PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Effect of a Hip Joint Strengthening Exercise using PNF on Balance, Sit-to-Stand Movement, and Gait in a Tibia Fracture Patient with Skin Defects - A Single Case Study -

PNF을 이용한 엉덩관절 강화운동이 피부 결손을 동반한 개방성 정강뼈 골절 환자의 균형과 앉았다 일어서기, 보행에 미치는 영향 - 단일사례연구 -

  • Jung, Du-Kyo (Department of Physical Therapy, Soon Chun Hyang University Seoul Hospital) ;
  • Chung, Yi-Jung (Department of Physical Therapy, Sahmyook University)
  • 정두교 (순천향대학교 서울병원 물리치료실) ;
  • 정이정 (삼육대학교 물리치료학과)
  • Received : 2018.09.28
  • Accepted : 2018.11.20
  • Published : 2018.12.31
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Abstract

Purpose: Patients with tibial fractures can have functional problems with balance and gait, as well as lower extremity muscle weakness. This case report aimed to describe the effect of hip joint strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on balance and gait and lower limb function in a patient with tibia fracture. Methods: One patient diagnosed with tibial fracture was treated for seven weeks with the basic procedure, pattern, and technique of PNF for a hip joint strengthening exercise. Results: The results of pre- and post-intervention treatment showed improvements in physical function and structure in the clinical tests, including the manual strength test; the modified Ashworth scale; sensory evaluation; balance, sit-to-stand, and gait performance; and evaluation of lower limb function. Conclusion: Based on the results of this study, it is suggested that the use of theory-based proprioceptive neuromuscular stimulation for hip joint strengthening exercises positively affects patients' functional improvement in tibial fracture patients, and this may be used as a therapeutic exercise method for those with orthopedic problems in the lower extremities. One limitation of this study was that it was performed on only one tibia fracture patient, which makes it difficult to extend the treatment effects to all patients with this condition.

Keywords

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Fig. 1. ICF framework.

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Fig. 2. Before-intervention, after- 1 week, after-7 week of Berg balance scale, 5 time sit to stand, 10 meter walk test, timed up and go test, lower extremity functional scale.

Table 1. General characteristics of subject

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Table 2. Intervention for 7 weeks

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Table 3. Changes of lower extremity (examination) before and after intervention

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Table 4. Changes of Berg balance scale before and after intervention

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Table 5. Changes of 5 time sit to stand test and 10 meter walk test, timed up and go test before and after intervention

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Table 6. Changes of lower extremity functional scale before and after intervention

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