2-Year Follow up of Balance in Stroke Patients after Myofascial Release using a Tennis Ball - Four Case Reports -

Young-In Hwang,Jang-Whon Yoon,Du-Jin Park 대한고유수용성신경근촉진법학회 2018 PNF and Movement Vol.16 No.1

Purpose: Myofascial release (MFR) is an effective treatment for improving muscle stiffness and balance in neurological patients. This study examined long-term effects of MFR on the balance ability of stroke patients. Methods: MFR using a tennis ball was applied to the lower extremity and sacroiliac joint of the affected side of four stroke patients. The four subjects performed the Berg balance scale (BBS) and Timed up and go (TUG) test at the beginning of an 8-week intervention, directly after the intervention, and 2 years later. Results: The BBS scores indicated a trend toward maintenance of balance (p=0.05), but there was no difference in the TUG time (p=0.47). Conclusion: MFR may be a clinically meaningful intervention to maintain balance in stroke patients over a long period. However, the sample size in this study was too small to draw general conclusions. A larger study with more participants is needed.

반신마비 뇌졸중의 운동재활과 뇌형성성(brain plasticity)

안태범,An, Tae-Beom 대한고유수용성신경근촉진법학회 2004 PNF and Movement Vol.2 No.1

슬관절 전치환술 시행 후 CPM과 PNF 치료에 따른 효과 비교

최인수,배성수,Choi, In-soo,Bae, Sung-soo 대한고유수용성신경근촉진법학회 2004 PNF and Movement Vol.2 No.1

Objective : Compare the results of CPM and PNF in recovery rates when applied as an initial physical therapy. Methods : Randomly selected 19 patients who underwent through total knee replacement surgery. 23 cases were studied and divided into 12 CPM and 11 PNF cases. CPM case was carried out for 60 minutes, a maximum allowed exercise without pain. PNF case was carried out for 20 minutes by a therapist to a patient as 'one on one'. Result : Result showed that PNF treatment was increased significantly at P<0.05 in flexor muscle strength in 8 days after the surgery. Conclusion : The study revealed that in comparison with CPM, PNF was more effective treatment increase of flexor muscle strength in rehabilitation on after total knee replacement surgery.

고유수용성신경근촉진법이 만성 뇌졸중환자의 하지기능에 미치는 효과

송현승,김석환,Song, Hyun-Seung,Kim, Seok-Hwan 대한고유수용성신경근촉진법학회 2014 PNF and Movement Vol.12 No.4

Purpose: The purpose of this study is to determine the effects of proprioceptive neuromuscular facilitation on the lower extremity function of chronic stroke patients. Methods: The participants consist of 26 chronic stroke patients. They were randomly assigned to either an experimental group (n=13) or a control group (n=13) and engaged in exercise three times per week for eight weeks. The experimental group engaged in proprioceptive neuromuscular facilitation exercises and the control group engaged in general mat exercises. To measure lower extremity strength, the sit to stand test and the static balance test (standing on one leg) were used. To measure the stability index (SI) and weight distribution index (WDI), a Tetrax Portable Multiple System (Tetrax Ltd, Israel) was used in addition to a static balance test (standing on one leg). Results: : Lower extremity strength and static balance showed a significant improvement in the experimental group (p<.05). The SI and WDI were significantly improved in the experimental group (p<.05) for tests of standing with their eyes open, standing with their eyes closed, and standing on a sponge with their eyes open. Conclusion: Proprioceptive neuromuscular facilitation exercises have confirmed that lower extremity function improves after exercise interventions in chronic stroke patients.

근육에 대한 역학적 스트레스의 영향

강종호,김진상,Kang, Jong-Ho,Kim, Jin-Sang 대한고유수용성신경근촉진법학회 2008 PNF and Movement Vol.6 No.2

Purpose : Mechanical stress activates signaling cascades and leading to a specific response of a network of signaling pathways. The purpose of this study is to review the effect of mechanical stress-induced adaptation in skeletal muscle involves a biological mechanisms. Methods : This is literature study with Pubmed, Medline and books. Results : Skeletal muscle tissue demonstrates a malleability and may adjust its metabilic response, vascularization and neuromuscular characteristic makeup in response to alteration in functional demands. The adaptation in skeletal muscle involoves a multitude of signalling mechanisms related with insuline-like growth factor, vascular endothelial growth factor, neurotrophins. Conclusions : The identification of the basic relationships underlying the malleability of skeletal muscle tissue is likely to be of relevance for our understanding with PNF technique.

