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http://dx.doi.org/10.9708/jksci.2021.26.08.165

Meta-analysis of the Effect of Proprioceptive Neuromuscular Facilitation Training on Gait Ability in Patients with Storke  

Jeun, Young-Ju (Dept. of Health Administration, Chosun College of Science & Technology)
Publication Information
Journal of the Korea Society of Computer and Information / v.26, no.8, 2021 , pp. 165-172 More about this Journal
Abstract
The purpose of this meta-analysis was to determine the efficacy of proprioceptive neuromuscular facilitation training on Gait. We included all randomized controlled trials assessing the efficacy of proprioceptive neuromuscular facilitation training on gait ability control in patients after stroke. This study was conducted according to the PRISMA guideline. CINAHL, PubMed and RISS were searched for studies published up to December 2020, and all randomized controlled trails assessing PNF intervention were included. This analysis included only randomized controlled trials. A total of 12 studies were selected from 1475 records obtained from the databases. The meta-analysis was performed using the R software. The overall intervention effect was moderate (standardized mean difference (SMD): 0.67, 95% confidence interval (CI): 0.50-0.84). Additionally, Gait rite (SMD: 0.69), 10m walking test (SMD: 0.59) had medium effect sizes. These findings indicate that PNF is an effective intervention for improving gait ability in patients stroke.
Keywords
Gait; Meta-analysis; Proprioceptive neuromuscular facilitation; Stroke; Standardized mean difference;
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1 D. A. Feldstein, "Clinician's guide to systematic reviews and meta-analyses", WMJ: official publication of the State Medical Society of Wisconsin, Vol. 104, No. 3, pp. 25-29, Apr. 2005.
2 Kim CH, and Kim YN, "Effects proprioceptive neuromuscular facilitation and treadmill training on balance and walking ability of stroke patients", The Journal of Korean Physical Therapy, Vol. 30, No. 3, June.. 2018. DOI: 10.18857/jkpt.2018.30.3.79   DOI
3 Kim DK, Lee SH, and Oh DW, "The effect of stepwise PNF pattern therapy in weight bearing positions on the balance and walking functions of a patient with subacute stroke", PNF & Movement, Vol. 16, No. 3, pp. 307-315, Dec. 2018. DOI: 10.21598/JKPNFA.2018.16.3.307   DOI
4 Choi YK, Nam CW, Lee JH, and Park YH, "The Effect of taping prior to PNF treatment on lower extremity proprioception of hemiplegic patients", Journal of Physical Therapy Science, Vol. 25, No. 9, pp. 1119-1122, Apr. 2013. DOI: 10.1589/jpts.25.1119   DOI
5 Hwang SD, "Meta-analysis using R", Hakjisa. 2020.
6 Hwang SD, and Shim SR, "Meta-analysis from forest plot to network meta-analysis", Hannarae. 2018.
7 Bang DH, and Song MS, "The effect of neck pattern of PNF on balance and walking ability in patients with chronic stroke", PNF & Movement, Vol. 17, No. 1, pp.47-56, Nov. 2018.
8 L. V. Hedges, and I. Olkin, "Statistical methods for meta-analysis. Academic Press. 1985.
9 J. Cohen, "Statistical power analysis for the behavioral sciences", NJ: Erlbaum. 1988.
10 J. E. Hunter, and F. L. Schmidt, "Methods of meta-analysis: Correcting error and bias in research finding", Sage Publications. 2004.
11 Bang DH, and Bong SY, "The effects of resistant gait proprioceptive neuromuscular facilitation on the walking and balancing abilities of chronic stroke patients", PNF & Movement, Vol. 15, No. 1, pp.57-65, Feb. 2017. DOI; 10.21598/JKPNFA.2017.15.1.57   DOI
12 Ma SY, Hwang YT, and Park RJ, "The effects of PNF and FES improvement of functional gait in patients with stroke", Journal of Special Education & Rehabilitation Science, Vol. 47, No. 3, pp. 283-298, Sept. 2008.
13 Lee JH, Seo KC, and Lee SY, "Impact of PNF-based walking exercise on a ramp on gait performance of stroke patients", Journal of Physical Therapy Science, Vol. 24, No. 12, Jul. 2012.
