• 제목/요약/키워드: PNF

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PNF의 안정적 반전과 율동적 안정화 기법을 이용한 체간 안정화 훈련이 뇌졸중 환자의 체간 근력과 균형 능력에 미치는 영향 (Effect of Trunk Stability Exercises with Stabilizing Reversal and Rhythmic Stabilization of PNF for Muscle Strength and Balance Ability in Stroke Patients)

  • 강태우;함규하
    • PNF and Movement
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    • 제12권2호
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    • pp.63-69
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    • 2014
  • Purpose: The purpose of this study was to investigate the effect that trunk stability exercises with stabilizing reversal and rhythmic stabilization of PNF have on trunk strength and balance ability in stroke patients. Methods: This study included 20 stroke patients who performed trunk stability exercises combined with stabilizing reversal and rhythmic stabilization of PNF. The exercise program consisted of 30-minute sessions per week for six weeks. Trunk strength (BTE, Primus RS) and balance ability (Berg Balance Scale) were evaluated before and after training. All data were analyzed using SPSS 18.0 software. Results: Significant differences were observed the both groups for truck strength and balance ability. The results of the study were as follows: trunk strength was significantly increased in both groups (p<.05) and it was also found to be significant between groups after the intervention (p<.05). Balance ability was significantly increased in both groups (p<.05) and it was also found to be significant between the groups after intervention (p<.05). Conclusion: Trunk stability exercises with stabilizing reversal and rhythmic stabilization of PNF are effective for improving trunk strength and balance ability in stroke patients. For stroke patients, trunk stability exercises with PNF are very useful and effective and they areeffectiveinclinicalpractice.

동적, 정적, PNF 스트레칭이 요부 유연성에 미치는 효과 (The effect of Dynamic and Static PNF stretching on lower back flexibility)

  • 최원제;조남정;강희권;강수경;김민정;김병오;허수용;유병국;이삼철;손경현
    • PNF and Movement
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    • 제7권2호
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    • pp.11-20
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    • 2009
  • Purpose : The purpose of this study is to find out which method is efficient to enhance the flexibility of lower back between PNF(Proprioceptive Neuromuscular Facilitation), static and dynamic stretching. Methods : Subjects were 30 young people between the ages 17 and 19. They were randomly divided into three groups; static group(n=10) performed a static stretching, dynamic group(n=10) performed a dynamic stretching, and PNF group(n=10) performed a PNF stretching. Intervention was provided 5 days per week for 4 weeks. For each case, Trunk flexion forward, trunk flexion backward, trunk left lateral bending, trunk right lateral bending, trunk flexion forward a measuring instrument and tapeline were performed to measured the flexibility of lower back at different times(before starting the exercise, after 4 weeks). Results : The results of the study reveal that the lower back flexibility was a statistically significant difference in all groups(p<.05). There was statistically significant difference between PNF group and static group, PNF group and dynamic group. Conclusion : The finding indicated that PNF may be preferred technique for improving flexibility, and that flexibility training results in an increased consistency of flexibility scores.

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PNF 통합 패턴 운동이 만성 요통 노인 환자의 균형에 미치는 영향 (The effects of combination patterns exercise of proprioceptive neuromuscular facilitation on balance in chronic low back pain elderly patients)

  • 전재근
    • 디지털융복합연구
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    • 제11권4호
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    • pp.361-368
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    • 2013
  • 본 연구에서는 스프린터와 스케이터 패턴을 통합한 PNF 통합 패턴 운동이 만성 요통 노인 환자의 정적 균형과 동적 균형의 변화를 알아보고자 실시하였다. 본 연구는 만성 요통의 질환이 있는 노인 환자 34명을 대상으로 하였고, 34명을 무작위로 각각 PNF 통합 패턴 운동군(17명)과 스위스볼 운동군(17명)으로 나누었다. 운동전후에 정적 균형 능력 측정을 위해 GOOD BALANCE system(Metitur Oy, Palokka, Finland, 2003)을 사용하였다. 동적 균형 능력 측정을 위해 기능적 팔 뻗기 검사(functional reach test; FRT)와 일어나 걸어가기 검사(timed up and go test; TUG)를 시행하였다. 정적 균형 능력과 동적 균형 능력의 거의 대부분의 항목에서 유의한 차이를 나타내었다(p<.05). 군간 비교에서도 다수의 항목에서 스위스볼 운동군과 PNF 통합 패턴 운동군 사이에 유의한 차이를 나타내었다(p<.05). 이와 같은 연구 결과로 볼 때 PNF 통합 패턴 운동은 만성 요통 노인 환자의 균형 능력을 개선시키는데 효과적임을 알 수 있었으며, 임상에서 PNF 통합 패턴 운동을 이용할 수 있는 기초 자료를 충분히 제공하였다고 할 수 있을 것이다.

