고유수용성신경근 촉진법 훈련과 동작관찰 훈련이 뇌졸중 환자의 상지 운동기능에 미치는 효과: 단일사례 연구

박혜령 ( Hye Ryoung Park ),이문규 ( Moon Kyu Lee ),윤태원 ( Tae Won Yun ) 한국전문물리치료학회 2015 한국전문물리치료학회지 Vol.22 No.1

This study evaluated and compared the effectiveness on upper motor extremity function between proprioceptive neuromuscular facilitation which has been frequently used in clinical practice, and action observation training in terms of improving upper motor extremity function. A study with a single-subject design (A-B-C-A’) was conducted with a patient who was diagnosed with left hemiplegia. A repeated-measure analysis was conducted to assess results of the Wolf Motor Function Test (WMFT), Box and Block Test (BBT), and grip and pinch strength test performed daily in the study for 4 weeks. The results of the analysis indicated that the WMFT score, BBT score, grip strength, and pinch strength were improved from 29.60 to 39 (24.10%), from 1.67 to 4.93 each (EA) (66.22%), from 2.06 to 2.66 libras (lbs) (22.61%), and from 1.57 to 1.93 lbs (18.94%), respectively, from the baseline period to treatment period B. The values were improved from 29.60 to 42.20 (29.86%), from 1.67 to 7 EA (76.21%), from 2.06 to 3.47 lbs (40.57%), and from 1.57 to 1.67 lbs (6.12%), respectively, from the baseline period to treatment period C. From treatment period B to treatment period C, the WMFT score, BBT score, and grip strength were improved from 39 to 42.20 (7.58%), from 4.93 to 7 EA (29.56%), and from 2.66 to 3.47 lbs (23.20%), respectively, but pinch strength was decreased from 1.93 to 1.67 lbs (15.83%). In conclusion, proprioceptive neuromuscular facilitation and action observation training both have positive effects on upper extremity motor function. However, we suggest that the posttreatment effect of action observation training was better than that of proprioceptive neuromuscular facilitation.

Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients

Beom-Ryong Kim,Hye-Jin Lee 한국운동재활학회 2017 JER Vol.13 No.4

배근 강화운동이 뇌졸중 환자의 배근력 및 호흡기능에 미치는 영향

강태욱,정주현 대한통합의학회 2019 대한통합의학회지 Vol.7 No.4

Purpose : The purpose of this study was to investigate the effect of abdominal muscle strengthening exercise on abdominal muscle strength and respiratory function in stroke patients. Methods : The subjects were 14 stroke patients (10 males, 4 females) hospitalized at W rehabilitation hospital in Busan City and randomly assigned to 7 exercise groups and 7 control groups. Exercise was performed in combination with an upper and lower extremity pattern of proprioceptive neuromuscular facilitation. Measurements of abdominal muscle strength and respiratory function were made before intervention and 4 weeks after intervention. Abdominal muscle strength was assessed using a digital manual dynamometer, and respiratory function was assessed by spirometry. The collected data were analyzed with a paired t-test and independent t-test and the significance level was set as α=.05. Results : The results showed that applying abdominal muscle strengthening exercise to stroke patients showed a significant increase in abdominal muscle strength and a significant difference between groups (p<.05). Maximal-effort expiratory spirogram (MES) readings were significantly increased in forced vital capacity (FVC), and forced expiratory volume in one second (FEV1), in the exercise group, and there were a significant differences between the groups in terms of FEV1 (p<.05). Slow vital capacity (SVC) was significantly increased in vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), and expiratory capacity (EC), and there were significant differences between the groups in VC, TV, expiratory reserve volume (ERV), EC, and inspiratory capacity (IC) (p<.05). Conclusion : Abdominal muscle strengthening exercise was effective in the abdominal muscle strength of stroke patients, and it was confirmed to have a positive effect on the enhancement of respiratory function. Therefore, it seems that exercise programs for stroke patients with respiratory weakness should include abdominal muscle strengthening exercises. Purpose: 본 연구는 뇌졸중 환자에게 적용한 배근강화운동이 배근력과 호흡기능에 미치는 영향에 대하여 알아보고자 하였다 Methods: 연구대상자는 부산시 소재 W 재활병원에 뇌졸중으로 진단받고 입원치료 중인 뇌졸중 환자 14명(남성 10명, 여성 4명)을 대상으로 배근강화 운동군 7명, 대조군 7명으로 무작위 배치하였다. 배근강화 운동은 PNF의 상지와 하지 패턴을 결합한 운동을 실시하였으며, 배근력과 호흡기능의 측정은 중재 전, 중재 4주 후에 측정하였다. 배근력을 측정하기 위해 디지털 근력 측정계를 사용하였고, 호흡기능을 측정하기 위해 폐 기능 검사를 실시하였다. 자료분석은 SPSS 22.0ver를 사용하여 분석하였으며, 운동군과 대조군의 차이를 확인하기 위해 대응표본 t-test를 실시하였고, 그룹 간 비교를 위해 공분산분석을 실시하였다. 유의수준은 α=0.05로 설정하였다. Result: 뇌졸중 환자에게 배근강화운동을 적용한 결과 배근력, 노력성 폐활량, 1초 최대 날숨량, 폐활량, 평상시 1회 호흡량, 들숨 예비용적, 날숨용량에서 중재 후 유의하게 증가하였다. Conclusion: 배근강화운동은 뇌졸중 환자의 배근육 강화에 효과적이었으며, 호흡기능의 증진에도 긍정적인 효과가 있음을 확인 할 수 있었다. 따라서 호흡기능이 약화된 뇌졸중 환자의 운동프로그램에 배근강화운동이 포함되어야 할 것으로 사료된다.

턱관절과 넙다리뒤근 고유수용성신경근촉진 중재가 능동 입벌리기 및 넙다리뒤근 유연성에 미치는 영향

윤삼원 ( Sam-won Yun ),손호희 ( Ho-hee Son ) 대한신경치료학회 2017 신경치료 Vol.21 No.2

Purpose The purpose of this study was to investigate the effects of proprioceptive neuromuscular facilitation(PNF) intervention for temporomandibular joints and hamstring on active mouth opening and hamstring flexibility. Methods 17 healthy adults were included in this randomized, single blind, crossover design study. The possibility of carry over effect could not be excluded. Before and after intervention, forward flexion distance, popliteal angle and active mouth opening were evaluated and results were analyzed. After first participating in the proprioceptive neuromuscular facilitation(PNF) intervention for temporomandibular joints, each subject visited again after a week to prevent the carry_over effect and then participate in the other intervention. Results Both proprioceptive neuromuscular facilitation(PNF) intervention significantly improved forward flexion distance, popliteal angle and active mouth opening. Comparing the two intervention, TM joint intervention significantly improved popliteal angle. Hamstring intervention significantly improved active mouth opening. No significant differences in forward flexion distance test were found between interventions. Conclusion Although proprioceptive neuromuscular facilitation(PNF) intervention on hamstring had a effect on indirect intervention of active mouth opening, it is considered that more study is needed for clinical application.

Effects of Aquatic Proprioceptive Neuromuscular Facilitation Pattern Exercise on Balance, Gait ability and Depression in Patients with Chronic Stroke

