DOI QR코드

DOI QR Code

The Effects of Upper and Lower Limb Coordinated Exercise of PNF for Balance in Chronic Stroke Patients

고유수용성신경근촉진법의 상하지 협응 운동이 만성 뇌졸중 환자의 균형 능력에 미치는 효과

  • Cho, Hyuk-Shin (Department of Physical Therapy, Wonkwang Health Science University) ;
  • No, Hyun-Jeong (Rehabilitation center, Design Hospital)
  • 조혁신 (원광보건대학교 물리치료과) ;
  • 노현정 (대자인병원 재활센터)
  • Received : 2014.11.29
  • Accepted : 2015.02.25
  • Published : 2015.03.31

Abstract

Purpose: This study aimed to examined the effects of upper and lower limb coordinated exercise of proprioceptive neuromuscular facilitation (PNF) on static and dynamic balance ability. Methods: The subjects of this study were 18 patients who had been diagnosed with a stroke and hospitalized and who had received rehabilitation treatment at D rehabilitation hospital located in J city. They were randomly and equally assigned to a PNF upper and lower limb coordinated exercise group and an ordinary central nervous system development and treatment group, and they conducted exercises for eight weeks. They carried out exercise three times per week, for 30 minutes per each time. After each four minutes of exercise, each participant was given a and rest for one minute after exercise for four minutes was given. In order to test the subjects' static and dynamic balance ability and their dynamic balance ability, frailty and injuries,: a cooperative studyies of intervention techniques (FICSIT-4) test, a four- step square test (FSST), a timed up and go test (TUG), and a TWT3M tests wasere conducted before and after the exercise. Descriptive statistics were taken for the general characteristics of the subjects, and an independent t-test was conducted both before and after the exercise in order to examine differences between the two groups before and after the exercise were conducted. The A statistical significance level was set at p= 0.05. Results: In all the tests (of FICSIT-4, FSST, TUG, and TWT3M), both the experimental group and the control group saw more improved results, but the experimental group's results were significantly higher than those of the control group, and the size of the effects was larger in the experimental group than in the control group, with statistically significant results. Conclusion: PNF upper and lower limb coordinated exercise applied to chronic stroke patients produced brought significant results in static and dynamic balance ability. PNF and is considered as an important intervention program to improve stroke patients' balance ability.

Keywords

References

  1. An GC. Effects of Resistive and Resistive Power Exercise of using Thera-band on Gait, Balance and Muscle Activation in Patients with Stroke. Dankook University. Dissertation of Master's Degree. 2013.
  2. Blennerhassett JM, Jayalath VM. The four square step testis a feasible and valid clinical test of dynamic standing balance for use in ambulant people poststroke. Archives of physical medicine and rehabilitation. 2008;89(11):2156-2161. https://doi.org/10.1016/j.apmr.2008.05.012
  3. Cho HS. The Effect of Coordinative Pattern Exercise of Upper and Lower Extremities for Balance and Gait in Chronic Stroke Patients. Daejeon University. Dissertation of Doctorate Degree. 2010.
  4. Choi JW. The Effects of Task-Oriented Training Program on Balance, Activities of Daily Living Performance and Self-efficacy in Hemiplegic Patients with Stroke. Korea National University of Transportation. Dissertation of Master's Degree. 2013.
  5. Dietz B. Let's sprint, let's skate : Innovationen im PNF-Konzept. Heidelberg. Springer. 2009.
  6. Eng JJ, Chu KS. Reliability and Comparison of Weight-Bearing Ability During Standing Tasks for Individuals With Chronic Stroke. Archives of physical medicine and rehabilitation. 002;83(8):1138-1144. https://doi.org/10.1053/apmr.2002.33644
  7. Jeong WS, Jeong JW, Kim CK, et al. Effect of Lower Limb Muscle Activity on Balancing through Sprinter Patterns of PNF. Journal of the Korea Contents Society. 2011;11(3):281-292. https://doi.org/10.5392/JKCA.2011.11.3.281
  8. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Archives of physical medicine and rehabilitation. 2007;88(11):1410-1405. https://doi.org/10.1016/j.apmr.2007.08.109
  9. Kim DJ. Prevalence and Associated Factors of Falls in the Elderly in a Rural Community. Seoul University. Dissertation of Master's Degree. 2002.
  10. Kim JM, Yi CH, Yang HS. Effect of PLS (Posterior Leaf Spring) on Standing Balance in Hemiplegic Patients. Physical Therapy Korea. 1999;6(1):15-22.
  11. Kim TY. The effect of strengthening exercise using the sprinter/skater patterns. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2006;4(1):71-79.
  12. Kwon KH, Jung YW, Bae SS. Effect of Lower Extremity Patterns of Proprioceptive Neuromuscular Facilitation on Balance Ability in Patients with Hemiplegia. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2007;5(2):21-35.
  13. Lee JS. Effect of Sprinter Pattern in PNF and Functional Weight Bearing Exercise on Weight Bearing and Balance for Patients with Chronic Stroke. Dongshin University. Dissertation of Master's Degree. 2012.
  14. Lee MK, Lee JS, Jeong WS, et al. The Effect of Proprioceptive Neuromuscular Facilitation on Balance Ability in Patients with Hemiparetic. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2009;7(1):9-16.
  15. Lundy-Ekman L. Neuroscience : Fundamentals for rehabilitation, 4th ed. Seoul. Elsevier. 2013.
  16. Patterson KK, Parafianowicz I, Danells CJ, et al. Gait asymmetry in community-ambulating stroke survivors. Archives of physical medicine and rehabilitation. 2000;89(2):304-310. https://doi.org/10.1016/j.apmr.2007.08.142
  17. Peters S, Ivanova TD, Teasell R, et al. Is the Recovery of Functional Balance and Mobility Accompanied by Physiological Recovery in People With Severe Impairments After Stroke? Neurorehabilitation and neural repair. 2014;28(9):847-855. https://doi.org/10.1177/1545968314526644
  18. Ragnarsdottir M. The concept of balance. Physiotherapy. 1996;82(6):368-375. https://doi.org/10.1016/S0031-9406(05)66484-X
  19. Rossiter-Fornoff J, Wolf S, Wolfson L, et al. A cross-sectional validation study of the FICSIT common data base static balance measures. Journal of Gerontology. 1995;50(6):291-297.
  20. Roth EJ. Incidence of and Risk Factors for Medical Complications During Stroke Rehabilitation. Stroke. 2001;32(2):523-529. https://doi.org/10.1161/01.STR.32.2.523
  21. Shim JK, Park JB, Kim MJ, et al. Motor Variability and Synergy Research through Uncontrolled Manifold Analysis. Korean Society of Sport Psychology. 2011;22(4):127-142.
  22. Shumway-Cook A, Woollacott MH. Motor control : Translating research into clinical practice, 4th ed. Philadelphia. Lippincott Williams & Wilkins. 2012
  23. Statistics Korea. Annual Report on the Causes of Death. 2013.
  24. Verrel J, Pologe S, Manselle W, et al. Coordination of degrees of freedom and stabilization of task variables in a complex motor skill: extertise-related defferences in cello bowing. Experimental brain research. 2013;224(3):323-334. https://doi.org/10.1007/s00221-012-3314-2
  25. Winward CE, Halligan PW, Wade DT. Somatosensory recovery: A longitudinal study of the first 6 months after unilateral stroke. Disability and Rehabilitation. 2007;29(4):293-299. https://doi.org/10.1080/09638280600756489