Tag: PNF

左下肢拇趾近节趾骨基底外侧部骨折中的物理治疗

Justyna Hochman, Paulina Zasada

Justyna Hochman, Paulina Zasada – Physiotherapy in fracture of the lateral part of the base of the proximal phalanx of the hallux of the left lower limb –  Fizjoterapia Polska 2026; 26(1); 102-114

DOI: https://doi.org/10.56984/8ZG2EFAZKIY

摘要
研究目的。本研究旨在展示一例拇趾近节趾骨基底外侧部骨折患者的物理治疗过程，并描述所采用的特殊方法，包括PNF和动态贴扎（肌内效贴扎），以及运动治疗和物理因子治疗领域的其他方法。本文为病例报告，不能将所述物理治疗干预的有效性推广至患者群体。
材料与方法。本文基于现有关于物理治疗程序的相关文献。文章的第二部分为单一临床病例的描述。
结论。在所描述的患者中，所采用的物理治疗管理有助于减轻疼痛症状、增强拇趾肌力、改善本体感觉并提高瘢痕弹性。然而，应强调的是，所呈现的结果仅涉及单一临床病例，不能作为推广所用物理治疗方法有效性的依据。观察到的改善可能既来源于所实施的治疗，也可能源于损伤发生后的自然愈合过程。

关键词
骨折, 拇趾, 物理治疗, PNF, 肌内效贴扎, 动态贴扎

PNF 组合运动疗法对马拉松跑者胫骨疼痛伤的影响

Ahmad Ridwan, Nanik Parwati, Dimas Eka Nanda

Ahmad Ridwan, Nanik Parwati, Dimas Eka Nanda – The effect of PNF combination exercise therapy on shin splint injuries in marathon runners –  Fizjoterapia Polska 2024; 24(4); 217-221

DOI: https://doi.org/10.56984/8ZG01A8U7V5

摘要

在未充分热身和冷却的情况下进行高强度训练可能导致跑步者出现胫骨疼痛伤，这会在训练和比赛中降低运动员的表现。本研究旨在探讨 PNF 训练疗法对马拉松跑者胫骨疼痛伤的影响。研究采用准实验性方法的单组前后测试设计。数据收集方法包括使用关节活动度计量器（goniometer）评估关节活动范围（ROM），以及通过视觉模拟量表（VAS）测量疼痛水平。研究对象为日惹跑步社区的跑步运动员，从中根据特定标准选取了16人样本。研究结果显示膝关节平均疼痛降低了1.00，踝关节疼痛降低了0.94。此外，膝关节 ROM 增加：屈曲增加7.81；伸展增加7.82；内收增加4.25；外展增加3.75。踝关节 ROM 也增加：背屈增加5.94；跖屈增加3.62；内翻增加3.57；外翻增加2.68。

关键词

运动疗法, 胫骨疼痛伤, PNF

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影响 PNF 和 MET 技术对大学生腘绳肌紧张的柔韧性

Vijayamurugan Eswaramoorthi, Shenbaga Sundaram Subramanian, Ayman Abdullah Alhammad, Arul Pragassame, Makesh Babu Subramanian, Abdulrahman Abdulwahab Alzahrani, Abrar Nayel Alsharief, Kavitha Ramanathan, Fadwa Alhalaiqa, Riziq Allah Mustafa Gaowgzeh

 

Vijayamurugan Eswaramoorthi et al. – Impact of PNF and MET technique on hamstring flexibility among university students with hamstring tightness –  Fizjoterapia Polska 2024; 24(3); 49-54

DOI: https://doi.org/10.56984/8ZG020A97H

摘要
背景。腘绳肌紧张影响骨盆姿势，导致下背部不适和腰椎-骨盆区动作不当等症状。本研究的目的是确定本体感觉神经肌肉促进 (PNF) 和肌肉能量技术 (MET) 干预对腘绳肌紧张的即刻效果。文献的匮乏使这一主题存在研究空白。因此，我的研究旨在比较这两种干预措施对改善腘绳肌紧张的大学生柔韧性的影响。方法。I 组由 20 名受试者组成，接受了 30 分钟的 PNF 治疗。II 组同样由 20 名受试者组成，接受了 30 分钟的 MET 治疗。研究进行了 4 周。结果。使用独立‘t’检验检查 ROM 变量，显著性水平为 0.05。PNF 组腘绳肌 ROM 差异的均值 ± SD 为 9.77 ± 4.01°，MET 组为 10.7 ± 5.21°。这表明 I 组和 II 组之间存在显著差异，以及干预前后值之间存在显著差异。结论。研究结果表明，PNF 和 MET 均显著提高了 (p = 0.000) ROM。与此同时，这两种干预措施之间没有显著差异 (p > 0.05)。

关键词:

腘绳肌紧张, PNF, MET, 运动范围, 膝关节伸展

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The impact of intensive functional rehabilitation on improved sensorimotor control and locomotor capabilities in a patient with spinal cord injury (SCI)

Grzegorz Srokowski, Anna Srokowska, Jan Talar, Wojciech Hagner, Agnieszka Połomska

