| Objective: To systematically assess the effect of proprioceptive neuromuscular facilitation (PNF) technology on motor function and activities of daily living after stroke. Methods: The randomized controlled trials about PNF technology on motor function and activities of daily living were searched from PubMed, Embase, The Cochrane Library, Web of Science, Science Direct, CNKI, WanFang, Vip and Chinese BioMedical (CBM) until August, 2018. Two judges independently assessed the bias risk of the included literature and extracted the data according to the Cochrane systematic review manual. Data analysis was conducted on Revman 5.3 and Stata 12.0. Results: A total of 16 literatures were included. Ten literatures reported the effect of PNF technology on FMA, and the FMA score in observation group using PNF technology was significantly higher than that in control group. Meta analysis results showed that WMD=7.57, 95%CI (6.57, 8.58), Z=14.74, P<0.01. Four literatures reported the effect of PNF technology on TUGT, and the use of PNF technique in the observation could significantly shorten TUGT time. Meta-analysis results showed that WMD=-1.86, 95%CI (-2.62, -1.10), Z=4.78, P<0.01. Seven literatures evaluated the effect of PNF technology on BBS, and PNF technology could improve the balance ability of patients in the observation group more effectively. Meta analysis results showed that WMD=5.19, 95% CI (2.93, 7.44), Z=4.51, P<0.01). Eight literatures evaluated the influence of PNF technology on Barthel index, and the use of PNF in the observation group significantly improved the patients' daily living ability. Meta analysis results showed that WMD=14.61, 95%CI (11.64, 17.58), Z=9.64, P<0.01. Conclusion: These results indicate that PNF technology can significantly improve motor function and quality of life of stroke patients. |
