PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Effect of a Stepwise PNF Pattern Therapy in Weight-Bearing Positions on the Balance and Walking Functions of a Patient with Subacute Stroke -A Single Case Study-

아급성기 뇌졸중 환자의 균형 및 보행 기능에 대한 체중지지 자세에서의 단계적 PNF 패턴 치료의 효과 - 단일사례연구 -

  • Kim, Dong-Kyu (Department of Physical Therapy, National Traffic Injury Rehabilitation Hospital) ;
  • Lee, Soon-Hyun (Department of Physical Therapy, National Traffic Injury Rehabilitation Hospital) ;
  • Oh, Duck-Won (Department of Physical Therapy, College of Health Science, Cheongju University)
  • 김동규 (국립교통재활병원 재활치료부) ;
  • 이순현 (국립교통재활병원 재활치료부) ;
  • 오덕원 (청주대학교 물리치료학과)
  • Received : 2018.08.07
  • Accepted : 2018.10.08
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to demonstrate the effects of a stepwise proprioceptive neuromuscular facilitation (PNF) pattern therapy in weightbearing positions on the balance and walking functions of a patient with subacute stroke. Methods: The patient was a 78-year-old man with right post-stroke hemiparesis who had decreased balance and gait function. During the baseline and withdrawal phases, no intervention was applied; however, in the intervention phase, the patient received a stepwise PNF pattern therapy in weight-bearing positions. Results: During the intervention phase, the LOS improved by 296.51% (from $2482.13mm^2$ to $626mm^2$), and walking speed improved by 18.70% (from 0.75 m/s to 0.64 m/s). The LOS and 10MWT values appeared to be clinically significantly improved after the intervention. In addition, the scores of the BBS and ABC scales improved by 100% (from 36 points to 18 points) and 56.52% (from 720 points to 460 points), respectively. Conclusion: These findings suggest that a stepwise PNF pattern therapy may be helpful in enhancing the balance and walking function of a patient with subacute stroke. Further studies are required to validate the results of this study.

Keywords

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Fig. 1. Treatment methods.

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Fig. 2. Comparison of the 10-m walk test (A) and limit of stability (B) values across the baseline, intervention, and follow-up phases. Horizontal line implies thee upper limit of 2SD band of data in the baseline phase.

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Fig. 3. Comparison of the values assessed before and after the intervention phase. (A) Berg balance scale and (B) activity-specific balance confidence scale.

Table 1. The characteristics of the stroke patient

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Table 2. Results of the LOS, 10MWT, BBS and ABC

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