Effects of Proprioceptive Neuromuscular Facilitation on Balance, Motor and Activities of Daily Living for Stroke Patients: A Meta-analysis
10.3969/j.issn.1006-9771.2021.05.006
- VernacularTitle:神经肌肉本体感觉促进疗法对脑卒中患者平衡、运动和日常生活活动效果的Meta分析
- Author:
Hui GUO
1
;
Jian-qiao WANG
1
;
Guo-dong SU
1
;
Hua-wei WANG
1
;
Hua FAN
1
;
Xiang-de FAN
1
;
Shi-lin ZHANG
1
;
Yang LIU
1
;
Yue WANG
1
;
Xue-qin LÜ
1
;
Hui-lin LIU
1
Author Information
1. Department of Physiotherapy, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
- Publication Type:Research Article
- Keywords:
stroke;
proprioceptive neuromuscular facilitation;
balance;
motor;
activities of daily living;
meta-analysis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2021;27(5):530-541
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of proprioceptive neuromuscular facilitation (PNF) on balance, motor and activities of daily living (ADL) for stroke patients. Methods:The randomized controlled trials about the effects of PNF on motor, balance and ADL in stroke patients were retrieved from PubMed, Embase, CNKI, Wanfang data, and VIP, since establishment to December, 2019. The primary outcome measures were Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA) and modified Bathel Index (MBI). The secondary outcome measures were Functional Reach Test (FRT), Trunk Impairment Scale (TIS), and Timed 'Up and Go' Test (TUGT). The literatures were independently screened by two investigators, and the quality of the articles was evaluated using the Cochrane Library systematic review criteria, and meta-analysis was performed using RevMan 5.3. Results:A total of 13 articles were included with 786 stroke patients. PNF increased the score of BBS for sequelae patients (MD = 3.31, 95%CI 2.58 to 4.04, P < 0.001), FMA for recovery patients (MD = 8.31, 95%CI 5.68 to 10.97, P < 0.001); as well as MBI score (MD = 6.84, 95%CI 5.20 to 8.48, P < 0.001), FRT distance (MD = 1.11, 95%CI 0.39 to 1.84, P = 0.003) and TIS score (MD = 1.75, 95%CI 1.19 to 2.31, P < 0.001) for all the patients, and decreased TUGT time for sequelae patients (MD = -1.86, 95%CI -2.62 to -1.10, P < 0.001). Conclusion:PNF can significantly improve balance, motor and ADL for stroke patients. The effectiveness is various with the course of disease. More high-quality researches are needed.
