The Effects of Proprioceptive Neuromuscular Facilitation-Based Lower Extremity Rehabilitation on Balance, Gait Performance, Functional Independence, and Quality of Life in Individuals With Stroke: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 主要终点
- Berg Balance Scale
研究概览
简要总结
This study aims to investigate the effects of a proprioceptive neuromuscular facilitation (PNF)-based lower extremity rehabilitation program on balance, gait performance, functional independence, and quality of life in individuals with stroke.
Stroke is a leading cause of long-term disability and is commonly associated with impairments in motor control, balance, and walking ability, which negatively affect independence and daily functioning.
In this randomized controlled trial, participants with stroke will be randomly assigned to either a PNF-based rehabilitation group or a control group receiving conventional physiotherapy. The intervention will focus on lower extremity PNF techniques to improve motor control, balance, and gait performance.
Assessments will be conducted at baseline and at the end of the intervention period.
The findings are expected to contribute to the development of evidence-based rehabilitation strategies for individuals with stroke.
详细描述
This study is designed as a prospective, randomized, parallel-group controlled trial to evaluate a PNF-based lower extremity rehabilitation program in individuals with stroke.
A total of 60 participants will be randomly allocated in a 1:1 ratio to either an intervention group or a control group using a computer-generated randomization sequence.
The intervention group will receive a structured rehabilitation program based on proprioceptive neuromuscular facilitation principles. The program will incorporate techniques such as rhythmic initiation, dynamic reversals, stabilizing reversals, and rhythmic stabilization. These techniques will be applied through lower extremity diagonal movement patterns (D1 and D2) in functional positions including supine, sitting, and standing. The intervention will be individualized and progressively adjusted according to participant performance and tolerance.
The control group will receive a conventional physiotherapy program consisting of range of motion exercises, muscle strengthening, balance training, and gait-related activities consistent with standard rehabilitation practice.
Both groups will receive interventions with equivalent duration and frequency.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Due to the nature of the physiotherapy intervention, blinding of participants and therapists is not feasible.
入排标准
- 年龄范围
- 40 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of stroke confirmed by a neurologist
- •Age between 40 and 80 years
- •Ability to walk with or without an assistive device
- •Medically stable condition
- •Ability to understand and follow verbal instructions
- •Willingness to participate and provide informed consent
排除标准
- •Severe cognitive impairment preventing participation
- •Other neurological disorders affecting mobility
- •Severe musculoskeletal disorders affecting lower extremity function
- •Severe cardiovascular conditions contraindicating exercise
- •Participation in another rehabilitation study
研究组 & 干预措施
Conventional Physiotherapy Group
Participants in the control group will receive conventional physiotherapy exercises focusing on lower extremity strengthening, balance training, and functional mobility exercises commonly used in stroke rehabilitation.
干预措施: Conventional Physiotherapy (Other)
PNF Training Group
Participants in this group will receive a proprioceptive neuromuscular facilitation (PNF)-based lower extremity rehabilitation program. The intervention will include specific PNF techniques such as rhythmic initiation, dynamic reversals, stabilizing reversals, and rhythmic stabilization aimed at improving balance, gait performance, and lower extremity motor control in individuals with stroke.
干预措施: Proprioceptive Neuromuscular Facilitation Training (Other)
结局指标
主要结局
Berg Balance Scale
时间窗: Baseline and after 8 weeks of intervention
The Berg Balance Scale will be used to assess balance performance in individuals with stroke. The scale consists of 14 items evaluating functional balance activities, with scores ranging from 0 to 56. Higher scores indicate better balance performance.
Berg Balance Scale
时间窗: Baseline and 8 weeks
The Berg Balance Scale (BBS) is a 14-item scale used to assess functional balance. Each item is scored from 0 to 4, with a total score ranging from 0 to 56. Higher scores indicate better balance performance.
次要结局
- Timed Up and Go Test(Baseline and after 8 weeks of intervention)
- Fugl-Meyer Motor Assessment (Lower Extremity)(Baseline and after 8 weeks of intervention)
- 10-Meter Walk Test(Baseline and after 8 weeks of intervention)
- 6-Minute Walk Test(Baseline and after 8 weeks of intervention)
- Stroke Specific Quality of Life Scale(Baseline and after 8 weeks of intervention)
- Timed Up and Go Test(Baseline and 8 weeks)
- Fugl-Meyer Motor Assessment (Lower Extremity)(Baseline and 8 weeks)
- 10-Meter Walk Test(Baseline and 8 weeks)
- 6-Minute Walk Test(Baseline and 8 weeks)
- Stroke Specific Quality of Life Scale(Baseline and 8 weeks)
研究者
salih tan
Doctora
Istanbul Medipol University Hospital