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http://dx.doi.org/10.9708/jksci.2022.27.07.145

A Study on the Effect of Proprioceptive Neuromuscular Facilitation Training by Meta-analysis -Focused on Balance and 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.27, no.7, 2022 , pp. 145-152 More about this Journal
Abstract
Stroke results in balance disorders, these directly affect autonomy and gait ability. The aim of this meta-analysis was to determine the efficacy of proprioceptive neuromuscular facilitation on balance and gait. We included all randomized controlled trials assessing the efficacy of proprioceptive neuromuscular facilitation on balance and gait control in patients after stroke. This study was conducted according to the PRISMA guideline. Cochrane library, CINAHL, and PubMed were searched for studies published up to November 2021, and all randomized controlled trails(RCT) assessing PNF therapy were included. This analysis included only RCT. A total of 18 studies were selected from 1091 records obtained from the databases. The meta-analysis was performed using the R project for statistical computing version 4.0.2. The overall intervention effect was middle (standardized mean difference (SMD): 0.56) Additionally, berg balance scale (SMD: 0.48), functional reach test (SMD: 0.51), timed up and go test (SMD: 0.78), 10m walking test (SMD: 0.52), and dynamic gait index (SMD: 0.33) had medium effect sizes. The average Pedro scale was 6.63 out of 18, with a low risk of bias. These findings indicate that PNF is an effective therapy for improving balance gait in stroke patients.
Keywords
Balance; Gait ability; Meta-analysis; PNF(Proprioceptive neuromuscular facilitation); Stroke;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Denson N, Seltzer MH. Meta-analysis in higher education: An illustrative example using hierarchical linear modeling. Research in Higher Education, 2011;52(3): 215-244.   DOI
2 Alexander LD, Black SE, Patterson KK, Gao F, Danells C J, McIlroy, WE. Association between gait asymmetry and brain lesion location in stroke patients. Stroke, 2009;40(2), 537-544.   DOI
3 Yang JM, Lee JH, Kang SW. The effect of foot pressure on the irradiation of PNF upper arm pattern on standing posture with an elastic band: a randomized control trial. PNF & Movement, 2018;16(3): 425-432.
4 Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2016.
5 Schmid AA, Van Puymbroeck M, Altenburger PA, Miller KK, Combs SA, Page SJ. Balance is associated with quality of life in chronic stroke, Top. Stroke Rehabil. 2013;20(1): 340346.
6 West-water S, Adams N, Kerry R. The use of proprioceptive neuromuscular facilitation in physiotherapy practice. Physical Therapy Reviews 2010;15: 23-28.   DOI
7 Scottish Intercollegiate Guidelines Network. Management of Patients with Stroke IV: Rehabilitation, Prevention and Management of Complications, and Discharge Planning; a National Clinical Guideline Recommended for Use in Scotland, Scottish Intercollegiate Guidelines Network.2010.
8 Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2016;47(6): e98-e169.   DOI
9 Song HS, Kim SH. The effects of proprioceptive neuromuscular facilitation on lower extremity functions of chronic stroke patients. PNF & Movement, 2014;12(4): 225-232.
10 Rubin A, Bellamy J. Practitioner's guide to using research for evidence-based practice. John Wiley & Sons, 2012.
11 Borenstein M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis. John Wiley & Sons, 2009.
12 Chaturvedi A. Effect of proprioceptive neuromuscular facilitation in functional recovery of patients with stroke- a review. J Neurol Neurosci, 2017;8: 220-222.
13 Lamontagne, A, De Serres, SJ, Fung J, Paquet, N. Stroke affects the coordination and stabilization of head, thorax and pelvis during voluntary horizontal head motions performed in walking. Clinical Neurophysiology, 2005;116(1), 101-111.   DOI
14 Smedes F, Heidmann M, Schafer C, et al. The proprioceptive neuromuscular facilitation-concept; the state of the evidence, a narrative review. Phys Ther Rev 2016;21: 17-31.   DOI
15 Bohannon, RW, Tinti-Wald, D. Accuracy of weightbearing estimation by stroke versus healthy subjects. Perceptual and motor skills, 1991;72(3), 935-941.   DOI
16 Norrving B, Kissela B. The global burden of stroke and need for a continuum of care. Neurology 2013;80(3 Supplement 2): S512.
17 Cheung, MWL. A model for integrating fixed-, random-, and mixed-effects meta-analyses into structural equation modeling. Psychological methods, 2008;13(3), 182.   DOI
18 Lee DK, Hwang TY, Effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on balance, gait ability and depression in patients with chronic stroke. J Kor Phys Ther, 2018;31(4), 236-241.   DOI
19 Munn J, Herbert RD, Gandervia SC. Contralateral effects of unilateral resistance training: meta-analysis. Journal of applied physiology, 2004;96(5): 1861-1866.   DOI
20 Gunning E, Uszynski MK. Effectiveness of the proprioceptive neuromuscular facilitation method on gait parameters in patients with stroke: a systematic review. Archives of physical medicine and rehabilitation, 2019;100(5): 980-986.   DOI
21 Shin WJ. Why perform meta-analysis? Han-yang Medical reviews, 2015;35:1-2.   DOI
22 Tan Z, Liu, H, Yan, T, et al. The effectiveness of functional electrical stimulation based on a normal gait pattern on subjects with early stroke: a randomized controlled trial. BioMed research international, 2014.