이동규,황태연 대한물리치료학회 2019 대한물리치료학회지 Vol.31 No.4

Purpose: This study examined the effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on the balance, gait ability, and depression in patients with chronic stroke. Methods: Thirty patients with chronic stroke were assigned randomly to an experimental (n=15) or control (n=15) group. The experimental group performed aquatic proprioceptive neuromuscular facilitation pattern exercise. The control group performed ground proprioceptive neuromuscular facilitation pattern exercise. Training was conducted once a day for 30 minutes, five days per week for six weeks. The balance ability was measured using the Berg balance scale. The gait ability was measured using the 10 Meter walk test. Depression was measured using the Beck depression inventory. Results: As a result of a comparison within groups, the experimental and control group showed a significant difference for balance, gait ability, and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which aquatic proprioceptive neuromuscular facilitation pattern exercise was applied, showed more significant changes in balance, gait ability, and depression than the control group (p<0.05). Conclusion: Based on these results, aquatic proprioceptive neuromuscular facilitation pattern exercise effectively improved the balance, gait ability and depression in patients with chronic stroke.

Effects of Aquatic Proprioceptive Neuromuscular Facilitation Pattern Exercise on Balance, Gait ability and Depression in Patients with Chronic Stroke

Lee, Dong-Kyu,Hwang, Tae-Yeun 대한물리치료학회 2019 대한물리치료학회지 Vol.31 No.4

Purpose: This study examined the effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on the balance, gait ability, and depression in patients with chronic stroke. Methods: Thirty patients with chronic stroke were assigned randomly to an experimental (n=15) or control (n=15) group. The experimental group performed aquatic proprioceptive neuromuscular facilitation pattern exercise. The control group performed ground proprioceptive neuromuscular facilitation pattern exercise. Training was conducted once a day for 30 minutes, five days per week for six weeks. The balance ability was measured using the Berg balance scale. The gait ability was measured using the 10 Meter walk test. Depression was measured using the Beck depression inventory. Results: As a result of a comparison within groups, the experimental and control group showed a significant difference for balance, gait ability, and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which aquatic proprioceptive neuromuscular facilitation pattern exercise was applied, showed more significant changes in balance, gait ability, and depression than the control group (p<0.05). Conclusion: Based on these results, aquatic proprioceptive neuromuscular facilitation pattern exercise effectively improved the balance, gait ability and depression in patients with chronic stroke.

Effects of Aquatic Proprioceptive Neuromuscular Facilitation Pattern Exercise on Balance, Gait ability and Depression in Patients with Chronic Stroke

( Dong-kyu Lee ),( Tae-yeun Hwang ) 대한물리치료학회 2019 대한물리치료학회지 Vol.31 No.4

Purpose: This study examined the effects of aquatic proprioceptive neuromuscular facilitation pattern exercise on the balance, gait ability, and depression in patients with chronic stroke. Methods: Thirty patients with chronic stroke were assigned randomly to an experimental (n=15) or control (n=15) group. The experimental group performed aquatic proprioceptive neuromuscular facilitation pattern exercise. The control group performed ground proprioceptive neuromuscular facilitation pattern exercise. Training was conducted once a day for 30 minutes, five days per week for six weeks. The balance ability was measured using the Berg balance scale. The gait ability was measured using the 10 Meter walk test. Depression was measured using the Beck depression inventory. Results: As a result of a comparison within groups, the experimental and control group showed a significant difference for balance, gait ability, and depression after the experiment (p<0.05). In a comparison between the two groups, the experimental group, in which aquatic proprioceptive neuromuscular facilitation pattern exercise was applied, showed more significant changes in balance, gait ability, and depression than the control group (p<0.05). Conclusion: Based on these results, aquatic proprioceptive neuromuscular facilitation pattern exercise effectively improved the balance, gait ability and depression in patients with chronic stroke.

