The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of Proprioceptive Neuromuscular Facilitation and Treadmill Training on the Balance and Walking Ability of Stroke Patients

  • Kim, Chang-Heon (Department of Physical Therapy, Graduate School, Nambu University) ;
  • Kim, Yong-Nam (Department of Physical Therapy, Nambu University)
  • Received : 2018.05.08
  • Accepted : 2018.06.30
  • Published : 2018.06.29
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Abstract

Purpose: The purpose of this study was to investigate the effects of combined training using proprioceptive neuromuscular facilitation (PNF) patterns and treadmills on the balance and walking ability of stroke patients. Methods: Twenty-three stroke patients were randomized into a control group (n=11), receiving only treadmill training and an experimental group (n=12) receiving combined training. The use of both PNF exercise and treadmill were implemented in the combined training. Interventions were performed 5 times a week for 6 weeks. Balance ability was measured by a timed up and go (TUG) test. Walking ability was measured by a 10-meter walk test (10MWT) and a 6-minute walk test (6MWT). A paired t-test was used to compare differences between pre- and post-intervention and independent t-tests were used to compare between groups. Results: Changes in TUG, 10MWT, and 6MWT before and after interventions were significantly different for both the experimental group and the control group (p<0.05). In addition, within-group changes in the TUG, 10MWT, and 6MWT were more effective in the experimental group than in the control group (p<0.05). Conclusion: Combined training using PNF techniques and treadmills may be useful in improving the balance and walking ability of stroke patients.

