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http://dx.doi.org/10.13066/kspm.2020.15.1.123

Effect of Both Lower Extremities Proprioceptive Neuromuscular Facilitation Training with Functional Electrical Stimulation on the Balance and Gait of Stroke Patient: A Randomized controlled trial  

Kim, Sang-Mo (Department of Physical Therapy, Graduate School of Korea National University of Transportation)
Kim, Young-Min (Department of Physical Therapy, Korea National University of Transportation)
Publication Information
Journal of the Korean Society of Physical Medicine / v.15, no.1, 2020 , pp. 123-132 More about this Journal
Abstract
PURPOSE: This study examined the effects of both lower extremities proprioceptive neuromuscular facilitation training with functional electrical stimulation on the balance and gait of stroke patients. METHODS: Ten patients with stroke were divided randomly into two groups of five patients each who met the selection criteria. The training was conducted five times a week, for 60 minutes. The experimental group received both lower extremities proprioceptive neuromuscular facilitation training with functional electrical stimulation while the control group received general physical therapy with functional electrical stimulation. RESULTS: The timed Up-and-Go (TUG) test result was statistically significant after the intervention in the experimental group (p<.041). Berg Balance Scale (BBS) assessment was statistically significant after the intervention in the experimental group (p<.047) and between the experimental and control groups (p<.012). The cadence assessment was statistically significant after intervention in the experimental group (p<.031) and between the experimental and control groups (p<.015). The stride length assessment was not statistically significant after intervention in the experimental group and between the experimental and control groups. Gait velocity assessment was statistically significant after the intervention in the experimental group (p<.031) and between the experimental and control groups (p<.015). CONCLUSION: Both lower extremities proprioceptive neuromuscular facilitation training with functional electrical stimulation had positive effects on the balance and gait of stroke patients.
Keywords
Proprioceptive neuromuscular facilitation training; Functional electrical stimulation; Balance; Gait; G-walk;
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  • Reference
1 Statistics Korea 2016. 2015 Death Cause Statistics.
2 Prange, Gerdienke B, Groothuis oudshoorn, et al. Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. Journal of rehabilitation research and development, 2006;43(2):171.   DOI
3 Adamson J, Andy B, Ebrahim S. Is stroke the most common cause of disability? Journal of stroke and cerebrovascular diseases, 2004;13(4):171-7.   DOI
4 World Health Organization. The top 10 causes of death. 2011.
5 O'Sullivan S, Schmitz TJ. Strategies to improve motor control and motor learning. Physical Rehabilitation, Assessment and Treatment icinde. Philadelphia : FA Davis Company. 2001:363-410.
6 Allum, J.H.J. , Bloem, et al. Proprioceptive control of posture; a review of new concepts, Gait &Posture. 1998;8(3):214-42.   DOI
7 Walke Catherine, Brouwer Brenda J, Culham Elsie G. Use of visual feedback in retraining balance following acute stroke. Physical therapy, 2000;80(9):886-95.   DOI
8 Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. American journal of physical medicine & rehabilitation. 2003;82(6):463-9.   DOI
9 Torenbeek, Caulfield, Garrett, et al. Current use of outcome measures for stroke and low back pain rehabilitation in five European countries: first results of the ACROSS project. International Journal of Rehabilitation Research. 2001;24(2):95-101.   DOI
10 Kandel, Eric R. The molecular biology of memory storage: a dialogue between genes and synapses. Science, 2001;294(5544):1030-8.   DOI
11 Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Archives of Physical Medicine and Rehabilitation. 1988;69 (6):395-400.