14 Cho HS and Cha HG, "Effect of trunk pattern exercise in proprioceptive neuromuscular facilization integrated transcranial direct current stimulation on function of lower extremity in stroke patients", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 15, No. 11, pp. 6767-6773. Nov. 2014. DOI: 10.5762/KAIS.2014.15.11.6767   DOI
15 Lee DK, "Effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on physical functions and a psychological factor in chronic stroke patients", Unpublish Doctor's thesis, Daegu University, 2017.
16 M. Borenstein, L. V. Hedges, J. P. T. Higgins, and H. R. Rothstein, "Introduction to meta-analysis", Wiley. 2009.
17 Lee DK, and Hwang TH, "Effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on balance, gait ability and depression in patients with chronic stroke", Journal of Korea Physical therapy, Vol. 31, No. 4, pp. 236-241. Aug. 2019.   DOI
18 N. Denson, and M. H. Seltzer, "Meta-analysis in higher education: An illustrative example using hierarchical linear modeling". Research in Higher Education, Vol. 52, No. 3, pp. 215-244. Mar. 2011. DOI: 10.1007/a11162-010-9166-x   DOI
19 Kim YH, "The effects of trunk stability exercise on the balance and gait in the patients with stroke", Unpublish Master's degree, Daegu University, 2017.
20 F. Smedes, M. Heidmann, C. Schafer, N. Fischer, and A. Stepien, "The proprioceptive neuromuscular facilitation-concept; the state of the evidence, a narrative review", Physical Therapy Reviews, Vol. 21, No. 1, pp. 17-31, Aug. 2016. DOI: 10.1080/10833196.2016.1216764   DOI
21 Song H, "The influence of combination of isotonics technique in proprioceptive neuromuscular facilitation on the balance and gait ability in patients with chronic stroke", Unpublish master's thesis, Nambu University, 2014.
22 Bae WY, "The effects of proprioceptive neuromuscular facilitation of reduced base of support on balance and walking in the persons with stroke", Unpublish Master's degree, Samyook University, 2009.
23 Park JM and Shin YI, "The effect of lumbar stabilization exercise with proprioceptive neuromuscular facilization technique to balance and gait in chronic stroke patient", Journal of Korean Academy of Orthopaedic Manual Physical Therapy, Vol. 18, No. 1, pp. 65-72. Sep. 2012.
24 E. L. Sims, J. M. Carland, F. J. Keefe, V. B. Kraus, F. Guilak, and D. Schmitt, "Sex differences in biomechanics associated with knee osteoarthritis", Journal of women & aging, Vol. 21, No. 3, pp. 159-170, Jul. 2009. DOI: 10.1080/08952840903054856   DOI
25 B. Norrving, and B. Kissela, "The global burden of stroke and need for a continuum of care", Neurology, Vol. 80, No. 3, pp. 5-12. Jan. 2013. DOI: 10.1212/WNL.0b013e3182762397   DOI
26 C. L. Bays, "Quality of life of stroke survivors: a research synthesis", Journal of Neuroscience Nursing, Vol. 33, No. 6, pp. 310-3016 Dec. 2001.   DOI
27 R. Hariharasudhan, and J. Balamurugan, "Enhancing trunk stability in acute poststroke subjects using physioball exercise and proprioceptive neuromuscular facilitation technique: A pilot randomized controlled trial", International Journal of Advanced Medical and Health Research, Vol, 3, No, 1, pp. 5-10, Jun. 2016. DOI: 10.4103/2350-0298.184681   DOI
28 A. Chaturvedi, "Effect of proprioceptive neuromuscular facilitation in functional recovery of patients with stroke-a review", J Neurol Neurosci, Vol. 8, No. 5, pp. 220-222. 2017.
29 M. E. Sandel, "Dr. Herman Kabat: Neuroscience in translation… from bench to bedside", PM & R, Vol 5, No. . 6, pp. 453-461, June. DOI: 10.1016/j.pmrj.2013.04.020   DOI
30 S. Westwater-Wood, N. Adams, and R. Kerry, "The use of proprioceptive neuromuscular facilitation in physiotherapy practice", Physical Therapy Reviews, Vol. 15, No. 1, pp. 23-28, Jul. 2013. DOI: 10.1179/174328810X12647087218677   DOI
31 D. E. Voss, "Proprioceptive neuromuscular facilitation. Patterns and Techniques", Harper & Row. 1985.