Effect of core strengthening with pelvic proprioceptive neuromuscular facilitation on trunk, balance, gait, and function in chronic stroke

Vishal Sharma, Jaskirat Kaur, Vishal Sharma, Jaskirat Kaur

Abstract

The purpose of this study was to evaluate the effects of core strengthening combined with pelvic proprioceptive neuromuscular facilitation (PNF) on trunk impairment, balance, gait, and functional ability of chronic stroke patients. Twenty-three participants with chronic stroke were recruited and randomly allocated to one of the two groups: core strengthening combined with pelvic PNF (group 1, n=13), and pelvic PNF with trunk flexibility exercises (group 2, n=10). Intervention was given to both groups for 60 min per session 5 times per week for 4 weeks. Performance of both groups was evaluated on Trunk Impairment Scale, Tinetti Performance Oriented Mobility Assessment (Tinetti-POMA), Balance Evaluation Systems Test (Mini-BESTest), Wisconsin Gait Scale, and Barthel Activities of Daily Living Index prior to and after the completion of the intervention. The comparison between postintervention scores of Tinetti-POMA between group 1 (18.76±1.78) and group 2 (16.8±1.87) and Mini-BESTest group 1 (16.15±1.28) and group 2 (14.7±1.41) showed significant difference (P=0.018). The results indicated that core stabilisation combined with pelvic PNF was more effective for improving trunk impairment, balance and gait of chronic stroke patients.

Keywords: Balance; Core strengthening; Gait; Proprioceptive neuromuscular facilitation; Stroke.

Conflict of interest statement

CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Consolidated standards for reporting of trials (CONSORT) diagram.

References

    1. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr Sports Med Rep. 2008;7:39–44.
    1. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):S86–92.
    1. Chung EJ, Kim JH, Lee BH. The effects of core stabilization exercise on dynamic balance and gait function in stroke patients. J Phys Ther Sci. 2013;25:803–806.
    1. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77:132–142.
    1. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189–198.
    1. Kim KY, Chun SP, Kang TG, Kim GD. Effects of core stability training on postural control ability and respiratory function in chronic stroke patients. Adv Sci Technol Lett. 2015;88:181–186.
    1. Ko EJ, Chun MH, Kim DY, Yi JH, Kim W, Hong J. The additive effects of core muscle strengthening and trunk NMES on trunk balance in stroke patients. Ann Rehabil Med. 2016;40:142–151.
    1. Kumar S, Kumar A, Kaur J. Effect of PNF technique on gait parameters and functional mobility in hemiparetic patients. J Exerc Sci Physiother. 2012;8:67–73.
    1. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011;377:1693–1702.
    1. Mann DK, Raja NR, Bhardwaj N, Singh J. Effect of proprioceptive neuromuscular facilitation in hemiplegic gait a randomized trial of 4 weeks and a follow up after 2 weeks. Indian J Physiother Occup Ther. 2013;7:59–64.
    1. Pathak S, Vijayakumar K, Nayak A, Kedambadi RC. The relationship between pelvic alignment and trunk control in stroke subjects: a cross-sectional study. Int J Res Med Sci. 2015;2:1483–1487.
    1. Shinde K, Ganvir S. Effectiveness of trunk proprioceptive neuromuscular facilitation techniques after stroke: a meta-analysis. Natl J Med Allied Sci. 2014;3:29–34.
    1. Shinkle J, Nesser TW, Demchak TJ, McMannus DM. Effect of core strength on the measure of power in the extremities. J Strength Cond Res. 2012;26:373–380.
    1. Taylor CF, Kumar S. Stroke in India factsheet. New Delhi (India): South Asia Network for Chronic Disease, Public Health Foundation of India; 2012. 2012.
    1. Verheyden G, Vereeck L, Truijen S, Troch M, Lafosse C, Saeys W, Leenaerts E, Palinckx A, De Weerdt W. Additional exercises improve trunk performance after stroke: a pilot randomized controlled trial. Neurorehabil Neural Repair. 2009;23:281–286.
    1. Wang RY. Effect of proprioceptive neuromuscular facilitation on the gait of patients with hemiplegia of long and short duration. Phys Ther. 1994;74:1108–1115.
    1. Yu SH, Park SD. The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients. J Exerc Rehabil. 2013;9:362–367.
    1. Zakaria Y, Rashad U, Mohammed R. Assessment of malalignment of trunk and pelvis in stroke patients. Egypt J Neurol Psychiat Neurosurg. 2010;47:599–604.

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir