Research Interests:
Research Interests:
INTRODUCTION Congenital dysplasia of the pelvis often occurs in isolation, however, it can also involve other pelvic components, and anomalies of the digestive system. Pelvic malformations have effects on the pelvic girdle and pelvic... more
INTRODUCTION Congenital dysplasia of the pelvis often occurs in isolation, however, it can also involve other pelvic components, and anomalies of the digestive system. Pelvic malformations have effects on the pelvic girdle and pelvic stability influencing the quality of gait. The condition can be treated with a total hip arthroplasty (THA). The concept of Proprioceptive Neuromuscular Facilitation (PNF) has been described as a comprehensive rehabilitation approach with a focus on motor learning. This case report seeks to illustrate the clinical reasoning and feasibility of applying the PNF-concept in a patient after a THA with multiple congenital pelvis malformations. CASE DESCRIPTION A male, 44 years of age, physically active laborer was treated with THA after hip dysplasia, with comorbid missing pubic symphysis. The patient presented with complaints in gait speed, gait distance, hip joint mobility and stability. PATIENT MANAGEMENT PNF-based motor-control training, including specifi...
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Abstract. Introduction: The Proprioceptive Neuromuscular Facilitation concept (PNF-concept) is a widely used rehabilitation concept, and is in many countries part of the undergraduate curriculum of physiotherapy education. It is also... more
Abstract.
Introduction: The Proprioceptive Neuromuscular Facilitation concept (PNF-concept) is a widely used rehabilitation concept, and is in many countries part of the undergraduate curriculum of physiotherapy education. It is also offered in postgraduate training worldwide. The modern physiotherapist is confronted with the application of evidence-based practice; therefore the aim of this review is to summarize the available evidence for this rehabilitation concept.
Method: A search was completed using Pubmed, ScienceDirect, PEDro, Cochrane library and the International PNF Association (IPNFA) website. An evidence-based practice approach has been promoted in the field of physiotherapy since the early 1990’s, hence we limited the search from 1990 until 2014.
Major findings: Seventy-four sources that were found were categorized in: A) PNF philosophy, B) PNF basic principles and procedures, C) PNF techniques in rehabilitation. In the reviewed publications, a variety of indications and subject populations were identified including: neurological, musculoskeletal, pulmonary, geriatric, and mixed disorders. The publications varied in type and quality, ranging from case studies, clinical trials, randomized controlled trials (RCTs), and reviews. This variety of publications, treatment indications and outcome measures in the publications warranted a narrative review
Discussion and conclusion: The scope and diversity of articles in the review make it difficult to study the PNF-concept in a methodical way, since different components of a comprehensive rehabilitation approach may act as confounders when measuring the effects of one specific part of the approach. There is a substantial body of research which supports the use of PNF as a comprehensive rehabilitation concept. The literature also describes that the PNF-concept is applied in clinical practice in a variety of populations and indications, however efficacy for specific indications and populations requires further investigation.
Introduction: The Proprioceptive Neuromuscular Facilitation concept (PNF-concept) is a widely used rehabilitation concept, and is in many countries part of the undergraduate curriculum of physiotherapy education. It is also offered in postgraduate training worldwide. The modern physiotherapist is confronted with the application of evidence-based practice; therefore the aim of this review is to summarize the available evidence for this rehabilitation concept.
Method: A search was completed using Pubmed, ScienceDirect, PEDro, Cochrane library and the International PNF Association (IPNFA) website. An evidence-based practice approach has been promoted in the field of physiotherapy since the early 1990’s, hence we limited the search from 1990 until 2014.
Major findings: Seventy-four sources that were found were categorized in: A) PNF philosophy, B) PNF basic principles and procedures, C) PNF techniques in rehabilitation. In the reviewed publications, a variety of indications and subject populations were identified including: neurological, musculoskeletal, pulmonary, geriatric, and mixed disorders. The publications varied in type and quality, ranging from case studies, clinical trials, randomized controlled trials (RCTs), and reviews. This variety of publications, treatment indications and outcome measures in the publications warranted a narrative review
Discussion and conclusion: The scope and diversity of articles in the review make it difficult to study the PNF-concept in a methodical way, since different components of a comprehensive rehabilitation approach may act as confounders when measuring the effects of one specific part of the approach. There is a substantial body of research which supports the use of PNF as a comprehensive rehabilitation concept. The literature also describes that the PNF-concept is applied in clinical practice in a variety of populations and indications, however efficacy for specific indications and populations requires further investigation.