고유수용성 신경근 촉진법과 자가 보조적 관절 가동운동이 견관절 유착성 관절낭염 치료에 미치는 영향

윤장순 ( Jang Soon Yoon ),정해익 ( Hai Ik Jung ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.2

The purpose of the study was to investigate a influence in Proprioceptive Neuromuscular Facilitation, and self-assisted ROM exercise of shoulder adhesive capsulitis. Methods : The methods of the study was to investigate a change in range of motion (ROM), an increase in ROM, visual analogue scale (VAS) and disability questionnaire by Proprioceptive Neuromuscular Facilitation, and self-assisted ROM exercise on 32 patients who were diagnosed with shoulder adhesive capsulitis. Results : There was no significant difference between the two groups who were treated in the Proprioceptive Neuromuscular Facilitation and self-assistive ROM exercise group for flexion, extension, internal rotation, external rotation, VAS and disability questionnaire. Both group`s flexion, extension, internal ratation, and external rotation levels were significantly different before and after the treatment. And significant statistical decrease in VAS and disability was seen. The extension of the shoulder joint was closely related to external rotation (r=0.84). There was a close relationship between internal rotation and external rotation at the shoulder joint. There was no increased range of extension through the exercise method. However, flexion, extension, internal rotation, external rotation, VAS, and disability questionnaire of Proprioceptive Neuromuscular Facilitation groups were obviously higher than in the self-assisted ROM exercise group. Conclusion : Our study suggest that considering Proprioceptive Neuromuscular Facilitation for the patient who has shoulder adhesive capsulitis in clinic.

The Impact of Functional Electrical Stimulus and Proprioceptive Neuromuscular Facilitation to Scapula Adductor on Upper Limb Functions and Gait of the Patients with Stroke

Sang Hyun Moon,Wan Sung Hong,Sang Soo Kim,Ho Jung An,Young Hwa Song,Yong Kwon Kim,Jung Hyun Choi,Bo Kyoung Kim,Sung Ho Kim,Wan Suk Choi,Kyoung Ok Min 국제물리치료학회 2010 Journal of International Academy of Physical Ther Vol.1 No.2

The present study examined the effects of functional electrical stimulus( group 1), proprioceptive neuromuscular facilitation(group 2) and combined training of functional electrical stimulus and proprioceptive neuromuscular facilitation(group 3) with scapula adductor muscles on scapula movement, upper limb function and gait in fifteen subjects stroke patients. The training was thirty minutes a day, five times a week for six weeks, obtained result as follow, upper limb function was significant difference in the group 2(p<.05) but no significant difference in other groups. The change of weight bearing were significant difference in all the groups(p<.05), and increase of gait velocity were significant difference in all the group(p<.05). In conclusion, when applied with functional electrical stimulus, proprioceptive neuromuscular facilitation and combined training to the scapular adductor muscles, it was oberved in the course of the experiment that proprioceptive neuromuscular facilitation was the most effective treatment among the three methods applied to the scapula adductors.

The Impact of Functional Electrical Stimulus and Proprioceptive Neuromuscular Facilitation to Scapula Adductor on Upper Limb Functions and Gait of the Patients with Stroke

Moon, Sang-Hyun,Hong, Wan-Sung,Kim, Sang-Soo,An, Ho-Jung,Song, Young-Hwa,Kim, Yong-Kwon,Choi, Jung-Hyun,Kim, Bo-Kyoung,Kim, Sung-Ho,Choi, Wan-Suk,Min, Kyoung-Ok International Academy of Physical Therapy Research 2010 Journal of International Academy of Physical Ther Vol.1 No.2

The present study examined the effects of functional electrical stimulus(group 1), proprioceptive neuromuscular facilitation(group 2) and combined training of functional electrical stimulus and proprioceptive neuromuscular facilitation(group 3) with scapula adductor muscles on scapula movement, upper limb function and gait in fifteen subjects stroke patients. The training was thirty minutes a day, five times a week for six weeks, obtained result as follow, upper limb function was significant difference in the group 2(p<.05) but no significant difference in other groups. The change of weight bearing were significant difference in all the groups(p<.05), and increase of gait velocity were significant difference in all the group(p<.05). In conclusion, when applied with functional electrical stimulus, proprioceptive neuromuscular facilitation and combined training to the scapular adductor muscles, it was oberved in the course of the experiment that proprioceptive neuromuscular facilitation was the most effective treatment among the three methods applied to the scapula adductors.