Comparison of the immediate effect of hamstring stretching techniques on hamstring muscle range of motion, pressure pain threshold and muscle tone

  • Yu, June-Su;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • 제8권4호
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    • pp.210-217
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    • 2019
  • Objective: This study was conducted to compare the immediate effect of hamstring stretching techniques of static stretching, proprioceptive neuromuscular facilitation (PNF) hold-relax and PNF irradiation on the hamstring muscle. Design: Three-group pretest-posttest design. Methods: Fifty-one subjects with shortened hamstrings were randomly assigned to the static stretching group (n=17), PNF hold-relax group (n=17), and the PNF irradiation group (n=17). All subjects performed an active knee extension (AKE) test to assess for the lower extremity with a shortened hamstring. The static stretching group performed stretches by lifting their leg to the maximum extent (3 times, 30 seconds). The PNF hold-relax group performed maximal isometric contraction against the experimenter's resistance (3 times, 10 seconds). The PNF irradiation group performed maximum isometric contraction against the experimenter's resistance toward the direction of the body (5 times, 5 seconds). The pre and post-tests measured range of motion (ROM), pressure pain thresholds (PPT) and muscle tone. Results: There were significant differences in ROM and PPT between pre and post intervention in each group (p<0.05). There was a significant difference only in the ROM among groups (p<0.05). Post-hoc analysis showed that the changes in ROM occurred in the order of the PNF hold-relax group, static stretching group and PNF irradiation group (p<0.05). Conclusions: The findings of this study suggest that the PNF irradiation technique may improve ROM and may be used to improve ROM similar to other stretching techniques. Therefore, the PNF irradiation technique could be included in stretching programs and can be used as a suitable stretching method depending on the situation.

만성 뇌졸중 환자에 대한 PNF 집단 운동프로그램의 효과 (Efficacy of PNF Group Exercise Program in Chronic Stroke)

  • 김수민;배성수
    • PNF and Movement
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    • 제3권1호
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    • pp.1-15
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    • 2005
  • Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

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PNF and Movement 학술지의 연구 동향: 2018년부터 2021년까지 (Research Trends Featured in the Journal PNF and Movement: 2018-2021)

  • 전덕훈;구미란;이상열;이명희
    • PNF and Movement
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    • 제20권2호
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    • pp.275-283
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    • 2022
  • Purpose: This study focused on reviewing articles published in Proprioceptive Neuromuscular Facilitation (PNF) and Movement to identify the current research trends featured in the journal. Methods: First, the most frequently used keywords in the 193 studies published in 2018 volume 16, issue 1, to 2021 volume 19, issue 3, were identified to determine the popularity of different topics. Information on the following parameters was collected for each study: research type, level of the study, research topic, diagnosis, application of PNF, and techniques applied. Results: Over the four-year period reviewed, "stroke" was the most frequently used keyword, followed by "balance" and "PNF." In terms of research type, observational analytical studies were the most frequently reported (52.85%), and experimental studies were the second-most common (37.82%). Regarding the research level, it was found that level 5 studies were the most frequent, at 49.74%, and level 2 studies accounted for 28.5% of the publications. Most of the studies stated "stroke patient" (26.42%) as the study diagnosis, except for the studies that recruited healthy people (36.79%). The majority of studies did not implement PNF treatments (15.54%), but a combination of isotonic techniques was most commonly used when PNF was applied. Conclusion: A broad range of topics and types of studies have recently been featured in the journal, including neurological impairments and musculoskeletal disorders. The findings of this review provide insight into future research trends and the direction of the journal PNF and Movement.

