Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Khanal, Dildip

doi:10.9790/0853-0362937

Cited by 11 publications

(13 citation statements)

References 30 publications

(37 reference statements)

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“…In previous trials, pelvis stability strategies of proprioceptive neuromuscular facilitation were shown to be beneficial in improving trunk control, balance and walk ability after stroke. 27,28 Posterior rotation of the pelvis on the most affected side is the commonest observational finding seen in stroke, and it was not reported in the present study because of the methodological limitations.…”

Section: Discussionmentioning

confidence: 75%

Pelvic alignment in standing, and its relationship with trunk control and motor recovery of lower limb after stroke

Karthikbabu

Chakrapani

Ganesan

et al. 2016

Neurology & Clinical Neurosc

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Background: The pelvis is not stable after stroke, and poor trunk recovery might be the foremost contributor to altered pelvic alignment in sitting, standing and during walking. Aim: To analyze the relationship between pelvic alignment in standing and trunk control after stroke, and also test how these correlations are related to Brunnstrom's lower limb motor recovery. Methods: In the present cross-sectional study, 116 ambulant patients after stroke were assessed for their pelvic tilt angles in standing and trunk control using a palpation meter (PALM device) and the Trunk Impairment Scale (TIS), respectively. The pelvic tilt values were correlated to TIS scores by the Pearson's correlation coefficient. Results: The mean age, post-stroke duration, and Brunnstrom's lower limb motor recovery of study participants were 55 (13) years, 14.2 (11.3) months and 3.75 (0.79), respectively. The present study reported more lateral pelvic tilt of 2.47°( 1.78°) towards the most affected side and an anterior pelvic tilt of 4.4°(1.8°) bilaterally. The mean score of TIS was 10.4 (3). Pelvic tilt angles had a moderately inverse correlation with the total TIS score and coordination subscale of TIS (rvalue from -0.44 to -0.54), but a low inverse relationship to the dynamic sitting balance subscale of TIS (-0.36 to -0.45). Also, the pelvic tilt had a high negative correlation with trunk control (r-value from -0.68 to -0.84) in lower limb motor recovery stage 5. Conclusion: Pelvic alignment when standing is not normal after stroke, and this is influenced by poor trunk control and impairment of the lower extremities. Assessment of the pelvis provides further insight into planning the appropriate rehabilitation strategies in stroke.

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Section: Discussionmentioning

confidence: 75%

Pelvic alignment in standing, and its relationship with trunk control and motor recovery of lower limb after stroke

Karthikbabu

Chakrapani

Ganesan

et al. 2016

Neurology & Clinical Neurosc

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“…After excluding studies that did not meet the inclusion criteria or did not assess the outcomes of interest, we retained 17 RCTs (two studies from the previous review) for inclusion in the review. 18–34 However, one study 31 did not present the numerical data necessary for calculating effect sizes and thus was only included for the qualitative analysis. Finally, 16 studies were included in the quantitative meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…18,19,25 Proprioceptive training combined with treadmill training was employed in two studies, 24,28 and proprioceptive training as a standalone treatment was used in three studies. 23,29,33…”

Section: Resultsmentioning

confidence: 99%

Effects of proprioceptive training for people with stroke: A meta-analysis of randomized controlled trials

2021

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Objective To evaluate the effectiveness of proprioceptive training on balance performance, trunk control, and gait speed in people with stroke. Methods We searched PubMed, Science Direct, Cochrane, Embase, and Medline for randomized controlled trials that evaluated the effects of proprioceptive training for patients with stroke from the date of each database's inception to July 26, 2021. Two reviewers independently screened the titles and abstracts of potentially eligible articles that were identified on the basis of the search criteria. Methodological quality was determined using version 2 of the Cochrane risk of bias tool for randomized trials. Data were analyzed using Comprehensive Meta-Analysis software. The treatment effect was estimated by calculating Hedges’ g and 95% confidence intervals (CIs) using a random-effects model. Statistical heterogeneity was assessed according to the I2 value. The primary outcome was balance performance and secondary outcomes were trunk control, gait speed, and basic functional mobility. Results In total, 17 trials involving 447 people with stroke were included. Proprioceptive training had a significant effect on balance performance (Hedges’ g = 0.69, 95% CI = 0.36–1.01), gait speed (Hedges’ g = 0.57, 95% CI = 0.19–0.94), trunk control (Hedges’ g = 0.75, 95% CI = 0.33–1.17), and basic functional mobility (Hedges’ g = 0.63, 95% CI = 0.31–0.94) among people with stroke. Conclusion Proprioceptive training may be effective in improving balance performance, gait speed, trunk control, and basic functional mobility among people with stroke.

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“…Diagonal pattern training has been conducted for trunk control rehabilitation in several studies for the selective movement of the spine and pelvis in stroke patients [13][14][15]. Diagonal pattern training is one of the trunk rehabilitation training methods that improve the movement, trunk asymmetry, flexibility, and strength provided by various planes [13].…”

Section: Introductionmentioning

confidence: 99%

Effect of Diagonal Pattern Training on Trunk Function, Balance, and Gait in Stroke Patients

Park

2020

Applied Sciences

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Introduction: Trunk control disability commonly occurs after stroke. This study investigated the effect of diagonal pattern training in the sitting position to improve trunk control ability and gait performance. Method: 46 stroke patients were enrolled in this study. We used single plane training and diagonal pattern training. Additionally, the subjects were randomly assigned to the experiment group (diagonal pattern training) and the control group (single plane training). Diagonal pattern training was modified with proprioceptive neuromuscular facilitation technique’s chopping and lifting pattern to create 10 movements. Results: the trunk impairment scale score, Berg balance scale score, 10 m walking test result, and gait significantly increased in the experiment group compared to the control group. Conclusions: diagonal pattern training can be regarded as a promising method to improve postural control and increase balance and gait in stroke patients

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Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Cited by 11 publications

References 30 publications

Pelvic alignment in standing, and its relationship with trunk control and motor recovery of lower limb after stroke

Pelvic alignment in standing, and its relationship with trunk control and motor recovery of lower limb after stroke

Effects of proprioceptive training for people with stroke: A meta-analysis of randomized controlled trials

Effect of Diagonal Pattern Training on Trunk Function, Balance, and Gait in Stroke Patients

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