Motor learning with the PNF-concept, an alternative to constrained induced movement therapy in a patient after a stroke; a case report

Smedes, Fred; Silva, Leandro Giacometti da

doi:10.1016/j.jbmt.2018.05.003

Cited by 14 publications

(8 citation statements)

References 38 publications

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“…These motor learning effects are substantiated in several case reports and single case studies [36][37][38][39][40][41].…”

Section: Stretch Through Range Of Motionmentioning

confidence: 67%

“…Functional task training as required in neurorehabilitation, is an integrated approach in the modern PNF-concept [3]. A detailed PNF approach has been proposed as an alternative to constraint induced movement therapy in case a patient is not responsive to this type of forced use to overcome their "learned non-use" behavior [38]. Nevertheless, there is still a lack of research on the effectiveness of the PNF-concept on hand function and dexterity.…”

Section: Pnf In Neurological Rehabilitationmentioning

confidence: 99%

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The Essential Elements of the PNF-concept, an Educational Narrative

Smedes¹

2022

J Phys Med Rehabil

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Introduction: The term Proprioceptive Neuromuscular Facilitation (PNF) was introduced in the 1950s by Dr. Kabat and Mrs. Knott. From the mid-1950s the PNF-concept has been in a progressive development clarifying the use of techniques, performances and clinical applications. The concept of PNF was originally developed by Dr. Kabat and Mrs. Knott for rehabilitation purposes. The International PNF Association (IPNFA) consider themselves to be the official successor of Dr. Kabat and Mrs. Knott. The PNF-concept evolved towards a comprehensive rehabilitation approach for various indications. There seems to be a misunderstanding about the PNF-concept, it is often seen as a basic stretching regime for wellbeing and general fitness. This has been criticized to avoid a confusion with the PNF-concept as a comprehensive rehabilitation approach. Purpose: Providing a background with an explanation for the essential elements of the PNF-concept, being a total and comprehensive rehabilitation approach in physiotherapy and rehabilitation. The elements from the PNF-concept facilitate treatment effects in the fields of musculoskeletal and central neurological disorders and indications with a focus on motor learning. Implications: The clarification of the essential elements from the PNF-concept in various fields of physiotherapy and physical rehabilitation will simplify how to transfer and incorporate the elements from the PNF-concept into individual treatments.

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“…These motor learning effects are substantiated in several case reports and single case studies [36][37][38][39][40][41].…”

Section: Stretch Through Range Of Motionmentioning

confidence: 67%

Section: Pnf In Neurological Rehabilitationmentioning

confidence: 99%

The Essential Elements of the PNF-concept, an Educational Narrative

Smedes¹

2022

J Phys Med Rehabil

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“…To explain how Tai Ji promotes neuroplasticity, it is essential to understand that, functional movement to perform a particular task, does not depend solely on single plane movement but, rather, a more complex movement involving the activation and inhibition of certain muscle groups ( 36 , 37 ). As such, PNF involves a series of diagonal movement patterns that resembles components of normal functional movements and has been reported to produce greater adaptive plasticity through the increase of neural recruitment of the dorsolateral prefrontal cortex, and the primary motor cortex as compared to the single plane movement ( 6 , 38 ). Although Tai Ji movements are martial art based and do not specifically focus on daily tasks, circular movement in Tai Ji carries similar concepts of PNF diagonal and spiral movement.…”

Section: Resultsmentioning

confidence: 99%

Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review

Alkharji¹,

Gan²,

Foo³

2022

ijph

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Stroke remains a leading cause of adult disability, and it decreases the health-related quality of life due to functional disability and poor functional recovery in stroke. Tai Ji has been recently introduced to overcome disabilities. This review aims to explain the effects of Tai Ji on functional recovery in stroke patients, linking it to current approaches, concepts and therapies such as Bobath and proprioceptive neuromuscular facilitation techniques. A compilation of recent literature on Tai Ji's use in stroke rehabilitation from Google scholar and PubMed Central (2018 to 2022). The benefits of Tai Ji in stroke functional recovery were studied and explained based on its similarity in concepts to current conventional stroke rehabilitation approaches. There were few randomized controlled trials on Tai Ji in functional recovery among stroke patients. However, all literature identified Tai Ji as beneficial in stroke rehabilitation. However, there was no literature on explaining the Tai Ji movement based on current conventional stroke rehabilitation approaches. Tai Ji carries similar theories to the current neurorehabilitation approach. Tai Ji can be modified and incorporated into stroke rehabilitation programs based on patients’ needs to produce promising outcomes.

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“…based on cerebral cortex activation theory and movement therapies based on motor re-learning theory can restore the upper limbs' motor functions. Such major movement therapies include mirror therapy, bilateral training, constraint-induced movement therapy, task-oriented movement approach, robotic treatment, and functional electrical stimulation (Vaughan-Graham et al, 2015;Smedes and da Silva, 2019).…”

Section: Introductionmentioning

confidence: 99%

A study of therapeutic intervention methods to improve proprioception among hemiplegic stroke patients

Lee¹

2022

Int. j. adv. appl. sci.

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The present study uses proprioceptive neuromuscular stimulation (which can increase nerve plasticity by stimulating proprioception) and modified mirror therapy to provide feedback in order to investigate these treatments’ effects on upper-limb functions and daily living activities among stroke patients. The experimental group (n=15) underwent a mirror therapy program after PNF for 30 minutes three times weekly, for a total of 18 treatment sessions. Meanwhile, the control group (n=15) underwent only PNF treatment three times weekly for a total of 18 treatment sessions. Evaluations of participants’ paretic upper-limb functions and ability, as well as their daily living activities, were conducted using the Fugl-Meyer assessment scale (FMA), manual function test (MFT), motor activity log (MAL), and functional independence measure (FIM). The FMA, MFT, MAL, and FIM scores of the experimental group differed statistically significantly from those of the control group in terms of curative effects. Thus, the results of this study show that PNF and mirror therapy are effective interventions to improve upper-limb functions and activities, as well as the performance of daily living activities, among hemiplegic stroke patients.

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Motor learning with the PNF-concept, an alternative to constrained induced movement therapy in a patient after a stroke; a case report

Cited by 14 publications

References 38 publications

The Essential Elements of the PNF-concept, an Educational Narrative

The Essential Elements of the PNF-concept, an Educational Narrative

Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review

A study of therapeutic intervention methods to improve proprioception among hemiplegic stroke patients

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