PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION IN THE TREATMENT OF PATIENTS WITH SPASTIC CEREBRAL PALSY: A SYSTEMATIC REVIEW

Authors

DOI:

https://doi.org/10.47820/recima21.v4i11.4383

Keywords:

Cerebral Palsy; Proprioceptive Neuromuscular Facilitation and Spasticity.

Abstract

Introduction: Cerebral Palsy (CP) is characterized by neurological alterations that occur in childhood, compromising motor and cognitive development. It is a movement and posture disorder characterized mainly by motor impairment, accompanied by other disorders. Objective: To analyze the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) in the treatment of patients with spastic cerebral palsy. Methods: This is a systematic review of randomized clinical trials analyzed by two independent reviewers, as recommended by the PRISMA platform, using the National Library of Medicine (PubMed), Physiotherapy Evidence Database (PEDro), Cochrane Central Register of Controlled Trials (CENTRAL) and LILACS databases. Results: Five studies addressing proprioceptive neuromuscular facilitation in the treatment of patients with spastic cerebral palsy were included, and the PEDro scale was used to analyze the methodological quality of the articles. Conclusion: Proprioceptive Neuromuscular Facilitation is a promising concept for improving balance, gait, trunk control, pelvic alignment and functional independence in patients with spastic cerebral palsy. However, in the current literature, more high-quality evidence is needed to establish the efficacy of PNF in the treatment of these patients.

 

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Author Biographies

Jaiane Vitória Medeiros Rodrigues

Graduanda em Fisioterapia pelo Centro Universitário Santo Agostinho - UNIFSA.

Bruna Evelyn Alves Ribeiro Lima

Graduanda em Fisioterapia pelo Centro Universitário Santo Agostinho - UNIFSA.

Jordano Leite Cavalcante de Macêdo

Graduação em Fisioterapia pelo Centro Universitário UNINOVAFAPI. Professor da Faculdade AESPI e Universidade Estadual do Piauí (UESPI). Fisioterapeuta do Centro Integrado de Reabilitação (CEIR). Professor do curso de Fisioterapia do Centro Universitário Santo Agostinho (UniFSA), fisioterapeuta do Hospital Infantil Lucídio Portela e da Clínica Espaço Neurofuncional. Pós-Graduação em Docência do Ensino Superior, Fisioterapia Neurofuncional, Fisioterapia Traumato-ortopédica e Desportiva. Especialista profissional em Terapia Intensiva em Neonatologia e Pediatria (ASSOBRAFIR/COFFITO). Mestrado em Engenharia Biomédica (Universidade do Vale do Paraíba - UNIVAP). Formação em Pilates/RDM, Fisioterapia Aquática, Contensão Induzida (membros superiores e membros inferiores), Facilitação Neuromuscular Proprioceptiva - PNF (IPNFA - níveis 1, 2 e 3A), Conceito Neuroevolutivo (conceito BOBATH) e Reequilíbrio Toracoabdominal (RTA). 

References

DABHI, M.; RAKHOLIYA, S. A Study to Evaluate the Effect of Proprioceptive Neuromuscular Facilitation Stretching on Balance and Gait in Spastic Diplegic Cerebral Palsy: An Interventional Study. Indian Journal of Public Health Research & Development, v. 11, n. 7, p. 448–454, 2020.

FOSDAHL, M. A. et al. Stretching and progressive resistance exercise in children with cerebral palsy: A randomized controlled trial: A randomized controlled trial. Pediatric physical therapy. The official publication of the Section on Pediatrics of the American Physical Therapy Association, v. 31, n. 3, p. 264–271, 2019.

KRUSE, A. et al. Acute effects of static and proprioceptive neuromuscular facilitation stretching of the plantar flexors on ankle range of motion and muscle-tendon behavior in children with spastic cerebral palsy—A randomized clinical trial. International journal of environmental research and public health, v. 19, n. 18, p. 11599, 2022.

KRUSE, A. et al. Eight weeks of proprioceptive neuromuscular facilitation stretching and static stretching do not affect muscle-tendon properties, muscle strength, and joint function in children with spastic cerebral palsy. Clinical biomechanics (Bristol, Avon), v. 107, n. 106011, p. 106011, 2023.

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Published

16/11/2023

How to Cite

Vitória Medeiros Rodrigues, J., Evelyn Alves Ribeiro Lima, B., & Leite Cavalcante de Macêdo, J. (2023). PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION IN THE TREATMENT OF PATIENTS WITH SPASTIC CEREBRAL PALSY: A SYSTEMATIC REVIEW. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 4(11), e4114383. https://doi.org/10.47820/recima21.v4i11.4383

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Vol. 4 No. 11 (2023): CLICK HERE TO ACCESS THE ARTICLES

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