Sarah Khalid, Muhammad Salman Bashir, Syed Imtiaz Hussain Shah, Rabiya Noor.
Prognosis of stroke in children after three months of regular physical therapy in Lahore.
J Pak Med Assoc Jan ;65(1):69-71.

Objective: To evaluate the effects and significance of Proprioceptive Neuromuscular Facilitation exercises on stroke patients. Methods: The prospective follow-up study was conducted from January, 2012, to June, 2012, and comprised randomly-selected patients at the Department of Neurology, Children Hospital and Institute of Child Health, Lahore. Using systematic sampling the patients were divided into two groups. Patients in group I were subjected to Proprioceptive Neuromuscular Facilitation therapy, while those in group II were treated by passive range of motion exercises only. All patients were followed up at months 1, 2 and 3. Data was collected through a questionnaire, while muscle strength was evaluated through Medical Research Council scale. All date was analysed using SPSS 20. Results: There were 50 patients in the study who were all below 15 years of age. Muscle strength of affected side at baseline in the experimental group I was 2.36±0.49 and in the control group II it was 2.60±0.50. At the end of the three-month follow-up, it had considerably increased to 4.76±0.43 in group I while it was 3.80±0.50 in group II (p<0.0001) Conclusion: Proprioceptive Neuromuscular Facilitation technique was an effective method in terms of pain relief, stiffness reduction and functional improvement.

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