Effect of PNF Approach to Scapular Adductor Muscles on Scapular Movements and Walking Ability in Patients with Stroke

  • Moon, Sang Hyun;Kim, Yong Youn
    • 국제물리치료학회지
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    • 제8권1호
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    • pp.1090-1094
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    • 2017
  • This study investigated the effects of indirectly applying proprioceptive neuromuscular facilitation (PNF) to the scapular adductor muscles of stroke patients on their scapular movements and walking ability. Five patients who were diagnosed with stroke participated in this study as a single group. PNF patterns were applied to the scapulae anterior elevation and posterior depression patterns and upper limbs patterns of the patients in side lying and sitting positions together. The data were analyzed with a paired t-test in order to identify within-group differences in the measurements before and after the intervention. The scapular movements of the upper and lower parts, weight bearing and walking speed were significantly improved in the stroke patients after the application of PNF (p<0.05). These results suggest that PNF training effective in improving the scapular movements and walking ability in patients with stroke.

PNF의 간접적인 치료가 동결견 환자의 거울 닦는 동작 향상에 미치는 영향 : 증례보고 (The Effect of PNF Indirect Treatment to Clean up the Mirror for Frozen Shoulder Patient: A Case Report)

  • 이병기
    • PNF and Movement
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    • 제9권2호
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    • pp.39-44
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    • 2011
  • Purpose : This study was aimed to examine the Influence of PNF indirect treatment for frozen shoulder patient Methods : Frozen shoulder patient was measured range of motion test of shoulder joint, visual analog scale(VAS) for pain and clean up the mirror activity at pre intervention and post-intervention in 2 weeks. Results : The ROM, activities of shoulder were increased and decreased VAS point for pain after treatments. Conclusion : We found that PNF indirect treatment could improve ROM and functions of shoulder and pain for frozen shoulder patient.

상하지 통합 PNF패턴이 부정렬증후군을 가진 20대 성인자세 정렬에 미치는 효과 (The Effect of Combined PNF Patterns of Upper and Lower Extremities on 20's Generation with Malalignment Syndrome)

  • 최재원
    • PNF and Movement
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    • 제10권4호
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    • pp.65-69
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    • 2012
  • Purpose : The purpose of this study was to verify effects of trunk inclination, side deviation using combined PNF patterns of upper and lower extremities on 20's generation with malalignment syndrome. Methods : 15 subjects with malalignment syndrome participated this study. We measured 2 factors(trunk inclination, side deviation). combined PNF patterns of upper and lower extremities were used intervention method for malalignment syndrome subjects. Experience during was 6 weeks. Results : The trunk inclination was significantly decreased. The value was from 0.87 to 0.43(p=0.27). The side deviation was too. The value was decreased 1.62(p=0.044). Conclusion : The results of this study indicate that the use of combined PNF patterns of upper and lower extremities for malalignment syndrome people was positive effect.

뇌졸중 환자의 조음기관 기능에 PNF를 이용한 프로그램이 미치는 효과 (The Effects of Program by PNF on the Articulator Function of Stroke Patients)

  • 박유린;권도하
    • 한국전자통신학회논문지
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    • 제9권3호
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    • pp.303-310
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    • 2014
  • 본 연구는 뇌졸중 환자를 대상으로 고유수용성신경근촉진법(PNF)를 이용한 중재프로그램이 조음기관의 기능에 미치는 효과를 알아보고자 하였다. 이를 위해 뇌졸중 환자 중에 PNF을 이용한 프로그램을 실시한 실험군 4명, 조음기관 훈련프로그램을 실시한 대조군 4명, 어떠한 중재도 하지 않은 통제군 4명을 대상으로 주 3회 30분~50분씩 총 24회기 동안 실시하였다. 각 집단별로 사전, 사후 최대발성시간(MPT), 교대운동속도(AMR), 연속운동속도(SMR)을 평가하여 비교하였다. 결과를 살펴보면, 실험군은 모든 항목에서 유의한 차이가 있었고, 대조군은 AMR의 /터/, /아/, /러/에서 유의한 차이를 보이지 않았으며. 통제군은 모든 항목에서 통계적으로 유의한 차이가 나타나지 않았다. 따라서 PNF를 이용한 프로그램이 뇌졸중 환자의 조음기관의 기능을 향상시키는데 가장 효과적이며, 특히 혀의 기능을 증진시키는데 효과적이라고 할 수 있다.