The Effects of Virtual Upper Extremity Training Using the RAPAEL Smart Glove on Physical and Cognitive Function in Stroke Survivors - A Single Group Study -

Chiang-Soon Song,Jae-Heon Lim,Byeong-Hyeon Jeon,Hye-Sun Lee 대한고유수용성신경근촉진법학회 2019 PNF and Movement Vol.17 No.2

Purpose: The purpose of this study was to evaluate the effects of a virtual upper extremity training program using the RAPAEL Smart Glove on upper extremity function in stroke survivors with chronic hemiparesis and to focus the training program development using the Smart Glove as a feasibility study. Methods: This study was conducted using a single group and pre-post test research design in the outpatient departments of local rehabilitation units. Ten chronic hemiparetic stroke survivors with a diagnosis of first stroke received therapeutic rehabilitation at the rehabilitation units. All the participants used a virtual reality program with the RAPAEL Smart Glove for 30 minutes per session 3 days a week over 8 weeks. They also received conventional occupational therapy with functional electrical stimulation for 40 minutes per session 3 days a week for 8 weeks as an additional therapy. To analyze the effects of this therapeutic intervention, four clinical measures, including the box-block test (BBT), the Wolf motor function test (WMFT), the trail-making score, the Jebsen Taylor hand function test (JTHFT), and grip strength, were used. Results: Upon completion of the intervention in week 8, all the participants demonstrated significant WMFT, JTT, BBT, grip strength, and trail-making score gains compared to the respective baselines at week 0. Conclusion: This study suggests that virtual upper extremity training using the RAPAEL Smart Glove has a reasonable and beneficial effects on upper extremity function in chronic hemiparetic stroke survivors.

PNF 하지패턴을 이용한 스텝퍼 운동이 20대 여성의 발목근력과 균형에 미치는 영향

조남정,김기환,최명숙,최대영,권재범,현주협,유병국,손경현,Cho, Nam-Jeong,Kim, Ki-Hwan,Choi, Myung-Suk,Choi, Dae-Young,Kwon, Jae-Beom,Hyun, Ju-Hyup,Yoo, Byung-Kook,Son, Kyung-Hyun 대한고유수용성신경근촉진법학회 2010 PNF and Movement Vol.8 No.3

Purpose : The aim of this study was to investigate the effects of stepper exercise using lower extremity patterns of PNF(Proprioceptive neuromuscular facilitation) on ankle muscle strength and balance ability of females in their twenties. Method : Twenty subjects participated in this experiment were carried out the exercise program dose of 5 days per week for 2 weeks. They were divided into two groups; using twist stepper group(lower extremity patterns of PNF group, n=10) and using straight stepper group(n=10). The effects of twist stepper and straight stepper were evaluated by measurements of normal standing(NSEO, NSEC), and dynamic type 1 and dynamic type 2, respectively. For each case, the experimental data were obtained about static balance in 3 items : mean X speed, mean Y speed and velocity moment, that of dynamic balance in 4 items : mean X speed, mean Y speed, time, distance. Results : The results of this study were as follows; 1) In straight stepper group, the statistically significants were significants were shown on right/left ankle muscle strength in case of dorsi-flexion. 2) In twist stepper group, the statistically significants were significants were shown on right/left ankle muscle strength in case of dorsi-flexion. 3) In straight stepper group, the statistically significants were significants were shown on right ankle muscle strength in case of plantar-flexion. 4) In twist stepper group, the statistically significants were significants were shown on right/left ankle muscle strength in case of plantar-flexion. Conclusion : The above results revealed that twist stepper exercise using lower extremity patterns of PNF was more effective than straight stepper exercise for improving the ankle muscle strength.

