Case Study
Year: 2021 | Month: January-March | Volume: 6 | Issue: 1 | Pages: 35-38
PNF Training for Improving Lower Limb Coordination in Cerebral Palsy: A Case Study in a Child with Spastic Diplegia
Preksha Sharma
Assistant Professor, Department of Physiotherapy, Sanskriti University, Mathura, U.P., 281401, India.
ABSTRACT
The research focused on assessing the effectiveness of PNF training on lower limb coordination on a Male child with spastic diplegia Cerebral Palsy. Mental and physical dysfunctioning along with the growth, sensation and gait disturbances is termed as Cerebral Palsy. This is unconditional neurological problem that has severe effect on the control and coordination of muscles. This generally occurs at early childhood age or infancy. This research is a case study in which subject was a child with dysfunctioning arms and legs. The branch of Cerebral Palsy that deals with dysfunctioning of arms and legs is termed as Spastic Diplegia. The patient underwent PNF on both lower limbs (hip, knee, foot), followed by hot fermentation. After the intervention, significant improvement is seen in all the outcome measures (gait parameter, BBS score, GFMC score) .As the result affected lower limb improved in terms of coordination, execution and accurateness of the movement, number of jerks, and duration of clonus. Improvement was seen in preciseness and accurateness of coordinated movement at the different ranges of motion for lower limbs. PNF seems to be a promising intervention for improving lower limb movement coordination in Cerebral palsy children. Further investigations are certainly needed to assess.
Keywords: Cerebral palsy, Proprioceptive Neuromuscular Facilitation, Gait Training, Balance, Incoordination.