PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of PNF and Respiratory Muscle Endurance Training on Lung Function and Physical Activity in Chronic Stroke Patients

고유수용성 신경근 촉진법과 호흡근 지구력 훈련이 만성 뇌졸중 환자의 폐 기능과 신체활동량에 미치는 영향

  • 김경훈 (김천대학교 물리치료과) ;
  • 김동훈 (김천대학교 물리치료과)
  • Received : 2020.03.20
  • Accepted : 2020.04.14
  • Published : 2020.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to assess the effects of proprioceptive neuromuscular facilitation (PNF) training and respiratory muscle endurance training on pulmonary function and activity in chronic stroke patients. Methods: The participants were 25 chronic stroke patients. They were assigned to two groups: a PNF and respiratory muscle training group (experimental group; n = 12) and a conservative training group (control group; n = 13). The experimental group completed 50 minutes (30 minutes of conventional physical therapy, 10 minutes of PNF training, and 10 minutes of respiratory muscle endurance training). The control group also completed 50 minutes (30 minutes of conventional physical therapy and 20 minutes on a full-body workout machine). Pulmonary function and activity were measured before and after the intervention, using Cosmed to analyze pulmonary function and 6MWT as clinical evaluation indicators. Results: Both groups showed significant within-group differences on all tests before and after the intervention; the experimental group showed greater improvement on all tests. Conclusion: The findings confirm that PNF training and respiratory muscle endurance training have a positive effect on pulmonary function and activity index in chronic stroke patients.

