Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Effect of Balance Exercise using a Combination of Isotonics for Proprioceptive Neuromuscular Facilitation on Balance and Walking Ability in Patients with Hemiplegia Due to Stroke

  • Kim, Beomryong (Department of Physical Therapy, Design Hospital) ;
  • Kang, Taewoo (Department of Physical Therapy, College of Health and Welfare, Woosuk University)
  • Received : 2021.11.23
  • Accepted : 2021.12.28
  • Published : 2021.12.31
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Abstract

Objective: This study aimed to determine the effect of proprioceptive neuromuscular facilitation (PNF) balance exercise on the ability to balance and walk in patients with hemiplegia caused by stroke. Design: A randomized controlled trial Methods: Following baseline measurements, patients (n=24) with hemiplegia caused by stroke were randomized into two groups: the PNF balance group (n=12) that received PNF balance exercise and the balance group (n=12) that received general balance exercise. Each group joined the intervention for 30 minutes, 5 times per week for 6 weeks. Both groups performed the Timed Up and Go test (TUG) and Berg Balance Scale (BBS) for balance, as well as the 10-meter walking test (10MWT) and 6-minute walk test (6MWT) for walking. The data were collected both before and after the intervention. The paired t-test was used to compare the post-intervention changes compared with pre-intervention data. An independent t-test was used to analyze the differences in the dependent variables between the two groups. Results: After the 6-week intervention, both groups showed significant improvements in balance (TUG, BBS) and walking (10MWT, 6MWT) parameters (p<0.05). The patients in the PNF balance group showed greater improvements in balance (TUG, BBS) and walking (10MWT, 6MWT) than those in the balance group (p<0.05). Conclusions: PNF balance exercise shows improvements in balance and walking parameters in patients with hemiplegia caused by stroke.

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References

  1. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):463-469. https://doi.org/10.1097/01.PHM.0000069192.32183.A7
  2. Ahn W. The training effect of balance pad in stroke. Korean Soc Sport Leisure Studies. 2008;32(1):803-811. https://doi.org/10.51979/KSSLS.2008.05.32.803
  3. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins. 2007.
  4. Kim DS, Choi IS, Kim SY. The impact of lower extremity strengthening exercise with step box and elastic band on balance ability and lower extremity muscular strength in community-living elderly individuals. J Korean Soc Phys Med. 2016;11(1):11-21.
  5. Byun J, Lee K, Hwang B. An analysis of ankle range of motion, balance and leg muscle strength according to experienced falls in elderly people. Korean Soc Sport Leisure Studies. 2016;64(1):909-916. https://doi.org/10.51979/KSSLS.2016.05.64.909
  6. Kang TW, Kim HM, Kim BR. Effect of progressive resistance task-oriented strengthening exercise on balance and activities of daily living in stroke patients. PNF Mov. 2020;18(1):77-86.
  7. Song MS, Kim BR, Kang TW. Effects of extra trunk exercise on balance, gait ability, and trunk control in patients with chronic stroke. J Spec Educ Rehabil. 2019;58(1):461-474.
  8. Kang TW, Kim BR. Effect of proprioceptive neuromuscular facilitation chopping pattern on neglect, balance, and activity of daily living of stroke patients with hemi-spatial neglect: a randomized clinical trial. J Korean Soc Phys Med. 2019;14(2):107-115. https://doi.org/10.13066/kspm.2019.14.2.107
  9. Kim BR, Kang TW. The effects of proprioceptive neuromuscular facilitation lower-leg taping and treadmill training on mobility in patients with stroke. Int J Rehabil Res. 2018;41(4):343-348. https://doi.org/10.1097/MRR.0000000000000309
  10. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. J Aging and Phys Act. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  11. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. Springer. 2007.
  12. Song MJ, Kang TW, Kim BR. The effect of lower trapezius strengthening exercise using PNF on pain, range of motion, and disability in patients with chronic neck pain. PNF Move. 2021;19(1):137-146. https://doi.org/10.21598/JKPNFA.2021.19.1.137
  13. Kang DW, Kang MK, Kang ES, et al. The effect of PNF technique application using thera-band on the balance and gait of females over 65 years old. J Korean Phys Ther Sci. 2011;18(1):1-10.
  14. Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. J Korean Soc Phys Med. 2016;11(1):45-52. https://doi.org/10.13066/kspm.2016.11.1.45
  15. Ji SG, PT, Nam GW, Kim MK, et al. The effect of visual feedback training using a mirror on the balance in hemiplegic patients. J Korean Soc Phys Med. 2011;6(2):153-163.
  16. Suzuki K, Nakamura R, Yamada Y, et al. Determinants of maximum walking speed in hemiparetic stroke patients. Tohoku J Exp Med. 1990;162(4):337-344. https://doi.org/10.1620/tjem.162.337
  17. Podsiadlo D, Richardson S. (1991). The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  18. Berg K, Wood-Dauphine S, Williams J, et al. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989;41(6):304-311. https://doi.org/10.3138/ptc.41.6.304
  19. Berg K, Wood-Dauphinee S, Williams J. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
  20. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil. 2000;81(4):409-417. https://doi.org/10.1053/mr.2000.3839
  21. Swisher AK, Goldfarb AH. Use of the six-minute walk/run test to predict peak oxygen consumption in older adults. Cardiopulmonary Phys Ther J. 1998;9(3):3-5. https://doi.org/10.1097/01823246-199809030-00002
  22. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. Am J Phys Med Rehabil. 2003;82(5):385-390. https://doi.org/10.1097/01.PHM.0000052589.96202.BE
  23. Kim BR, Choi MH. Effect of trunk strengthening and stabilization exercise using proprioceptive neuromuscular facilitation on balance and walking ability in patients with basal ganglia stroke. Korean J Neuromuscul Rehabil. 2020;10(1):24-32. https://doi.org/10.37851/kjnr.2020.10.1.3
  24. Choi W, Seo T. The effects of PNF skater pattern on the balance in stroke patients. J Korea Entertainment Industr Assoc. 2015;9(2):289-298. https://doi.org/10.21184/jkeia.2015.06.9.2.289
  25. Cho HS, Cha HG, Shin HS. The effects of PNF upper-and lower-limb coordinated exercise on the balancing and walking-abilities in stroke patients. PNF Mov. 2017;15(1):27-33.
  26. Lim CG. The effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise using the sprinter and the skater on balance and gait function in the stroke patients. J Korean Phys Ther. 2014;26(4):249-256.
  27. Park JM, Shin YI, Yang SH. The effect of lumbar stabilization exercise with proprioceptive neuromuscular facilitation technique to balance and gait in chronic stroke patients. J Korean Academy Orthopedic Manual Phys Ther. 2012;18(1):65-72.
  28. Jeong WS, Park SK, Park JH, et al. Effect of PNF combination patterns on muscle activity of the lower extremities and gait ability in stroke patients. Journal Korea Contents Assoc. 2012;12(1):318-328. https://doi.org/10.5392/JKCA.2012.12.01.318