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Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke: a case report

Research paper by Christopher S. Cayco, Edward James R. Gorgon; Rolando T. Lazaro

Indexed on: 09 Nov '16Published on: 28 Oct '16Published in: Journal of bodywork and movement therapies



Abstract

Publication date: Available online 27 October 2016 Source:Journal of Bodywork and Movement Therapies Author(s): Christopher S. Cayco, Edward James R. Gorgon, Rolando T. Lazaro This study described the effects of a proprioceptive neuromuscular facilitation (PNF) program on balance, strength, and mobility in an older adult with chronic stroke. The patient was male, aged 69 years, with right hemiplegia for 17 years, and had diminished balance, balance confidence, lower extremity (LE) strength, and gait velocity. He received one hour of PNF-based therapy thrice a week for six weeks. Outcome measures were: Mini-BESTest, limits of stability (LOS), Activities-Specific Balance Confidence Scale (ABC), Five Time Sit-to-Stand Test (FTSST), Upright Motor Control Test (UMCT), and 10 Meter Walk Test (10MWT). The patient improved on the Mini-BESTest (25/28, from 21/28), FTSST (27.47 s, from 30.27 s), UMCT knee extension (moderate, from weak), and 10MWT (0.82 m/s, from 0.67 m/s); and positive changes in LOS dimensions. PNF was effective in enhancing balance, strength, and mobility in an older adult with chronic stroke and may mitigate falls risk in this population. More research is needed to determine its impact in a larger sample of older people with chronic stroke.