Abstract

Aims: The aim of this study was to observe the effects of Proprioceptive neuromuscular facilitation (PNF) Techniques to improve bed mobility, transfer and early trunk control in Stroke patients.
 Study Design: Assessor blinded Randomized Control Trail.
 Place and Duration of the Study: Physiotherapy department of Shalamar hospital Lahore, Pakistan from March 2019 to September 2020.
 Methodology: A total of 50 acute stroke patients with severity level NIHSS>21 were recruited and randomly allocated into 2 groups (males: 29, females: 21; age range: 50 to 65) after obtaining written informed consent. Patients were assessed at baseline 0 week and after 6 week of post treatment on Trunk impairment scale (TIS) and ICU mobility scale.
 Results: It showed that PNF base trunk control exercises exhibited significant improvement in Trunk impairment scale(TIS) in Group A as compared with Group B at post-test, 18.44±3.176 vs 16.12±2.35 (p=0.004) respectively. ICU Mobility scale significantly improves at post-test in Group A as compared to Group B, 7.52 ±2.583 vs 5.84±1.434 (p=0.007) respectively.
 Conclusion: This study concluded that PNF based trunk exercise showed more improvement in Group A (Trunk stability exercises using PNF techniques) when compared with conventional training.

Highlights

  • Stroke is the neurological disorders and leading cause of disabilities and death

  • There is dearth in literature regarding the role of Proprioceptive neuromuscular facilitation (PNF) in bed mobility, early transfer and trunk control in post stroke patients . this study showed the effects of trunk stabilization PNF techniques on bed mobility, early transfer and trunk control

  • The aim of this study was to observe the effects of Proprioceptive neuromuscular facilitation (PNF) Techniques to improve bed mobility, transfer and early trunk control in Stroke patients

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Summary

Introduction

Stroke is the neurological disorders and leading cause of disabilities and death. This has been noticed as the leading health related disorders which requires constant as well as the widespread rehabilitation [1]. The current clinical trial study find out that weakness of trunk muscle in post stroke case is related to poor sit to stand ability [5]. Jaehong conducted a study in 2020 to identify the effects of EMG-triggered FES during trunk pattern in PNF on trunk balance, control and gait of stroke patients and found that trunk control of stroke patients are affected by PNF trunk pattern [2], and to improve balance and walking the increased trunk control ability was effective. It was found that the FES triggered EMG applied to the PNF trunk pattern which affected the trunk control [6]

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