Keywords

References

  1. Adler SS, Beckers D, Buck M. PNF in practice an illustrated guide, 4th ed. Heidelberg. Spinger. 2016.
  2. Baert I, Feys H, Daly D, et al. Are patients 1 year post-stroke active enough to improve their physical health? Disability and rehabilitation. 2012;34(7):574-580. https://doi.org/10.3109/09638288.2011.613513
  3. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription, seventh edition. Philadelphia. Lippincott Williams & Wilkins. 2006.
  4. Beckerman M, Magadle R, Weiner M et al. The effects of 1 year of specific inspiratory muscle training in patients with COPD. Chest. 2005;128(5):3177-3182. https://doi.org/10.1378/chest.128.5.3177
  5. Brogardh C, Lexell J. Effects of cardiorespiratory fitness and muscle-resistance training after stroke. Physical Medicine and Rehabilitation. 2012;4(11):901-907.
  6. Carr JH, Shepherd RB. Neurological rehabilitation optimizing motor performance. Oxford. Butterworth-Heinemann. 1998.
  7. Darcy AU. Neurological rehabilitation, 5th ed. St. Louis. Mosby Elsevier. 2006.
  8. Dean E, Frownfelter D. Cardiovascularand pulmonary physical therapy-evidenceand practice, 4th ed. Philadelphia. Mosby. 2006.
  9. DeDeyne PG, Hafer-Macko CE, Ivey FM, et al. Muscle molecular phenotype after stroke is associated with gait deficit severity. Muscle Nerve. 2004;30(2):209-215. https://doi.org/10.1002/mus.20085
  10. Eng JJ, Dawson AS, Chu KS. Submaximal exercise in persons with stroke: test-retest reliability and concurrent validity with maximal oxygen consumption. Archives of Physical Medicine and Rehabilitation. 2004;85(1):113-118. https://doi.org/10.1016/S0003-9993(03)00436-2
  11. Gordon NF, Gulanick M, Costa F, et al. Physical activity and exercise recommendations for stroke survivors an american heart association scientific statement from the council on clinical cardiology, subcommittee on exercise, cardiac rehabilitation, and prevention; the council on cardiovascular nursing; the council on nutrition, physical activity, and metabolism; and the stroke council. Stroke. 2004;35(5):1230-1240. https://doi.org/10.1161/01.str.0000127303.19261.19
  12. Horn SD, DeJong G, Smout RJ, et al. Stroke rehabilitation patients, practice, and outcomes: is earlier and more aggressive therapy better? Archives of Physical Medicine and Rehabilitation. 2005;86(12):101-114. https://doi.org/10.1016/j.apmr.2005.09.016
  13. Kathleen M, Goldberg AP, Treuth MS, et al. Progressive adaptive physical activity in stroke improves balance, gait, and fitness: preliminary results. Topics in Stroke Rehabilitation. 2009;16(2):133-139. https://doi.org/10.1310/tsr1602-133
  14. Kwakkel G, van Peppen R, Wagenaar RC, et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke; a journal of Cerebral Circulation. 2004;35(11):2529-2539. https://doi.org/10.1161/01.STR.0000143153.76460.7d
  15. Kendall FP, McCreary EK, Kendall HO. Muscles testing and function. Baltimore. Williams & Wilkins. 1983.
  16. Kim CB, Choi JD. Comparison of pulmonary and gait function in subacute or chronic stroke patients and healthy subjects. The Journal of Korean Society of Physical Therapy. 2011;23(5):23-28.
  17. Kim JH, Park JH, Yim JE. Effects of respiratory muscle and endurance training using an individualized training device on pulmonary function and exercise capacity in stroke patients. Respiratory exercise in stroke patients. 2014;20:2543-2549.
  18. Kim SH. The effects of exercises for lumbar stabilization and trunk muscle stretching on the reduction of lower back pain and increase of lung capacity in people working sitting on sitting on the chair. Pochon CHA University. Dissertation of Doctorate Degree. 2006.
  19. Kisner C, Colby LA. Therapeutic exercise foundation and techniques, 6th ed. Philadelphia. F.A. Davis Company. 2013.
  20. Kofotolis N, Verbas IS, Vamvakoudis E, et al. Proprioceptive neuromuscular facilitation training induced alterations in muscle fiber type and cross sectional area. British Journal of Sports Medicine 2005;39(3): e11. https://doi.org/10.1136/bjsm.2004.010124
  21. Landin S, Hagenfeldt L, Saltin B, et al. Muscle metabolism during exercise in hemiparetic patients. Clinical Science and Molecular Medicine. 1977;53(3):257-269.
  22. Li J , Siegrist J. Physical activity and r isk of cardiovascular disease-a meta-analysis of prospective cohort studies. InIntional Journal of Environmental Research and Public Health. 2012;9(2):391-407. https://doi.org/10.3390/ijerph9020391
  23. Macko RF, Katzel LI, Yataco A, et al. Low-velocity graded treadmill stress testing in hemiparetic stroke patients. Stroke. 1997;28(5):988-992. https://doi.org/10.1161/01.STR.28.5.988
  24. Mercier L, Audet T, Hebert R, et al. Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke. Stroke. 2001;32(11):2602-2608. https://doi.org/10.1161/hs1101.098154
  25. Moore SA, Hallsworth K, Plotz T, et al. Physical activity, sedentary behaviour and metabolic control following stroke: a cross-sectional and longitudinal study. PLoS hub for clinical trials. 2013;8(1):e55263.
  26. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. American Journal of Physical Medicine and Rehabilitation. 2003;82(5):385-390. https://doi.org/10.1097/01.PHM.0000052589.96202.BE
  27. Pang M Y, E ng J J, D awson AS. Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: influence of stroke-specific impairments. Chest. 2005;127(2):495-501. https://doi.org/10.1378/chest.127.2.495
  28. Rand D, Eng JJ, Tang PF, et al. How active are people with stroke? Use of accelerometers to assess physical activity. Stroke. 2009;40(1):163-168. https://doi.org/10.1161/strokeaha.108.523621
  29. Roth EJ. Heart disease in patients with stroke. Part 1: classification and prevalence. Archives of Physical Medicine and Rehabilitation. 1993;74(7):752-760. https://doi.org/10.1016/0003-9993(93)90038-c
  30. Ryan AS, Dobrovolny CL, Silver KH, et al. Cardiovascular fitness after stroke: role of muscle mass and gait deficit severity. Journal of Stroke and Cerebrovascular Diseases. 2000;9(4):185-91. https://doi.org/10.1053/jscd.2000.7237
  31. Shaughnessy M, Resnick, BM, Macko RF. Testing a model of post? Stroke exercise behavior. Rehabilitation Nursing. 2006;31(1):15-21. https://doi.org/10.1002/j.2048-7940.2006.tb00005.x
  32. Song BK. The effect of tactile stimulation on two point discrimination, hand function, and ADL in impaired characteristics of stroke patient. Journal of the Korean Society of Physical Medicine. 2012;7(4):481-491. https://doi.org/10.13066/kspm.2012.7.4.481
  33. Srivastava A, Taly AB, Gupta A, et al. Post-stroke balance training: role of force platform with visual feedback technique. Journal of the Neurological Sciences. 2009;287(1-2):89-93. https://doi.org/10.1016/j.jns.2009.08.051
  34. Sutbeyaz ST, Koseoglu F, Inan L, et al. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. Clinical Rehabilitation. 2010;24(3):240-250. https://doi.org/10.1177/0269215509358932
  35. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clinical rehabilitation. 2006;20(5):451-458. https://doi.org/10.1191/0269215505cr955oa
  36. Vincent KR, Braith RW, F eldman RA, et al. Improved cardiorespiratory endurance following 6 months of resistance exercise in elderly men and women. Archives of Internal Medicine. 2002;162(6):673-678. https://doi.org/10.1001/archinte.162.6.673
  37. West T, Bernhardt J. Physical activity in hospitalised stroke patients. Stroke Research and Treatment. 2012;1-13.
  38. Widdicombe J, Fontana G. Cough: what's in a name? European Respiratory Journal. 2006;28(1):10-15. https://doi.org/10.1183/09031936.06.00096905