Effect of functional strength training versus proprioceptive neuromuscular facilitation on balance and gait in patients with diabetic neuropathy

2020 ◽  
Vol 2 (1) ◽  
pp. 47
Author(s):  
JanhaviJagdish Atre ◽  
SuvarnaShyam Ganvir
2015 ◽  
Vol 50 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Emily A. Hall ◽  
Carrie L. Docherty ◽  
Janet Simon ◽  
Jackie J. Kingma ◽  
Joanne C. Klossner

Context: Although lateral ankle sprains are common in athletes and can lead to chronic ankle instability (CAI), strength-training rehabilitation protocols may improve the deficits often associated with CAI. Objective: To determine whether strength-training protocols affect strength, dynamic balance, functional performance, and perceived instability in individuals with CAI. Design: Randomized controlled trial. Setting: Athletic training research laboratory. Patients or Other Participants: A total of 39 individuals with CAI (17 men [44%], 22 women [56%]) participated in this study. Chronic ankle instability was determined by the Identification of Functional Ankle Instability Questionnaire, and participants were randomly assigned to a resistance-band–protocol group (n = 13 [33%] age = 19.7 ± 2.2 years, height = 172.9 ± 12.8 cm, weight = 69.1 ± 13.5 kg), a proprioceptive neuromuscular facilitation strength-protocol group (n = 13 [33%], age = 18.9 ± 1.3 years, height = 172.5 ± 5.9 cm, weight = 72.7 ± 14.6 kg), or a control group (n = 13 [33%], age = 20.5 ± 2.1 years, height = 175.2 ± 8.1 cm, weight = 70.2 ± 11.1 kg). Intervention(s): Both rehabilitation groups completed their protocols 3 times/wk for 6 weeks. The control group did not attend rehabilitation sessions. Main Outcome Measure(s): Before the interventions, participants were pretested by completing the figure-8 hop test for time, the triple-crossover hop test for distance, isometric strength tests (dorsiflexion, plantar flexion, inversion, and eversion), the Y-Balance test, and the visual analog scale for perceived ankle instability. Participants were again tested 6 weeks later. We conducted 2 separate, multivariate, repeated-measures analyses of variance, followed by univariate analyses on any significant findings. Results: The resistance-band protocol group improved in strength (dorsiflexion, inversion, and eversion) and on the visual analog scale (P < .05); the proprioceptive neuromuscular facilitation group improved in strength (inversion and eversion) and on the visual analog scale (P < .05) as well. No improvements were seen in the triple-crossover hop or the Y-Balance tests for either intervention group or in the control group for any dependent variable (P > .05). Conclusions: Although the resistance-band protocol is common in rehabilitation, the proprioceptive neuromuscular facilitation strength protocol is also an effective treatment to improve strength in individuals with CAI. Both protocols showed clinical benefits in strength and perceived instability. To improve functional outcomes, clinicians should consider using additional multiplanar and multijoint exercises.


2014 ◽  
Vol 17 (1) ◽  
pp. 67-77 ◽  
Author(s):  
Denise Ferreira Cesário ◽  
Geovânia Barbosa da Silva Mendes ◽  
Érica Patrícia Borba Lira Uchôa ◽  
Paulo Henrique Altran Veiga

Introduction: The world population is aging, and this leads to progressive physiological changes and increased incidence of acute and chronic degenerative diseases. In this sense, one of the main changes occurring during this period is sarcopenia, characterized by decreased skeletal muscle mass. Objective: To perform comparative analyze of results of proprioceptive neuromuscular facilitation (PNF) techniques and strength training to gain muscle strength of biceps and quadriceps and grip in the elderly. Method: This is a prospective randomized study with purposive sample of 17 elderly patients undergoing a program of strength training and evaluation with a dynamometer, before and after applying the treatment protocol. After evaluation, subjects were randomly divided into two groups: PNF and Bodybuilding. Results: The group trained with PNF had more significant gain in muscle strength, biceps (p=0.0392*) and quadriceps (p=0.0230*) did not show statistically significant relevance in the grip (p=0.1075). In the group trained with weights there was no statistically significant difference: biceps (p=0.5338), quadriceps femoris (p=0.0679) and palmar (p=0.3758). Comparing both techniques, however, there was no statistical difference: biceps (p=0.5739), quadriceps (p=0.8450) and palmar (p=0.2457). Conclusion: This study showed that the period of 12 weeks of intervention seems to be sufficient to achieve gains in muscle strength with PNF technique, but when comparing the two techniques it was not statistically significant.


JAMA ◽  
1966 ◽  
Vol 197 (7) ◽  
pp. 39b-39 ◽  
Author(s):  
M. Ellenberg
Keyword(s):  

2005 ◽  
Vol 39 (2) ◽  
pp. 23
Author(s):  
NORRA MACREADY
Keyword(s):  

2006 ◽  
Vol 37 (4) ◽  
pp. 44
Author(s):  
Miriam E. Tucker ◽  
Mitchel L. Zoler

2006 ◽  
Vol 39 (7) ◽  
pp. 41
Author(s):  
Mitchel L. Zoler ◽  
Miriam E. Tucker

2011 ◽  
Vol 7 (5) ◽  
pp. 4
Author(s):  
DOUG BRUNK
Keyword(s):  

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