Effect Of Proprioceptive Neuromuscular Facilitation On Selective Motor Control Of Lower Extremity In Children With Hemiplegic Cerebral Palsy: An Experimental Pilot Study

Effect Of Proprioceptive Neuromuscular Facilitation On Selective Motor Control Of Lower Extremity

Abstract

Background: Cerebral palsy children have limitations in motor function resulting in diminished selective motor control. Selective motor control (SMC) is essential for independent control of joint motion. Impaired SMC is interrelated to neuromuscular deficits in CP. In this study PNF approach was used with different patterns and techniques which help to evoke motor responses and improve neuromuscular control and function. Objectives: To assess the effect of PNF along with conventional treatment ,To assess the effect of Conventional treatment and To compare the effect of PNF along with conventional treatment and conventional treatment on selective motor control of lower extremity in children with hemiplegic cerebral palsy. Material and Method: Study included 22 hemiplegic cerebral palsy children which were divided into two groups. Experimental group received PNF and conventional treatment and control group received conventional treatment. SMC of lower extremity was assessed using SCALE. Pre and post treatment scores were measured. Results: There was statistically significant difference noted within group and between groups on Total SCALE score. Difference was seen greater in experimental group than control group. Conclusion: This study suggests that PNF have an effect on selective motor control of lower extremity in children with hemiplegic cerebral palsy. [Kale G Natl J Integr Res Med, 2021; 12(1):46-51]

Abbreviations: Selective motor control (SMC), Proprioceptive Neuromuscular Facilitation (PNF), Cerebral Palsy (CP), Selective control assessment of lower extremity (SCALE), Diagonal Pattern (D1 and D2), Gross motor function classification system (GMFCS), Corticospinal tract (CST).