Influence of PNF Therapy on the Active Range of Motion in Proximal Humerus Gunshot Injury Patients

Abstract

The use of Proprioceptive Neuromuscular Facilitation (PNF), namely relaxation techniques, rhythmic initiation,a combination of isotonics, stabilizing and dynamic reversing, rhythmic stabilization and motor patterns, allows to improve motor function and to achieve active participations of patients with musculoskeletal injuries in the process. Therefore, the purpose of the study was to evaluate the effect of proprioceptive neuro-muscle facilitation techniques on index goniometry in individuals with gunshot lesions of the proximal humerus. The study involved 56 middle-aged men, who were randomized to two levels by group size. Investigation group (n=28) received proprioceptive neuromuscular facilitation, control group (n=28) received standard kinesiotherapy program and massage. Goniometry was performed on all participants for physical therapy on 28, 56 and 84 days of the treatment. Limits of movement amplitude were fixed in all three planes, which respond to the nature of the arthrogenic contracture. The total dynamics of increase in the amplitude of active movements in the shoulder complex in participants under the influence of proprioceptive neuromuscular facilitation, noted higher (p=0.038; t=6.94) than in control group which underwent kinesiotherapy and massage. Therefore, positive changes were observed under the influence of PNF in the active amplitude of movement in men with gunshot lesions of the proximal humerus; this in turn allowed to break the circle of pain and improve the functionality of the upper extremity.