| چکیده انگلیسی مقاله |
Objective: To test the effectiveness of proprioceptive neuromuscular facilitation (PNF) on muscle strength, spasticity, functional mobility, and range of motion in hemiplegic patients with foot drop.
Methods: This was a single-arm, prepost study of 30 adults (21–60 years) with hemiplegic foot drop receiving a 14-week PNF. The interventions included contract-relax stretching, resistance training (D1/D2 diagonal patterns), and functional exercises. The assessed outcomes were muscle strength, spasticity, ankle dorsiflexion range of motion (ROM), and functional mobility.
Results: Following the intervention, all outcomes significantly improved. Tibialis anterior strengthened grade 2 to 3 (P < 0.001, 𝑟 = 0.62), and 42% achieved grades 4–5. There were large effect sizes for the quadriceps, hamstrings, and calf muscles (𝑟 = 0.51–0.62). Tibialis anterior spasticity dropped from grade 3 to 2 (P < 0.001, 𝑟 = 0.75), and 68% reached grade ≤ 2. Functional mobility improved by 5.21 cm (P < 0.001, 𝑑 = 0.83), and ankle dorsiflexion range of motion increased by 8.5° (P < 0.001, 𝑑 = 0.52).
Conclusion: Diagonal patterns and resistance training decrease the degree of spasticity and increase strength and mobility, making it possible to use this PNF type even in comparison to shorter-term protocols. These findings support the use of PNF to address foot drop in stroke rehabilitation. |
| نویسندگان مقاله |
| Zainab Ali
Physiotherapy Department, College of Health and Medical Technologies, Middle Technical University, Baghdad, Iraq
| Raghad Talib Taha
Physiotherapy Department, College of Health and Medical Technologies, Middle Technical University, Baghdad, Iraq
| Hind Kadhim
Physiotherapy Department, College of Health and Medical Technologies, Middle Technical University, Baghdad, Iraq
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