PNF Techniques to Improve Bed Mobility, Transfer and Early Trunk Control in Stroke Patients

Riphah International University

Status: Completed

Conditions: Stroke

Treatments: Other: Conventional treatment; Other: Proprioceptive neuromuscular facilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT04816422

REC/Lhr/19/1011 Naeem Abbas

Details and patient eligibility

About

Trunk control is an important factor which is disturbed after the stroke. The literature reviews suggest that trunk exercises are required to achieve good trunk stability which is essential for balance, daily functional activities and higher function tasks. By keeping these facts in view present study aims at evaluating the efficacy of PNF techniques & conventional trunk exercise to improve trunk control in recovery stage hemiplegic patients Objective: To determine Proprioceptive neuromuscular facilitation (PNF) Techniques to improve bed mobility, transfer and early trunk control in Stroke patients

Full description

50 patients was included and allocated into 2 groups, group A consisting of 25 patients who received PNF techniques for trunk to improve trunk control. Group B consisting of 25 patients who received conventional trunk exercises to improve trunk control. Trunk control was assessed pre and post treatment with the help of Trunk Impairment Scale and ICU mobility scale. Data was collected by ICU mobility scale & Trunk impairment scale

Enrollment: 50 patients

Sex: All

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Stroke (Acute stage)
• First attack without any prior residual impairment.
• Middle Cerebral Artery syndrome

Exclusion criteria

• Cognitive deficits or aphasia
• Neurological disorders e.g, Parkinson's disease.
• Heart failure
• Systemic orthopaedic and psychological disorders

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Proprioceptive neuromuscular facilitation

Experimental group

Description:

Bilateral upper extremity pattern for trunk by Chopping, Lifting 2. Bilateral lower extremity pattern for trunk. 3. Trunk lateral flexion. 4. Combination patterns for the trunk by Upper and lower trunk flexion, Upper trunk flexion with lower trunk extension, Upper and lower trunk extension, Upper trunk extension with lower trunk flexion.

Treatment:

Other: Proprioceptive neuromuscular facilitation

Conventional treatment

Active Comparator group

Description:

Procedure Group 2 has received conventional trunk exercise program for 45 min/day, 4 days / week for the period of 4 weeks the intervention includes static and dynamic functional trunk movement and strengthening exercise to the trunk muscles which includes motor developmental patterns, basic trunk movement, trunk-arm linked movements, trunk-leg linked patterns in sitting, transfer activities, with 2 minutes rest in between the repetition of each set, Progression will be made by increasing the repetition and resistance According to individual ability.

Treatment:

Other: Conventional treatment