Grzegorz Srokowski, Anna Srokowska, Jan Talar, Wojciech Hagner, Agnieszka Połomska – The impact of intensive functional rehabilitation on improved sensorimotor control and locomotor capabilities in a patient with spinal cord injury (SCI). Fizjoterapia Polska 2004; 4(3); 272-283

Abstract

Background. Contemporary rehabilitation is developing in many different directions. In view of the scope of research and practice, it is a discipline that joins many sciences sharing a common goal: to help the patient. This task is performed by an interdisciplinary rehabilitation team composed of the attending physician and the physiotherapist, along with other specialists. The constantly growing number of patients and increasing financial constraints are making it essential to seek new therapeutic solutions. One of many possible strategies is the PNF concept. This method is characterized by a holistic approach to the patient, based on behaviors and daily life situations with which the patient is familiar, and using available rehabilitation equipment. Case description. This article presents a case study of a female patient admitted for rehabilitation after a spinal cord injury (SCI) to the Department of Rehabilitation at the Bydgoszcz Medical University. Examples are provided of functional exercises used in the intensive rehabilitation program developed for this patient. The ASIA scale was used to assess outcome, along with functional tests for patients with paraplegia, a modified version of the Barthel test. Conclusions. The successful outcome in this case resulted from the cooperation of the entire therapeutic team, and from the exchange of information regarding the patient’s clinical status and progress in treatment. Close cooperation makes it possible to chose the optimal method, ensuring effective and safe work with the patient.

Key words:
PNF, interdisciplinary approach, rehabilitation team
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Efficacy of the PNF method in rehabilitation for activities of daily living in late post-stroke patients

Tomasz Wolny, Edward Saulicz, Rafał Gnat

Tomasz Wolny, Edward Saulicz, Rafał Gnat – Efficacy of the PNF method in rehabilitation for activities of daily living in late post-stroke patients. Fizjoterapia Polska 2009; 9(1); 51-60

Abstract
Background. Our increasing knowledge on the complexity of CNS injuries and mechanisms of neuronal plasticity indicates that the traditional approach to rehabilitation of stroke patients is no longer adequate. Appropriate stimulation of the central nerv-ous system to promote neuromuscular plasticity is crucial for the restoration of normal function. Rehabilitation based on PNF (Pro-prioceptive Neuromuscular Facilitation) significantly improves ADL functional performance of post-stroke patients. Materiał and methods. A total of 64 stroke patients were randomly divided into two groups. ActMties of daily living were eval-uated by means of the ‘Repty’ Functional lndex, which includes: self-service, sphincter control, mobility locomotion and communi-cation. Throughout the study period (their stay at the Neurological Rehabilitation Ward for a mean of 21 days), all patients received comprehensive rehabilitation, with Group A receiving conventional rehabilitation and Group B receMng also indMdual kinesiother-apy based on the PNF method. Results. Analysis of yariance showed significant differences in the following domains of the ‘Repty’ Functional lndex: self-service (p=0.0015), locomotion (p=0.0279), and total score (p=0.0032). No significant differences were found in the remaining domains (sphincter control, mobility and communication). Conclusions. PNF-based rehabilitation of late post-stroke patients significantly improved their ADL functional performance with respect to self-service and locomotion.
Key words:
PNF, physiotherapy, activities of daily-living
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Poststroke physiotherapy of the patient with pusher syndrome – case study

Jakub Stolarski, Jan Kochanowski, Joanna Trochimiuk, Sebastian Wójtowicz

Jakub Stolarski, Jan Kochanowski, Joanna Trochimiuk, Sebastian Wójtowicz – Poststroke physiotherapy of the patient with pusher syndrome – case study. Fizjoterapia Polska 2010; 10(4); 317-323

Abstract
Postural disturbances in stroke patients may present as pusher syndrome. The aim of the study was to describe the treatment process and outcomes of physiotherapy of a post-ischaemic stroke patient with co-existing pusher syndrome. We describe a 78-year-old patient (S.L.) with left hemiplegia and pusher syndrome. Magnetic Resonance Imaging (MRI) revealed an ischaemic focus with a small haemorrhage in the posterior thalamus and posterior limb of the internal capsule. The patient underwent physiotherapy based on Proprioceptive Neuromuscular Facilitation (PNF). The pusher syndrome, which was diagnosed in the late stage of hospitalisation, was measured with the Scale for Contraversive Pushing (SCP), in which the patient scored 3.75 pts. Intensive rehabilitation started in the early post-stroke phase helped the patient achieve independence in changing position and sitting without assistance or support. The pushing behaviour did not improve in spite of appropriate therapy and verbal instructions. After 33 days of hospitalisation and physiotherapy at a Neurology Department, the patient was transferred to a Neurorehabilitation Unit for further rehabilitation. The pusher syndrome slowed down the recovery and reduced possibilities for applying rehabilitation in high positions (sitting and standing) in the early stage of post-stroke physiotherapy.
Key words:
physiotherapy, Stroke, pusher syndrome, PNF
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Effectiveness of PNF method in improving symmetry of lower extremity loading in late-stage post-stroke patients

