Effects of aquatic PNF lower extremity patterns on balance and ADL of stroke patients
Eun-Kyung Kim, Dong-Kyu Lee, Young-Mi Kim, Eun-Kyung Kim, Dong-Kyu Lee, Young-Mi Kim
Abstract
[Purpose] This study investigated the effect of aquatic proprioceptive neuromuscular facilitation (PNF) patterns in the lower extremity on balance and activities of daily living (ADL) in stroke patients. [Subjects] Twenty poststroke participants were randomly assigned to an experimental group (n = 10) or a control group (n = 10). The experimental group performed lower extremity patterns in an aquatic environment, and the control group performed lower extremity patterns on the ground. Both exercises were conducted for 30 minutes/day, 5 days/week for 6 weeks. Balance was measured with the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), Functional Reach Test (FRT), and One Leg Stand Test (OLST). Activities of daily living were measured with the Functional Independence Measure (FIM). A paired t-test was used to measure pre- and post-experiment differences, and an independent t-test was used to measure between-group differences. [Results] The experimental and control groups showed significant differences for all pre- and post-experiment variables. In the between-group comparison, the experimental group was significantly difference from the control group. [Conclusion] These results indicate that performing aquatic proprioceptive neuromuscular facilitation patterns in the lower extremity enhances balance and ADL in stroke patients.
Keywords: Activities of daily living; Balance; Proprioceptive neuromuscular facilitation.
References
- Feigin VL: Stroke epidemiology in the developing world. Lancet, 2005, 365: 2160–2161.
- Lamb SE, Ferrucci L, Volapto S, et al. Women’s Health and Aging Study: Risk factors for falling in home-dwelling older women with stroke: the Women’s Health and Aging Study. Stroke, 2003, 34: 494–501.
- Cohen H, Blatchly CA, Gombash LL: A study of the clinical test of sensory interaction and balance. Phys Ther, 1993, 73: 346–351, discussion 351–354.
- Michael KM, Allen JK, Macko RF: Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil, 2005, 86: 1552–1556.
- Pollock A, Baer G, Langhorne P, et al. : Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: a systematic review. Clin Rehabil, 2007, 21: 395–410.
- Klein DA, William JS, Wayne TP: PNF training and physical function in assisted-living older adults. J Aging Phys Act, 2002, 41: 476–488.
- Davis BC: A technique of resistive exercise in the treatment pool. Physiotherapy, 1971, 57: 480–481.
- Song JM, Kim SM: The effect of aquatic exercise applied PNF patterns on body composition and balance performance in stroke patients. J Korean Proprioceptive Neuromuscul Facilitation Assoc, 2008, 6: 1–10.
- Basmajian JV: Therapeutic exercise in the management of rheumatic diseases. J Rheumatol Suppl, 1987, 14: 22–25.
- McNeal RL: Aquatic therapy for patients with rheumatic disease. Rheum Dis Clin North Am, 1990, 16: 915–929.
- Devereux K, Robertson D, Briffa NK: Effects of a water-based program on women 65 years and over: a randomised controlled trial. Aust J Physiother, 2005, 51: 102–108.
- Kim YN, Lee DK: Comparison between aquatic and ground environments of rhythmic initiation for postural control. J Phys Ther Sci, 2012, 24: 1269–1271.
- Kofotolis N, Kellis E: Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Phys Ther, 2006, 86: 1001–1012.
- Simmons V, Hansen PD: Effectiveness of water exercise on postural mobility in the well elderly: an experimental study on balance enhancement. J Gerotol A Biol Sci. Med Sci, 1996, 51: 233–238.
- Suomi R, Collier D: Effects of arthritis exercise programs on functional fitness and perceived activities of daily living measures in older adults with arthritis. Arch Phys Med Rehabil, 2003, 84: 1589–1594.
- Sato D, Kaneda K, Wakabayashi H, et al. : Comparison of 2-year effects of once and twice weekly water exercise on activities of daily living ability of community dwelling frail elderly. Arch Gerontol Geriatr, 2009, 49: 123–128.
- Cassady SL, Neilsen DH: Cardio respiratory responses to calisthenics performed with upper and lower extremities on land and in water at given cadences. Phys Ther, 1992, 72: 532–538.
Source: PubMed