Effects of Proprioceptive Neuromuscular Facilitation and Treadmill Training on the Balance and Walking Ability of Stroke Patients

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.

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

“…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.…”

“…20–22,26,27,30–32,34 Proprioceptive training combined with neurodevelopmental training was used in three studies. 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…”

Virtual Reality Community Gait Training Using a 360° Image Improves Gait Ability in Chronic Stroke Patients

“…[4][5][6] Additionally, adjusting the weight load while walking on the treadmill can promote coordination of the legs and improve walking speed. [7][8][9] Gait retraining after a stroke requires exposure to various environmental conditions and situations when walking. 10 Rehabilitation within the clinical practice requires patients to be exposed to vari-ous environmental conditions in a small treatment room and they cannot experience community environment.…”

“…Research on virtual realitybased treadmill gait training has been conducted in various ways on the stroke parents with an emphasis on interventions that reflect J KPT reality and include active participation. 8,12,15 Integrating virtual reality into existing gait retraining can further improve gait abiity. 18 The patients who participated actively in virtual reality based training had improved motor skills than those who participated in conventional task oriented interventions.…”

Análise da potência absoluta na banda gama no córtex pré-frontal após diagonal de membro superior

“…Movimentos realizados em diagonal são utilizados no âmbito da fisioterapia, para a recuperação funcional dos pacientes e são aplicados principalmente nos programas que visam alongamento e fortalecimento [1][2][3][4] . O conceito de tratamento utilizando diagonais destaca que todos os indivíduos, incluindo aqueles com alterações físicas têm um potencial funcional 5,6 ao envolver a estimulação dos proprioceptores musculares e articulares [6][7][8][9][10][11] . Neste contexto, a tarefa motora promove modulações da atividade cortical, no entanto, embora movimentos em diagonal sejam bastante utilizados na prática clínica e sua repercussão mioelétrica seja elucidada na literatura, as repercussões corticais provocadas por esse tipo de movimento, ainda são desconhecidas 12 .…”