| Objective: To observe the effect of proprioceptive neuromuscular facilitation technique (PNF) combined with respiratory training on balance function and lower extremity motor function in patients with Pusher syndrome. Methods: Totally, 75 patients with Pusher syndrome were randomly divided into convention group (n=25), PNF group (n=25) and combination group (n=25). A total of 4 cases dropped down due to failure to complete treatment according to the study protocol. Finally, 24 cases in the conventional group, 24 cases in the PNF group, and 23 cases in the combination group were included in the study. The convention group was given conventional rehabilitation treatment, the PNF group received PNF additionally, and the combination group received PNF combined with respiratory training additionally. Burke lateropulsion scale (BLS), Berg balance scale (BBS), Fugl-Meyer motor assessment (FMA-LE) and modified Barthel index (MBI) were used to evaluate the patient’s tilt degree of posture, balance function, lower extremity motor function and activities of daily living (ADL) at the beginning and at the end of the 6th week of treatment course respectively. Results: BLS scores decreased in all groups 6 weeks after treatment compared with pre-treatment (P<0.01), and those in the combination group were lower than in the PNF group and convention group (P<0.01), and those in the PNF group were lower than in the convention group (P<0.01). BBS, FMA-LE and MBI were improved in all groups after treatment compared with pre-treatment (P<0.01), those in the combination group were higher than in the PNF group and convention group (P<0.01), and those in the PNF group were higher than in the convention group (P<0.05). Conclusion: PNF combined with respiratory training in the treatment of patients with Pusher syndrome can improve the body tilt symptoms and balance function, improve the motor function of lower extremity and activities of daily living, promoting the recovery of patients. |