Tomasz Wolny, Edward Saulicz, Rafał Gnat, Mirosław Kokosz, Andrzej Myśliwiec, Michał Kuszewski

Tomasz Wolny, Edward Saulicz, Rafał Gnat, Mirosław Kokosz, Andrzej Myśliwiec, Michał Kuszewski – Effectiveness of PNF method in improving symmetry of lower extremity loading in late-stage post-stroke patients. Fizjoterapia Polska 2010; 10(4); 263-270

Abstract
Early comprehensive multidisciplinary rehabilitation is crucial for achieving satisfactory results in the conservative management of post-stroke patients. Gait re-education is a major goal in post-stroke rehabilitation regardless of how much time has elapsed since the stroke. The study hypothesis was that therapy based on PNF (Proprioceptive Neuromuscular Facilitation) would significantly improve loading symmetry of the lower limbs, thus enabling faster restoration of the support and locomotor function and improving gait efficiency in post-stroke patients. A total of 64 stroke patients were randomly divided into two groups. A Loading Symmetry Index (LSI) of the lower limbs was calculated basing on data recorded in the ‘two-scales’ test. Patients were followed up for a mean of 21 days (during which they stayed at a Neurological Rehabilitation Ward). Group A received conventional rehabilitation while Group B also received individual kinesiotherapy based on the PNF method. Analysis of variance showed significant differences in LSI values (interaction: group x measurement – p=0.0075). Post hoc Tukey test revealed significant intra-group differences in Group B (p=0.0002). There were no significant intra-group differences in Group A or significant differences between the groups. PNF-based rehabilitation of late-stage post-stroke patients significantly improved loading symmetry of the lower extre – mities.
Key words:
PNF, physiotherapy, symmetry, Locomotion
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Influence of proprioceptiveneuromuscular facilitation (PNF) on the degree of spasticity in late-stage stroke patients

Tomasz Wolny, Edward Saulicz, Rafał Gnat, Mirosław Kokosz, Andrzej Myśliwiec, Michał Kuszewski

Tomasz Wolny, Edward Saulicz, Rafał Gnat, Mirosław Kokosz, Andrzej Myśliwiec, Michał Kuszewski – Influence of proprioceptiveneuromuscular facilitation (PNF) on the degree of spasticity in late-stage stroke patients. Fizjoterapia Polska 2011; 11(1); 1-8

Abstract
The complex pathophysiology of spasticity depends on the interaction between facilitation and inhibition of spinal and supraspinal neural centres and pathways. Contemporary medicine has developed several methods to treat spasticity. However, none of them has offered superior efficacy. This study aimed to investigate differences in the degree of spasticity between patients subjected to traditional post-stroke rehabilitation and rehabilitation based on the PNF method.A total of 64 stroke patients were enrolled. They were randomly divided into Group A and Group B. The modified six-grade Ashworth scale was used to evaluate the level of spasticity. During a 21-day follow-up, all subjects underwent intensive comprehensive rehabilitation. Group A received traditional stroke therapy. Group B received kinesiotherapy based on the PNF method.Both groups demonstrated significant improvements. In Group A, the degree of improvement in the final examination was 1.8% compared to baseline. In Group B, an improvement of 7.8% was registered already after the first session. The degree of improvement at the end of treatment was 16.86%. No significant inter-group differences were noted at baseline. The final evaluation showed significant differences.A regimen based on the PNF method resulted in greater reduction in spasticity than the traditional approach.
Key words:
spasticity, PNF, physiotherapy, Stroke, Therapeutic effects
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Analysis of therapy results in patients with cervical spine pain according to PNF concept and elements of manual therapy

Tomasz Maicki, Rafał Trąbka, Wojciech Szwarczyk, Magdalena Wilk-Frańczuk, Bogusław Figura

Tomasz Maicki, Rafał Trąbka, Wojciech Szwarczyk, Magdalena Wilk-Frańczuk, Bogusław Figura – Analysis of therapy results in patients with cervical spine pain according to PNF concept and elements of manual therapy. Fizjoterapia Polska 2012; 12(3); 263-273

Abstract
This study shows an analysis of two rehabilitation methods in order to determine the differences between groups and changes after the therapy in terms of reducing pain, restoration of mobility and proper function of the cervical spine. The study was conducted on a group of 80 patients referred to rehabilitation due to restricted mobility and pain in the cervical spine, which resulted in impairment in everyday life. Patients were divided into two groups: group 1 consisted of 40 patients treated with PNF concept, and group 2 consisted of 40 patients treated with manual therapy elements. The study used a survey: Functional Index Scale and Oswestry scale for cervical and McGill pain Questionnaire. Additionally range of motion in certain planes was measured by the CROM device. Statistically significant differences were obtained in both groups of patients according to their individual rehabilitation program based on PNF concept and elements of manual therapy. However, patients who received PNF treatment showed greater improvement in mobility, function and pain relief. Results based analysis shows that therapy in group 1 and 2 was efficient, however PNF method proved to be more effective in comparison to treatment with manual therapy elements.
Key words:
Deep neck muscles, PNF, manual therapy, functional rehabilitation
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