고유수용성신경근촉진법의 상하지 협응 운동이 만성 뇌졸중 환자의 균형 능력에 미치는 효과

조혁신,노현정,Cho, Hyuk-Shin,No, Hyun-Jeong 대한고유수용성신경근촉진법학회 2015 PNF and Movement Vol.13 No.1

Purpose: This study aimed to examined the effects of upper and lower limb coordinated exercise of proprioceptive neuromuscular facilitation (PNF) on static and dynamic balance ability. Methods: The subjects of this study were 18 patients who had been diagnosed with a stroke and hospitalized and who had received rehabilitation treatment at D rehabilitation hospital located in J city. They were randomly and equally assigned to a PNF upper and lower limb coordinated exercise group and an ordinary central nervous system development and treatment group, and they conducted exercises for eight weeks. They carried out exercise three times per week, for 30 minutes per each time. After each four minutes of exercise, each participant was given a and rest for one minute after exercise for four minutes was given. In order to test the subjects' static and dynamic balance ability and their dynamic balance ability, frailty and injuries,: a cooperative studyies of intervention techniques (FICSIT-4) test, a four- step square test (FSST), a timed up and go test (TUG), and a TWT3M tests wasere conducted before and after the exercise. Descriptive statistics were taken for the general characteristics of the subjects, and an independent t-test was conducted both before and after the exercise in order to examine differences between the two groups before and after the exercise were conducted. The A statistical significance level was set at p= 0.05. Results: In all the tests (of FICSIT-4, FSST, TUG, and TWT3M), both the experimental group and the control group saw more improved results, but the experimental group's results were significantly higher than those of the control group, and the size of the effects was larger in the experimental group than in the control group, with statistically significant results. Conclusion: PNF upper and lower limb coordinated exercise applied to chronic stroke patients produced brought significant results in static and dynamic balance ability. PNF and is considered as an important intervention program to improve stroke patients' balance ability.

PNF의 방산을 이용한 간접치료가 뇌졸중환자의 정적 자세에서의 체중지지 및 보행 속도에 미치는 영향 : 증례보고

이병기,윤정현,Lee, Byung-Ki,Yun, Jeung-Hyun 대한고유수용성신경근촉진법학회 2012 PNF and Movement Vol.10 No.4

Purpose : The purpose of this study was to examine the effects of PNF of irradiation using an indirect treatment of the stroke patient's static weight support and walking speed. Methods : Was carried out a total of nine different the PNF method of treatment for patients with left hemiplegia stroke. PNF of treatment is not in the non-paralyzed side of the trunk and upper and lower extremities by applying resistance and increased strength of the affected side. Assessment of treatment weight support both feet measured and modified using the timed up and go test were compared before and after treatment. Results : Treatment of the paralyzed side of the quadriceps and hamstring, gluteus medius muscle strength increased, and both sides of the foot body weight support improved walking speed was increased. Conclusion : Irradiation using PNF indirect treatment improves the function of the gait of stroke patients.

앉은 자세에서 일어서기(Sit to stand)과제의 동작시간과 지면반발력 분석

김수민,Kim, Soo-min 대한고유수용성신경근촉진법학회 2011 PNF and Movement Vol.9 No.1

Purpose : Sit-to-stand (STS) is one of the important activities of daily living (ADL) and each of its parameters is used frequently. This study aimed to examine the influence of different seat height on performance time and floor reaction force strength during an STS movement. Methods : Fifteen young-adult male subjects participated in this study. The subjects were divided into three groups based on lower leg length. Subjects performed an STS movement twice from chairs at height adjusted by the lower leg length of each subject. To examine the influence of the chair seat height, ground reaction forces during a STS performed with 3 chair heights adjusted to each subjects lower leg length were compared. Results : Vertical ground reaction force and time during an STS movement were measured to evaluate. Parameters regarding ground reaction force were selected for analyses. Significant differences were found in ground reaction force at G1 was greater than G2 and G3. Conclusion : The STS movement achievement strategy differed since chair seat height changes relatively by the difference in lower leg length. When conducting the ability to achieve STS movement rating test, chair seat height considering each subject's lower leg length may be needed.