Effect of Core Stability with Proprioceptive Neuromuscular Facilitation (PNF) on Standing Balance in Post Stroke Patients
Keywords:
Core Stability, PNF, Standing balanceAbstract
Stroke patients will experience a situation where the ability to move will be increasingly reduced, such as sensory disturbances, mental, consciousness, weakness in the limbs that cause difficulty standing and walking which causes balance to be disturbed and most fatally causes death. Balance disorders experienced by post- stroke patients are caused by the absence of good cooperation in the sensory system such as visual, somatosensory including proprioceptors, and vestibular and musculoskeletal which are muscles, joints, and tissues regulated by the brain so that different responses occur to changes in internal and external conditions. Stroke or Cerebro Vascular Accident (CVA) is a central nervous system disorder that most commonly causes impaired functional activity as a result of coordination disorders, balance disorders, body control disorders, sensory disturbances, and movement reflex disorders that will decrease the individual's ability to perform daily activities. This study aims to determine the effect between core stability and Proprioceptive Neuromuscular Facilitation (PNF) on the standing balance of post-stroke patients at the Stroke Center Hospital. With a quasi-experimental research method with a pretest – posttest two group design, with sampling using the Slovin formula. The number of samples was 30 post-stroke patients who met the inclusion criteria of 32 people and then randomly divided into 2 groups, namely Proprioceptive Neuromuscular Facilitation (PNF) as many as 15 people and Core Stability as many as 15 people.
Based on the results of this study, it can be concluded that there is a significant effect of core stability training on improving standing balance in post-stroke patients at the Stroke Center Hospital. In addition, the Proprioceptive Neuromuscular Facilitation (PNF) technique also has a positive impact on the standing balance of post-stroke patients at the same location. Furthermore, it was found that there was a difference in effectiveness between the two methods, where Proprioceptive Neuromuscular Facilitation (PNF) showed more effective results compared to core stability in improving standing balance in post-stroke patients. These results provide important insights into rehabilitation interventions that can be optimized to improve balance in post- stroke patients.
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