PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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A Case Report of a Proprioceptive Neuromuscular Facilitation Intervention Strategy Applied with an ICF Tool in a Patient with Anterior Cruciate Ligament Reconstruction

ICF 도구를 적용한 앞십자인대 재건술 환자의 고유수용성신경근촉진법 중재전략의 증례

  • Received : 2017.01.01
  • Accepted : 2017.02.16
  • Published : 2017.04.30
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Abstract

Purpose: The purpose of this study was to use an ICF tool in an intervention for anterior cruciate ligament reconstruction (ACLR) patients to examine and evaluate the patients' functional problems, measure the results of the intervention, and present the process of preparing proprioceptive neuromuscular facilitation (PNF) intervention strategies, thereby contributing to changes in and development of relevant future clinical practices. Methods: A PNF rehabilitation exercise program using an ICF tool was applied to ACLR patients five times per week for four weeks. To measure the resulting changes, the ICF evaluation display, the visual analog scale (VAS), the manual muscle test (MMT), the range of motion (ROM) test, the Lysholm knee score (LKS), and the muscle endurance test (MET) were used. Results: After the intervention was applied to the ACLR patients, improvements were achieved in all the tests: ICF evaluation display, VAS, MMT, ROM, LKS, and MET. Conclusion: Utilizing the ICF tool, this study identified functional problems of ACLR patients. When the intervention was applied, physical functions improved, and structural damage was reduced, leading to enhanced levels of functional activities such as postural changes, posture maintenance, gait, movements, and movements between different places. The patients were able to complete the teacher training, which was their goal.

