Effects of Proprioceptive Neuromuscular Facilitation (PNF) Techniques on Bed Mobility, Transfer and Early Trunk Control in Acute Stroke Patients
Binash Afzal *
Riphah International University, Lahore, Pakistan.
Tehreem Mukhtar
Riphah International University, Lahore, Pakistan.
Ghazal Awais Butt
Riphah International University, Lahore, Pakistan.
Asifa Bashir
Riphah International University, Lahore, Pakistan.
Sadiaa Manzoor
Bakhtawar Amin Medical and Dental College / College of Rehabilitation Sciences, Multan, Pakistan.
Syed Naeem Abbas
Shalamar Hospital Lahore, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Aims: The aim of this study was to observe the effects of Proprioceptive neuromuscular facilitation (PNF) Techniques to improve bed mobility, transfer and early trunk control in Stroke patients.
Study Design: Assessor blinded Randomized Control Trail.
Place and Duration of the Study: Physiotherapy department of Shalamar hospital Lahore, Pakistan from March 2019 to September 2020.
Methodology: A total of 50 acute stroke patients with severity level NIHSS>21 were recruited and randomly allocated into 2 groups (males: 29, females: 21; age range: 50 to 65) after obtaining written informed consent. Patients were assessed at baseline 0 week and after 6 week of post treatment on Trunk impairment scale (TIS) and ICU mobility scale.
Results: It showed that PNF base trunk control exercises exhibited significant improvement in Trunk impairment scale(TIS) in Group A as compared with Group B at post-test, 18.44±3.176 vs 16.12±2.35 (p=0.004) respectively. ICU Mobility scale significantly improves at post-test in Group A as compared to Group B, 7.52 ±2.583 vs 5.84±1.434 (p=0.007) respectively.
Conclusion: This study concluded that PNF based trunk exercise showed more improvement in Group A (Trunk stability exercises using PNF techniques) when compared with conventional training.
Keywords: Proprioceptive neuromuscular facilitation, bed mobility, transfer, in acute Stroke, trunk control