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Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Background: As the pelvic motion comes from trunk muscles, a specific use of pelvic pattern not only exercises the pelvis for mobility and stability but also facilitate trunk motion and stability.Objective: To determine the effect of Pelvic Proprioceptive Neuromuscular Facilitation(PNF) technique on facilitation of trunk movement in hemiparetic stroke patients.Interventions: Thirty hemiparetic stroke patients were randomly divided into two groups. The experimental group received pelvic PNF while the control group received conventional physiotherapy in the form of truncal exercises for 30 minutes. Along with these both group received regular physiotherapy in the form of tonal management and range of motion exercises for the affected limbs for 30 minutes. Intervention was given once in a day for five days/week for four weeks.Outcome Measures: Trunk Impairment Scale (TIS), Trunk Lateral Flexion Range of Motion (TLF ROM), and Tinetti Test (TT). Results: Post-intervention, both the groups shows improvement on trunk performance, range of motion, balance and gait but the experimental group shows more improvement than control group (changes in mean score between group comparison for TIS 3.4 (1.8); TLF ROM for affected and non-affected side 0.734 & 3.666 (0.267 & 2.533); Balance 3.534 (2.266) and Gait 2.2 (1)). The level of significance was set at p < 0.05 and highly significance at p < 0.01.