Overflow using proprioceptive neuromuscular facilitation in post-stroke hemiplegics: A preliminary study.

Autor: de Oliveira KCR; Physiotherapist at the Federal University of Triângulo Mineiro, Master's in Physical Education, Department of Applied Physical Therapy, Capitão Domingos, Nº 309, Uberaba, Minas Gerais, Brazil. Electronic address: karolinefisioterapeuta@hotmail.com., Sande de Souza LAP; Associate Lecturer at the Federal University of Triângulo Mineiro, PhD in Functional and Molecular Biology, Brazil., Emilio MM; Graduation in Physiotherapy at the Federal University of Triângulo Mineiro, Brazil., da Cunha LF; Graduation in Physiotherapy at the Federal University of Triângulo Mineiro, Brazil., Lorena DM; Graduation in Physiotherapy at the Federal University of Triângulo Mineiro, Brazil., Bertoncello D; Associate Lecturer at the Federal University of Triângulo Mineiro, PhD in Physiological Sciences, Brazil.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2019 Apr; Vol. 23 (2), pp. 399-404. Date of Electronic Publication: 2018 Feb 11.
DOI: 10.1016/j.jbmt.2018.02.011
Abstrakt: Hemiplegia is the classic condition resulting from a stroke. To assist in recovery, the overflow method can be employed to stimulate the affected limb, using the healthy contralateral lower limb (LL) to activate the plegic upper limb (UL) musculature. The aim of this study was to evaluate the immediate effect of overflow using the PNF method on the plegic upper limb muscles of post-stroke individuals in the acute and chronic stages, as well as on the muscles of healthy individuals. A total of 22 individuals participated in the work, comprising 8 healthy individuals (control group), 6 post-stroke acute stage individuals (acute group), and 8 post-stroke chronic stage individuals (chronic group). The participants were assessed using a questionnaire with sections for personal and disease data and application of the ICF scale and the Fugl-Meyer index. The three groups were submitted to electromyographic evaluation, using the posterior deltoid (PD), anterior deltoid (AD), pectoralis major (PM), and external oblique (EO) muscles in four different positions: P1 (resting the UL, with the LL contralateral to the affected limb positioned in diagonal); P2 (resting the UL, with manual resistance in the contralateral LL); P3 (affected UL positioned in diagonal, with manual resistance in the contralateral LL) e P4 (affected UL positioned in diagonal, with fixed point and manual resistance in the contralateral LL). The electromyography results revealed no significant differences between most of the positions for the four muscles evaluated (p > 0.05). However, high clinical relevance (d > 0.8) was found for muscle activation in positions 2 and 4. It could be concluded that for post-stroke individuals in the acute and chronic stages, overflow using PNF effectively increased activation of the PD, AD, PM, and EO muscles in the P2, as well as position 4.
(Copyright © 2018 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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