Combined Effect of Pelvic Proprioceptive Neuromuscular Facilitation with Core Strengthening on Trunk Control, Balance, and Gait in Paraplegia.

Int J Appl Basic Med Res

Department of Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India.

Published: December 2023

AI Article Synopsis

  • Spinal cord injury negatively impacts quality of life and daily activities, leading to loss of sensory and motor functions.
  • A 40-year-old male with incomplete paraplegia underwent a 4-week intervention of pelvic neuromuscular facilitation and core strengthening exercises, showing significant improvements in trunk control, balance, and gait.
  • This study is the first to highlight effective interventions for enhancing mobility in individuals with paraplegia, encouraging further research into its therapeutic benefits.

Article Abstract

Spinal cord injury (SCI) has deleterious effects on quality of life and vocation. A partial or complete loss of sensory and motor functions below the site of injury is a potential clinical sign of SCI. Trunk and pelvic control are crucial for balance and gait to perform vocational tasks of daily living. In this case report, a 40-year-old male with traumatic incomplete paraplegia (AIS Grade C, neurological level T6) received 45 min of intervention per session, which included pelvic proprioceptive neuromuscular facilitation combined with core strengthening exercises 5 times a week for 4 weeks. Baseline and postassessments were done for trunk control with the trunk control test for SCI, balance with the Berg Balance Scale (BBS) and the SCI-functional ambulation inventory (SCI-FAI), and gait with the walking index for SCI II (WISCI). After 4 weeks of intervention, there were significant differences between baseline and postintervention scores on the trunk control test for SCI (16-18), WISCI (Level 1-2), SCI-FAI (03-06), and BBS (04-08). This is the first case report that enabled and promoted potentiate intervention to improve trunk control, balance, and gait in paraplegics. This outcome motivates additional research on its therapeutic potential and mechanism.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789460PMC
http://dx.doi.org/10.4103/ijabmr.ijabmr_190_23DOI Listing

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