Proprioceptive Neuromuscular Facilitation Methods after Surgical Treatment of Hemorrhagic Stroke During a Post-Hospital Period
Topicality. Currently, the number of patients with severe neurological disorders is growing catastrophically rapidly all over the world, and in particular in Ukraine. The most common of which are сerebrovascular accidents (brain attacks), such as hemorrhagic and ischemic strokes. Most researchers have focused on the patients` rehabilitation after the ischemic stroke. That has led to study and update the recovery program for individuals after hemorrhagic stroke. The WHO estimates that a significant number of stroke patients have been identified as disabled and need a lifelong care. Therefore, the introduction of the proprioceptive neuromuscular facilitation (PNF) methods into the physical therapy program for patients after surgical treatment of hemorrhagic stroke during the post-hospital period is urgent. Research purpose is to analyze the use of the PNF method in physical therapy of patients after surgical hemorrhagic stroke treatment during the post-hospital period. Research methods are analysis of literature sources with further processing of research data on the effectiveness of the PNF method in the program of patients recovery after surgical hemorrhagic stroke treatment during the post-hospital period by assessing functional independence and muscle strength. Results of the research. An insufficient number of used means of recovery and a tendency to occupational therapy within the physical therapy programs of patients after surgical hemorrhagic stroke treatment during the post-hospital period has been revealed. Therefore, the PNF method has been developed and introduced into the FT program of patients after hemorrhagic stroke treatment during the post-hospital period. Conclusions. The proposed method improved the connection between muscles and innervating nerves, which reduced spasticity, improved muscle strength and increased functional independence of patients after hemorrhagic stroke during the post-hospital period of physical therapy.
Baryshok T.V. (2016). Zasoby vidnovlennya rivnovahy postinsulʹtnykh khvorykh: naukovo-dokazova baza [Means of restoring the balance of post-stroke patients: scientific evidence base]. IV Vseukrayinsʹkyy forum neyroreabilitatsiyi ta medyko-sotsialʹnoyi ekspertyzy: mater. nauk.-prakt. kon. - IV All-Ukrainian forum of neurorehabilitation and medical and social examination: mater. Scientific-practical conf. Lviv: Litograf, 54. [in Ukrainian].
Belyayeva, N.,M., Yavorenko, O.,B., Kurylenko, I.V. (2016). Medyko-sotsialna reabilitatsiya pry khvorobakh tsentralnoyi ta pereferychnoyi nervovoyi systemy [Medico-social rehabilitation for diseases of the central and peripheral nervous system]. IV Vseukrayinsʹkyy forum neyroreabilitatsiyi ta medyko-sotsialʹnoyi ekspertyzy : mater. nauk.-prakt. kon. - IV All-Ukrainian forum of neurorehabilitation and medical and social examination: mater. Scientific-practical conf. Lviv: Litograf, 28. [in Ukrainian].
Samosyuk, I. Z, Flomin, Yu.V., Samosyuk, N.,I, Piontkovskaya, N.I. (2012). Vosstanovleniye dvigatel'nykh funktsiy posle insulta: neyrofiziologicheskiye osnovy i misheni dlya reabilitatsionnykh vmeshatelstv [Restoration of motor functions after stroke: neurophysiological bases and targets for rehabilitation interventions]. Mezhdunarodnyy nevrologicheskiy zhurnal / International Journal of Neurology, no. 8 (54), 9–19. [in Russian].
Zozulya, I. S., Zozulya, A.,I. (2011). Epidemiolohiya tserebrovaskulyarnykh zakhvoryuvan v Ukrayini [Epidemiology of cerebrovascular diseases in Ukraine]. Ukrayinskyy medychnyy chasopys / Ukrainian Medical Journal, no. 5. 38–41 [in Ukrainian].
Hubenko, V.,P., Fedorov, S.,M., Tkalina, A.V., Zachatko, T.,M. (2013). Manualna terapiya v systemi medychnoyi reabilitatsiyi [Manual therapy in the system of medical rehabilitation]. Zbirnyk naukovykh prats spivrobitnykiv NMAPO im. P.L. Shupyka.,Collection of scientific works of NMAPE staff. P.,L. Shupik. Vyp. 22. 113–123 [in Ukrainian].
Chernyak, S. I. (Eds.). (2016). Osnovni pokaznyky invalidnosti ta diyalʹnosti medyko-sotsialʹnykh ekspertnykh komisiy Ukrayiny za 2015 rik (Analityko-informatsiynyy dovidnyk) [Main indicators of disability and activity of medical and social expert commissions of Ukraine for 2015 (Analytical and information reference book)]. Donetsʹk: PP Aktsent, 175. [in Ukrainian].
Popova, I. Yu., Stepanenko, I.V., Likhachova, T. A. (2016). Osoblyvosti provedennya vidnovnoho likuvannya pry tserebrovaskulyarnykh zakhvoryuvannyakh [Peculiarities of restorative treatment of cerebrovascular diseases]. IV Vseukrayinsʹkyy forum neyroreabilitatsiyi ta medyko-sotsialʹnoyi ekspertyzy: mater. nauk.-prakt. kon. - IV All-Ukrainian forum of neurorehabilitation and medical and social examination: mater. Scientific-practical conf. Lviv: Litograf [in Ukrainian], 67.
Susan, S. Adler, Dominic, Beckers, Matt, Buck. (2014). PNF in practice / Illustrated guide. Nizhny Novgorod: LLC Radio Print, 330. [in Russian].
Bernhardt, J. A. (2008). Very Early Rehabilitation Trial for Stroke (AVERT): Phase II Safety and Feasibility. Stroke. Vol. 39. 390–396.
Bethoux, F. (2015). Spasticity Management After Stroke. Physical Medicine and Rehabilitation Clinics of North America. Vol. 26, issue 4, 625–639.
Carrasco, D. G. Effectiveness of motor imagery or mental practice in functional recovery after stroke: a systematic review. Neurología (English Edition). – Vol. 31, issue 1. 43–52.
Vitor Antônio dos Santos Junior, Matheus de Sales Santos, Nildo Manoel da Silva Ribeiro, Igor Lima Maldonado (2019). Combining Proprioceptive Neuromuscular Facilitation and Virtual Reality for Improving Sensorimotor Function in Stroke Survivors: A Randomized Clinical Trial. J Cent Nerv Syst Dis. (11). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659177/. https://doi.org/10.1177%2F1179573519863826
Klein, D. A, Stone, W. J. (2002). PNF training and physical function in assisted living older adults. J.Aging Phys Activity, no.10, 476–488.
Poonam Chaturvedi, Ajai Kumar Singh, Dinkar Kulshreshtha, Anup Kumar Thacker. (2018). PNF in acute stroke. MOJ Anat & Physiol, no. 5(6). 391‒399. URL: https://medcraveonline.com/MOJAP/MOJAP-05-00232.pdf. eISSN: 2471-139X.
Post-stroke BDNF concentration changes following proprioceptive neuromuscular facilitation (PNF) exercises (2020). J Family Med Prim Care, 9(7). URL: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3361;epage=3369;aulast=Chaturvedi. doi: 10.4103/jfmpc.jfmpc_1051_19.