Developing the Kabat Concept: Progressive Modular Rebalancing System (RMP) with Neurokinetic Facilitations

G, Monari; E, Sinibaldi; Petris, De; Vanacore, Nicola; Meco, Giuseppe

doi:10.4172/2165-7025.1000312

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…The progressive modular rebalancing (PMR) system is an exercise-based therapy based on proprioceptive neuromuscular facilitation (PNF) principles (35–37). PNF was further developed into an alternate approach (38) mainly focusing on trunk mobility, strength, endurance, and functional connection with proximal muscles. It may be particularly appropriate for patients with PD in whom the abnormal activation of trunk rotator and extensor muscles, trunk motion, ability to roll over on the bed, and axial rigidity are all associated with a high risk of falls (39, 40).…”

Section: Introductionmentioning

confidence: 99%

Progressive Modular Rebalancing System and Visual Cueing for Gait Rehabilitation in Parkinson's Disease: A Pilot, Randomized, Controlled Trial With Crossover

Serrao

Pierelli

et al. 2019

Front. Neurol.

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Introduction: The progressive modular rebalancing (PMR) system is a comprehensive rehabilitation approach derived from proprioceptive neuromuscular facilitation principles. PMR training encourages focus on trunk and proximal muscle function through direct perception, strength, and stretching exercises and emphasizes bi-articular muscle function in the improvement of gait performance. Sensory cueing, such as visual cues (VC), is one of the more established techniques for gait rehabilitation in PD. In this study, we propose PMR combined with VC for improving gait performance, balance, and trunk control during gait in patients with PD. Our assumption herein was that the effect of VC may add to improved motor performance induced by the PMR treatment. The primary aim of this study was to evaluate whether the PMR system plus VC was a more effective treatment option than standard physiotherapy in improving gait function in patients with PD. The secondary aim of the study was to evaluate the effect of this treatment on motor function severity. Design: Two-center, randomized, controlled, observer-blind, crossover study with a 4-month washout period. Participants: Forty individuals with idiopathic PD in Hoehn and Yahr stages 1–4. Intervention: Eight-week rehabilitation programs consisting of PMR plus VC (treatment A) and conventional physiotherapy (treatment B). Primary outcome measures: Spatiotemporal gait parameters, joint kinematics, and trunk kinematics. Secondary outcome measures: UPDRS-III scale scores. Results: The rehabilitation program was well-tolerated by individuals with PD and most participants showed improvements in gait variables and UPDRS-III scores with both treatments. However, patients who received PMR with VC showed better results in gait function with regard to gait performance (increased step length, gait speed, and joint kinematics), gait balance (increased step width and double support duration), and trunk control (increased trunk motion) than those receiving conventional physiotherapy. While crossover results revealed some differences in primary outcomes, only 37.5% of patients crossed over between the groups. As a result, our findings should be interpreted cautiously. Conclusions: The PMR plus VC program could be used to improve gait function and severity motor of motor deficit in individuals with PD. Clinical Trial Registration : www.ClinicalTrials.gov , identifier NCT03346265.

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Section: Introductionmentioning

confidence: 99%

Progressive Modular Rebalancing System and Visual Cueing for Gait Rehabilitation in Parkinson's Disease: A Pilot, Randomized, Controlled Trial With Crossover

Serrao

Pierelli

et al. 2019

Front. Neurol.

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“…2 Kabat rehabilitation is a Practical method to enable physicians to analyze the motor activities of a patient and simultaneously identify the most effective strategies for functional movements. 3 PNF is a therapeutic exercise technique that combines functionally based diagonal pattern of movement with neuromuscular facilitation techniques to elicit motor responses and improve neuromuscular control and performance. 4 Bell's palsy has a 15-30 per 100,000 population annual incidence.…”

Section: Introductionmentioning

confidence: 99%

A Case Study on the Effectiveness of Kabat Rehabilitation in a Patient with Bell’s Palsy

Dwivedi

Chatterjee

Gujral

2021

J. Drug Delivery Ther.

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One of the most prevalent neurological illnesses affecting the VII cranial nerve is paralysis of facial nerve. The loss of sophisticated and multidimensional capabilities such as expression of emotions via facial mimicry, face identification, and communication is caused by nerve paralysis. Through stimulation of the proprioceptors, the Kabat rehabilitation therapy for facial paralysis can trigger or restore the neuromuscular circuit, restoring the normal functionality of nerve terminals in the muscles.This study aims to show how a patient can gain functional & aesthetic benefits through detailed clinical evaluation followed by kabat rehabilitation. Functionality evaluation of the facial nerve was based on the SFGS,FDI and H- B scales Patients who were treated with kabat rehabilitation method restored motor capacities of the paralysed hemifacia. Keywords: Kabat rehabilitation, facial nerve, facial palsy, proprioceptive facilitation, rehabilitation.

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Ultrasound-Guided Injections and Proprioceptive Neuromuscular Facilitation as Shoulder Rehabilitation for Multiple Sclerosis and Neuropathic Pain

et al. 2022

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Multiple sclerosis (MS) represents a major cause of chronic neurological disability in young adults and can result in upper limb sensorimotor impairment with a huge impact on manual dexterity and activities of daily living. Moreover, pain is common in MS and a large proportion of patients suffer from central neuropathic pain. To date, no rehabilitative treatment has been described as useful for these patients. A 46-year-old woman, affected by relapsing-remittent MS, described a one-year history of right shoulder pain (Visual Analogue Scale = 8) that started gradually and without trauma. The patient also presented balance and gait impairments, upper limb strength deficit, and fatigue (Expanded Disability Status Scale = 5.5). A multidisciplinary treatment was proposed, including three intra-articular corticosteroid injections and one month of manual therapy, three sessions/week, based on proprioceptive neuromuscular facilitation for the upper limb. At the end of the rehabilitative treatment, pain relief and an improvement in the range of motion of the affected shoulder, upper limb muscle strength, and hand dexterity were observed. The present paradigmatic case report with literature review demonstrated that a multidisciplinary approach seems to be effective in pain relief in a patient with central neuropathic shoulder pain and relapsing-remitting MS.

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Developing the Kabat Concept: Progressive Modular Rebalancing System (RMP) with Neurokinetic Facilitations

Cited by 3 publications

References 22 publications

Progressive Modular Rebalancing System and Visual Cueing for Gait Rehabilitation in Parkinson's Disease: A Pilot, Randomized, Controlled Trial With Crossover

Progressive Modular Rebalancing System and Visual Cueing for Gait Rehabilitation in Parkinson's Disease: A Pilot, Randomized, Controlled Trial With Crossover

A Case Study on the Effectiveness of Kabat Rehabilitation in a Patient with Bell’s Palsy

Ultrasound-Guided Injections and Proprioceptive Neuromuscular Facilitation as Shoulder Rehabilitation for Multiple Sclerosis and Neuropathic Pain

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