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References

  1. Bae SS, Lee JH. The study of clinical pictures and received rehabilitation service patterns of stroke patients. J Kor Soc Phys Ther. 2001;13(3):799-814.
  2. Jorgensen HS, Nakayama H, Raaschou HO et al. Recovery of walking function in stroke patients: the copenhagen stroke study. Arch Phys Med Rehabil. 1995;76(1):27-32. https://doi.org/10.1016/S0003-9993(95)80038-7
  3. Patterson KK, Parafianowicz I, Danells CJ et al. Gait asymmetry in community-ambulating stroke survivors. Arch Phys Med Rehabil. 2008;89(2):304-10. https://doi.org/10.1016/j.apmr.2007.08.142
  4. Mumma CM. Perceived losses following stroke. Rehabil Nurs J. 2000;25(5):192-5. https://doi.org/10.1002/j.2048-7940.2000.tb01904.x
  5. Werner C, Bardeleben A, Mauritz KH et al. Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison. Eur J Neurol. 2002;9(6):639-44. https://doi.org/10.1046/j.1468-1331.2002.00492.x
  6. Bohannon RW, Andrews AW, Smith MB. Rehabilitation goals of patients with hemiplegia. Int J Rehabil Res. 1988;11(2):181-4. https://doi.org/10.1097/00004356-198806000-00012
  7. Ryerson S, Levit K. Functional movement reeducation: a contemporary model for stroke rehabilitation. Philadelphia, Churchill Livingstone, 1997.
  8. Carr J, Shepherd R. Neurological rehabilitation: optimizing motor performance. New York, Churchill Livingstone, 2010.
  9. Horak FB. Clinical assessment of balance disorders. Gait Posture. 1997;6(1):76-84. https://doi.org/10.1016/S0966-6362(97)00018-0
  10. Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clin Orthop Relat Res. 1984;1(182):165-71.
  11. Rode G, Tiliket C, Boisson D. Predominance of postural imbalance in left hemiparetic patients. Scand J Rehabil Med. 1997;29(1):11-6.
  12. Klein DA, Stone WJ, Phillips WT et al. PNF training and physical function in assisted-living older adults. J Aging Phys Act. 2002;10(4):476-88. https://doi.org/10.1123/japa.10.4.476
  13. Kim BR, Lee HJ. Effects of proprioceptive neuromuscular facilitationbased abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. J Exerc Rehabil. 2017;13(4):486-90. https://doi.org/10.12965/jer.1735030.515
  14. Jeong WM, Kim BR. The effects of proprioceptive neuromuscular facilitation exercise on the pain and functional disability index of patients with chronic lower back pain. PNF & Movement. 2017;15(2):195-200.
  15. Kim CH, Kim BR. The effects of abdominal strength training using proprioceptive neuromuscular facilitation on the balance ability and pain of patients with chronic lower back pain. PNF & Movement. 2017;15(2):141-8.
  16. Song MS, Kim BR, Kim CH et al. A case report of a proprioceptive neuromuscular facilitation intervention strategy applied with an ICF tool in a patient with anterior cruciate ligament reconstruction. PNF & Movement. 2017;15(1):1-11. https://doi.org/10.21598/JKPNFA.2017.15.1.1
  17. Jeong WM, Kim BR, Kang MG. Effect of treadmill training and proprioceptive neuromuscular facilitation lower leg taping on balance and gait ability in stroke patients. PNF & Movement. 2016;14(2):83-91. https://doi.org/10.21598/JKPNFA.2016.14.2.83
  18. Dietz B. Let's sprint, let's skate: innovationen im PNF-Konzept. Heidelberg, Springer, 2009.
  19. Bobath B. Adult hemiplegia: evaluation and treatment. Oxford, Butterworth Heinemann, 1990.
  20. Wang RY. Effect of proprioceptive neuromuscular facilitation on the gait of patients with hemiplegia of long and short duration. Phys Ther. 1994;74(12):1108-15. https://doi.org/10.1093/ptj/74.12.1108
  21. Trueblood PR, Walker JM, Perry J et al. Pelvic exercise and gait in hemiplegia. Phys Ther. 1989;69(1):18-26. https://doi.org/10.1093/ptj/69.1.18
  22. Kim EK, Lee DK, Kim YM. Effects of aquatic PNF lower extremity patterns on balance and ADL of stroke patients. J Phys Ther Sci. 2015;27(1):213-5. https://doi.org/10.1589/jpts.27.213
  23. Hesse S, Werner C, Bardeleben A et al. Body weight-supported treadmill training after stroke. Curr Atheroscler Rep. 2001;3(4):287-94. https://doi.org/10.1007/s11883-001-0021-z
  24. Hesse S. Treadmill training with partial body weight support in hemiparetic patients-further research needed. Neurorehabil Neural Repair. 1999;13(3):179-81. https://doi.org/10.1177/154596839901300306
  25. Dietz V. Body weight supported gait training: from laboratory to clinical setting. Brain Res Bull. 2008;76(5):459-63. https://doi.org/10.1016/j.brainresbull.2008.02.034
  26. Kim K, Lee DK, Jung SI. Effect of coordination movement using the PNF pattern underwater on the balance and gait of stroke patients. J Phys Ther Sci. 2015;27(12):3699-701. https://doi.org/10.1589/jpts.27.3699
  27. Lim CG. The effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise using the sprinter and the skater on balance and gait function in the stroke patients. J Kor Soc Phys Ther. 2014;26(4):249-56.
  28. Kim BR, Bang DH, Bong SY. The effect of coordinative pattern exercise of upper and lower extremities use harness for walking ability and balance ability in chronic stroke patients. PNF & Movement. 2015;13(3):127-34.
  29. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  30. Van Loo M, Moseley A, Bosman J et al. Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Inj. 2004;18(10):1041-8. https://doi.org/10.1080/02699050410001672314
  31. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886-95.
  32. Swisher AK, Goldfarb AH. Use of the six-minute walk/run test to predict peak oxygen consumption in older adults. Cardiopulmonary Phys Ther J. 1998;9(3):3-5.
  33. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. Am J Phys Med Rehabil. 2003;82(5):385-90. https://doi.org/10.1097/01.PHM.0000052589.96202.BE
  34. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-81.

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