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References

  1. Bossmann T, Kirchberger I, Glaessel A, et al. Validation of the comprehensive ICF core set for osteoarthritis: the perspective of physical therapists. Physiotherapy. 2011;97(1):3-16. https://doi.org/10.1016/j.physio.2009.11.011
  2. Brosky JA Jr, Nitz AJ, Malone TR, et al. Intrarater reliability of selected clinical outcome measures following anterior cruciate ligament reconstruction. The Journal of orthopaedic and sports physical therapy. 1999; 29(1):39-48. https://doi.org/10.2519/jospt.1999.29.1.39
  3. Campos TF, Rodrigues CA, Farias IMA, et al. Comparison of instruments for sleep, cognition and function evaluation in stroke patients according to the international classification of functioning, disability and health (ICF). Revista Brasileira de Fisioterapia. 2012;16(1):23-29. https://doi.org/10.1590/S1413-35552012000100005
  4. Celik D, Coskunsu D, Kilicoglu O. Translation and cultural adaptation of the Turkish Lysholm knee scale: ease of use, validity, and reliability. Clinical Orthopaedics and Related Research. 2013;471(8):2602-2610. https://doi.org/10.1007/s11999-013-3046-z
  5. Fleming BC, Oksendahl H, Beynnon BD. Open- or closed-kinetic chain exercises after anterior cruciate ligament reconstruction? Exercise and Sport Sciences Reviews. 2005;33(3):134-140. https://doi.org/10.1097/00003677-200507000-00006
  6. Fan E, Ciesla ND, Truong AD, et al. Inter-rater reliability of manual muscle strength testing in ICU survivors and simulated patients. Intensive Care Medicine. 2010;36(6):1038-1043. https://doi.org/10.1007/s00134-010-1796-6
  7. Isberg J, Faxen E, Brandsson S, et al. Early active extension after anterior cruciate ligament reconstruction does not result in increased laxity of the knee. Knee Surgery Sports Traumatology Arthroscopy. 2006;14(11): 1108-1115. https://doi.org/10.1007/s00167-006-0138-2
  8. Kim SH, Kim DH. The effects of PNF exercise on body functions and fall efficacy of elderly women. The Korean Journal of Physical Education. 2013;52(2):495-512.
  9. Kirschneck M, Kirchberger I, Amann E, Cieza A. Validation of the comprehensive ICF core set for low back pain: the perspective of physical therapists. Manual Therapy. 2011;16(4):364-372. https://doi.org/10.1016/j.math.2010.12.011
  10. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted living older adults. Journal of aging and physical activity. 2002; 10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  11. Kofotolis N, Kellis E. Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Physical Therapy. 2006;86(7):1001-1012.
  12. Kong SW, Lim HC, Jung YW. ICF tool applied intervention strategy and charting on upper extremity functional recovery of the frozen shoulder patient-case study. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2011;17(1):35-44.
  13. Lee DK, Kim YN. The effects of proprioceptive neuromuscular facilitation lower extremity pattern on muscular strength and flexibility in an aquatic environment. The Journal of Korean Society of Physical Therapy. 2013;25(2)49-55.
  14. Lee HS, Lim IS. The effect of rehabilitation training program during 8 weeks after ACL reconstruction on muscle function & proprioception in the knee. The Korean Journal of Physical Education. 2009;48(5):523-533.
  15. Lenssen AF, van Dam EM, Crijns YH, et al. Reproducibility of goniometric measurement of the knee in the in-hospital phase following total knee arthroplasty. BMC Musculoskeletal Disorders. 2007;8(1):83-89. https://doi.org/10.1186/1471-2474-8-83
  16. McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of Athletic Training. 2000; 35(3):329-337.
  17. Mullis R, Barber J, Lewis M, et al. ICF core sets for low back pain: do they include what matters to patients? Journal of Rehabilitation Medicine. 2007;39(5): 353-357. https://doi.org/10.2340/16501977-0059
  18. Papandreou MG, Billis EV, Antonogiannakis EM, et al. Effect of cross exercise on quadriceps acceleration reaction time and subjective scores (Lysholm questionnaire) following anterior cruciate ligament reconstruction. Journal of Orthopaedic Surgery and Research. 2009;4(1):2-11. https://doi.org/10.1186/1749-799X-4-2
  19. Rauch A, Escorpizo R, Riddle DL, et al. Using a case report of a patient with spinal cord injury to illustrate the application of the International Classification of Functioning, Disability and Health during multidisciplinary patient management. Physical Therapy Journal. 2010;90(7):1039-1052. https://doi.org/10.2522/ptj.20090327
  20. Rundell SD, Davenport TE, Wagner T. Physical therapist management of acute and chronic low back pain using the World Health Organization's International Classification of Functioning, Disability and Health. Physical Therapy Journal. 2009;89(1):82-90. https://doi.org/10.2522/ptj.20080113
  21. Shaw T, Williams MT, Chipchase LS. Do early quadriceps exercises affect the outcome of ACL reconstruction? A randomised controlled trial. Australian Journal of Physiotherapy. 2005;51(1):9-17. https://doi.org/10.1016/S0004-9514(05)70048-9
  22. Stucki G, Cieza A. The international Classification of Functioning, Disability and Health (ICF) Core Sets for rheumatoid arthritis: a way to specify functioning. Annals of the Rheumatic Diseases. 2004;63(2):40-45.
  23. Tanaka Y, Yonetani Y, Shiozaki Y, et al. Retear of anterior cruciate ligament grafts in female basketball players: a case series. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2010;2(1): 7-12. https://doi.org/10.1186/1758-2555-2-7
  24. Trulsson A, Roos EM, Ageberg E, et al. Relationships between postural orientation and self reported function, hop performance and muscle power in subjects with anterior cruciate ligament injury. BMC Musculoskeletal Disorders. 2010;11(1):143-152. https://doi.org/10.1186/1471-2474-11-143
  25. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Altitude Medicine and Biology. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  26. WHO. International classification of functioning, disability and health. World Health Organization. 2001.
  27. WHO. Toward a common language for functioning, disability and health. World Health Organization. 2002.
  28. Wilk KE, Reinold MM, Hooks TR. Recent advances in the rehabilitation of isolated and combined anterior cruciate ligament injuries. Orthopedic Clinics of North America. 2003;34(1):107-137. https://doi.org/10.1016/S0030-5898(02)00064-0
  29. Yun TW, Kim TY. A case report of intervention strategy applied ICF tool about floor to stand and stand to floor for stroke patient. The Korean Academy of Physical Therapy Science. 2011;18(1):33-49.