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IRCT2016043027676N1 IRCT 2016-05-29 Yasouj University of Medical Sciences and Health Services The effect of proprioceptive neuromuscular facilitation on cerebrovascular accident. The effect of proprioceptive neuromuscular facilitation on muscle strength and activities of daily living of client with cerebrovascular accident . 2016-05-21 anticipated 60 Complete https://irct.ir/trial/22616 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: Does not. 2-3 Cerebrovascular Accident. Intervention 1: Control group: First, while the experimental group, muscle strength and activities of daily living will be measured using the relevant protocol. Next any specific action on the control, proprioceptive neuromuscular facilitation exercise will be done in experimental group.Immediately and four weeks after the intervention in the experimental group, muscle strength and activity of daily living in both groups was measured using the relevant protocol. Intervention 2: The intervention groups: First samples are available as a convenient choice then randomly allocated to two groups of test and control blocks would be allocated. Then the patients eligible for inclusion in the control groups, before exercise, muscle strength and activities of daily living will be measured. Then proprioceptive neuromuscular facilitation exercise program for 8 weeks, each session lasting 30 to 45 minutes (16 sessions during 2 months) based on the protocol will be implemented following the intervention group. In this study, the pattern of motion of the arm (Upper Extremity ) and hip movement patterns (lower Extremity) is used. Patterns of the arm joint (upper extremity): D1 flexion pattern: Flexion, abduction, External rotation (elbow flexed and elbow extended). D1 extension pattern: Extension, adduction, internal rotation (elbow flexed and elbow extended). D2 flexion pattern: flexion, adduction, external rotation (elbow flexed and elbow extended). D2 extension pattern: extension, abduction, internal rotation (elbow flexed and elbow extended). Patterns of knee joint(lower extremity): D1 flexion pattern: Flexion, abduction, internal rotation (knee flexed and knee extended). D1 extension pattern: Extension, adduction, external rotation (knee flexed and knee extended). D2 flexion pattern: Flexion, adduction, external rotation (knee flexed and knee extended). D2 extension pattern: Extension, abduction, internal rotation (knee flexed and knee extended). The therapist first member to be balanced with respect to the three axes of motion in the desired position and in this case the muscles as much as possible not to limit your range of motion dragged. The first step: A passive stretching or active within 10 to 20 seconds actions and target muscle or muscles gently used gradually the end range of motion.This situation is maintained for a while. Second stage: Immediately or after a break of about 2 to 3 seconds of contraction unlike the therapist takes place. The contract period is typically 3 to 6 seconds. Third stage: Immediately or after a pause of about 2 to 3 seconds again to reach the target muscle or muscle twitching find a new point of range of motion. Immediately and 4 weeks after the last training session, muscle strength and activities of daily living of the patient is measured (post test) will be.
public Parandvar Yaghoub
Department of General Surgery, Martyr Dr.Beheshti hospital , Martyr mohammad montazeri street, Yasuj
Yasuj Iran (Islamic Republic of) 7591794857 +98 74 3322 4721 yaghoub.parandvar@yums.ac.ir ; y.parandvar@gmail.com Martyr Dr.Beheshti hospital, Yasouj University of Medical Sciences and Health Services scientific Najafi Dolatabad Shahla
Martyr Dr.Jalil stree, Yasuj
Yasuj Iran (Islamic Republic of) 7591794857 +98 74 3323 4115 shahlaiss@yahoo.com ; yaghoub.parandvar@yums.ac.ir School of Nursing and Midwifery, yasuj university of medical sciences Iran (Islamic Republic of) Inclusion criteria: Personal and informed consent to participate in the study; Residence in Yasouj; Over 4 months to 2 years after stroke; The definitive diagnosis of stroke by neurologist; Age over 60 years; One catching of stroke; No active phase of the disease; The absence of spinal cord injury; Lack of PNF techniques from six months ago; No other chronic diseases such as neurological disorders and orthopedic and rheumatology; Ability to communicate and answer questions Persian; The third and less muscle strength; Daily life activities less than 60 . Exclusion criteria: The unwillingness or inability of the Company to continue reading; Exacerbation or re CVA; The need for hospitalization; Physiotherapy at the same time; The occurrence of other diseases; Leave practice over two sessions; Death; Impairment of cognitive function; Mental alertness and presence of cognitive impairment during the study. 60 years 100 years Both sequelae o Stroke, not specified as haemorrhage or infarction Rehabilitation Rehabilitation Control group: First, while the experimental group, muscle strength and activities of daily living will be measured using the relevant protocol. Next any specific action on the control, proprioceptive neuromuscular facilitation exercise will be done in experimental group.Immediately and four weeks after the intervention in the experimental group, muscle strength and activity of daily living in both groups was measured using the relevant protocol. The intervention groups: First samples are available as a convenient choice then randomly allocated to two groups of test and control blocks would be allocated. Then the patients eligible for inclusion in the control groups, before exercise, muscle strength and activities of daily living will be measured. Then proprioceptive neuromuscular facilitation exercise program for 8 weeks, each session lasting 30 to 45 minutes (16 sessions during 2 months) based on the protocol will be implemented following the intervention group. In this study, the pattern of motion of the arm (Upper Extremity ) and hip movement patterns (lower Extremity) is used. Patterns of the arm joint (upper extremity): D1 flexion pattern: Flexion, abduction, External rotation (elbow flexed and elbow extended). D1 extension pattern: Extension, adduction, internal rotation (elbow flexed and elbow extended). D2 flexion pattern: flexion, adduction, external rotation (elbow flexed and elbow extended). D2 extension pattern: extension, abduction, internal rotation (elbow flexed and elbow extended). Patterns of knee joint(lower extremity): D1 flexion pattern: Flexion, abduction, internal rotation (knee flexed and knee extended). D1 extension pattern: Extension, adduction, external rotation (knee flexed and knee extended). D2 flexion pattern: Flexion, adduction, external rotation (knee flexed and knee extended). D2 extension pattern: Extension, abduction, internal rotation (knee flexed and knee extended). The therapist first member to be balanced with respect to the three axes of motion in the desired position and in this case the muscles as much as possible not to limit your range of motion dragged. The first step: A passive stretching or active within 10 to 20 seconds actions and target muscle or muscles gently used gradually the end range of motion.This situation is maintained for a while. Second stage: Immediately or after a break of about 2 to 3 seconds of contraction unlike the therapist takes place. The contract period is typically 3 to 6 seconds. Third stage: Immediately or after a pause of about 2 to 3 seconds again to reach the target muscle or muscle twitching find a new point of range of motion. Immediately and 4 weeks after the last training session, muscle strength and activities of daily living of the patient is measured (post test) will be. Muscle strength. Timepoint: Before the intervention, Immediately after the intervention, One month after the intervention. Method of measurement: Manual Muscle Testing grading scale. Activities of Daily living. Timepoint: Before the intervention, Immediately after the intervention, One month after the intervention. Method of measurement: Activities of Daily living Questionnaire. Quality of Life. Timepoint: Before the intervention, Immediately after the intervention, One month after the intervention. Method of measurement: The World Health Organization Quality of Life Questionnaire of 26 questions. Muscle Strength. Timepoint: Before the intervention, Immediately after the intervention, One month after the intervention. Method of measurement: Digital Balance/Kg. Yasouj University of Medical Sciences and Health Services Approved 2016-04-16 Ethics Committee Yasuj University of Medical Sciences and Health Services Yasuj University of Medical Sciences and Health Services, Mottahari BLvd, Yasuj Yasuj Iran (Islamic Republic of)