Stroke rehabilitation conducted by PNF method, with and without the application of botulinum toxin – case reports
Journal Title: Rehabilitacja Medyczna - Year 2005, Vol 9, Issue 1
Abstract
One of the most common diseases of the nervous system is stroke. Its most frequently occuring kinetic symptoms are paresis or paralysis accompanied by an increase in muscular tension called spasticity. For patients and their carers these disturbances become a problem in many aspects of their everyday life, especially in locomotion. New ways need to be looked for to create therapies that could decrease or remove spasticity and restore the function which was disrupted. Therapy by botulinum toxin has been used as a method of decreasing spasticity to treat children with cerebral palsy having equines-varus foot, and it proves to be a breakthrough in the treatment of diseases with increased muscular tension. Owing to it, a range of mobility increases, for example in an ankle and knee joints, which facilitates locomotion. This improvement is caused by both pharmacological action, and assisted kinesitherapy. Proproceptive Neuromuscular Facilitation (PNF) is considered to be especially effective rehabilitation method based on neuro-physiological mechanisms. This method in the therapy of adults, along with the application of botulinum toxin, seems to facilitate physical activity of the patient after stroke, which may be very important for secondary stroke prevention. The aim of the research was to assess the influence of the therapy by PNF method associated with a botulinum toxin application on the patients after stroke with spasticity in lower limbs. During gait the patients had the flexion of ankle and knee joints measured by means of VICON system with the special focus on the amplitude of angular values. All patients presented in this description of cases showed an improvement in most of the measured parameters, in both a four-week and a three-month period after the therapy. The results show a necessity to carry out further randomized control studies of larger groups.
Authors and Affiliations
Szymon Pasiut, Marta Banach, Krystyna Longawa, Filip Windak
Keywords
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