12 Combs, S., Miller, E. W., et al. Motor and functional outcomes of a patient post-stroke following combined activity and impairment level training. Physiotherapy theory and practice.2007;23(4), 219-29.   DOI
13 Granat MH, Maxwell DJ, Ferguson AC, et al. Peroneal stimulator; evaluation for the correction of spastic drop foot in hemiplegia. Arch Phys Med Rehabil. 1996;77(1):19-24.   DOI
14 Chae J, Yu D. A critical review of neuromuscular electrical stimulation for treatment of motor dysfunction in hemiplegia. Assist Technol. 2000;12:33-49.   DOI
15 Soetanto D, Kuo C, Babic D. Stabilization of human standing posture using functional neuromuscular stimulation. J Biomech. 2001;34(12):1590-7.
16 Wee JY, Wong H, Palepu A. Validation of the Berg Balance Scale as a predictor of length of stay and discharge destination in stroke rehabilitation. Arch Phys Med Rehabil, 2003;84(5):731-5.   DOI
17 Aoyagi Y, Tsubahara A. Therapeutic orthosis and electrical stimulation for upper extremity hemiplegia after stroke: a review of effectiveness based on evidence. Top Stroke Rehabil. 2004;11(3):9-15.   DOI
18 Bremner LA, Sloan KE, Day RE, et al. A clinical exercise system for paraplegics using functional electrical stimulation. Paraplegia. 1992;30(9):647-55.
19 Yang CY, Kim TJ, Joo MC, et al. The Effect of Functional Electrical Stimulation on the Motor Function of Lower Limb in Hemiplegic Patients. Annals of Rehabilitation Medicine. 2009;33(1):29-35.
20 Berg K, Wood-Dauphinee S, David G. Measuring balance in the elderly ; preliminary development of an instrument. Physiotherapy Canada. 1989;41:304-11.   DOI
21 O'Sullivan SB, Schmize TJ. Physical rehabilitation : Assessment and Treatment 4th edition. 2001:529-64.
22 Berg K, Wood-Dauphinee S, Williams, et al. Measuring balance in the elderly: validation of an instrument. Candian Journal of Public Health. 1992;83:S7-7.
23 Podsiadlo D, Richardson S. The timed"up&go" : a test of basic functional mobility for frail elderly persons, j Am geriatr soc. 1991;39:142-8.   DOI
24 Lindquist, Ana RR, Prado CL, et al. Gait training combining partial body-weight support, a treadmill, and functional electrical stimulation: effects on poststroke gait. Physical therapy, 2007; 87(9):1144-54.   DOI
25 Kim JS, Kwon YS, Jung BO, et al. Effects of Proprioceptive Neuromuscular Facilitation Techniques on the Gait for Hemiplegic Patients. Physical Therapy Korea. 1999;1(1):121-7.
26 Geiger, Ruth Ann, Allen, et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Physical therapy, 2001; 81(4):995-1005.   DOI
27 Kim WH, Park YT, Hwang SY, et al. Comparison of Effects for Application of Proprioceptive Neuromuscular Facilitation Technique and Static Stretching on the Calf Muscle. Physical Therapy Korea. 1995;2(2):56-65.
28 Wang RY. Effect of proprioceptive neuromuscular facilitation on the gait of patients with hemiplegia of long and short duration. Physical Therapy, 1994;74(12):1108-15.   DOI
29 Lee HS, An YH, Kang HJ, et al. Effect of Elastic Band Exercise Based of PNF L/E pattern on the Balance in the Elderly people. The journal of Korean Society of Physical Therapy. 2005;7(3):60-70.
30 Hwang BY. Effects of Proprioceptive Control on the Balance in Patients With Chronic Hemiplegia. Physical Therapy Korea. 2004;11(1):6974.
31 Collen, Fiona M, Wade, et al. The Rivermead mobility index: a further development of the Rivermead motor assessment. International disability studies, 1991;13(2):50-54.   DOI
32 Burridge JH, Taylor PN, Hagan SA, et al. The effects of common peroneal nerve stimulation on the effort and speed of walking: A randomized controlled trial with chronic hemiplegic patients. Clin Rehabil. 1997;11:201-10.   DOI
33 Neumann, Donald A. Kinesiology of the musculoskeletal system: Mosby. St. Louis.2002.