive neuromuscular facilitation on muscular strength in lower extremity. J Exercise Rehabil. 2015;11(1):36. [Link] [DOI:10.12965/jer.150189]
21. Meena V, Shanthi C, Madhavi K. Effectiveness of PNF stretching versus static stretching on pain and hamstring flexibility following moist heat in individuals with knee osteoarthritis. Int J Physiother. 2016;3(5):529-34. [Link] [DOI:10.15621/ijphy/2016/v3i5/117434]
22. Rezasoltani A, Khaleghifar M, Tavakoli A, Ahmadipour A. The comparison of neuromuscular facilitation exercises and traditional exercise therapy programs in the treating of patients with chronic non-specific neck pain. J Rafsanjan Univ Med Sci. 2009;8(1):59-68. [Persian] [Link]
23. Wang JS, Cho KH, Park SJ. The immediate effect of diaphragm taping with breathing exercise on muscle tone and stiffness of respiratory muscles and SpO2 in stroke patient. J Phys Ther Sci. 2017;29(6):970-3. [Link] [DOI:10.1589/jpts.29.970]
24. de Oliveira KC, de Souza LA, Emilio MM, da Cunha LF, Lorena DM, Bertoncello D. Overflow using proprioceptive neuromuscular facilitation in post-stroke hemiplegics: A preliminary study. J Bodyw Mov Ther. 2019;23(2):399-404. [Link] [DOI:10.1016/j.jbmt.2018.02.011]
25. Penna LG, Pinheiro JP, Ramalho SHR, Ribeiro CF. Effects of aerobic physical exercise on neuroplasticity after stroke: Systematic review. Arq Neuropsiquiatr. 2021;79(9):832-43. [Link] [DOI:10.1590/0004-282x-anp-2020-0551]
26. Attar Sayyah E, Hoseini Kakhk SAR, Hamedinia MR, Mehrjoo M. Effect of 8-week combined training (resistance and proprioceptive neuromuscular facilitation) on fatigue and quality of life in multiple sclerosis patients. Intern Med Today. 2016;22:43-50. [Persian] [Link] [DOI:10.18869/acadpub.hms.22.1.43]
27. Han P, Zhang W, Kang L, Ma Y, Fu L, Jia L, et al. Clinical evidence of exercise benefits for stroke. Adv Exp Med Biol. 2017;1000:131-51. [Link] [DOI:10.1007/978-981-10-4304-8_9]