Efficacy of Pelvic Proprioceptive Neuromuscular Facilitation (PNF) on Trunk Balance and Gait in Individuals with Traumatic Incomplete Paraplegia

Spinal Cord Injury refers to damage to spinal cord tissue, which causes deprivation of motor functions and sensory responses, along with dysfunction of the autonomic nervous system in the area below the damaged location. Neurological function preservation determines whether an SCI injury falls under the complete or incomplete categories. Progressive spinal cord injuries damage only some neural pathways to keep the lower part of the body active. This condition is known as incomplete SCI. This study focused on subjects with spinal cord injuries below the T6 neurological level since these patients preserve upper body movements, which enables concentrated trunk and leg therapy. Patients with T6 neurological severity and below maintain upper body movement control; therefore, they can better engage with pelvic P-PNF therapy to enhance trunk stability along with walking abilities. The effectiveness of pelvic PNF techniques has been observed in stroke and CP patients, but not enough research has been conducted regarding its application in SCI rehabilitation for incomplete paraplegics below T6. This investigation includes aims to determine the potential advantages of P-PNF techniques in evaluating their benefits in this population. Participants will be randomly assigned to either the Experimental group (pelvic PNF) or the Control group (conventional physiotherapy) on the base of evalution.  These group will teste by the outcome measures before starting the procedure (pre-intervention) and the end of the last visit of patients (post-intervention). The total time period of the procedusre is three days a week for four weeks. This investigation aims to determine the potential advantages of P-PNF techniques in evaluating their benefits in this population.