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Effects of Proprioceptive Neuromuscular Facilitation-Based Lower Extremity Training on Balance, Gait, and Functional Independence in Individuals With Stroke
Sponsor: Istanbul Medipol University Hospital
Summary
This study aims to investigate the effects of a proprioceptive neuromuscular facilitation (PNF)-based lower extremity rehabilitation program on balance, gait performance, functional independence, and quality of life in individuals with stroke. Stroke is a leading cause of long-term disability and often results in impairments in motor control, balance, and walking ability, which negatively affect daily functioning and independence. In this randomized controlled study, participants diagnosed with stroke will be randomly assigned to either a PNF-based rehabilitation group or a control group receiving conventional physiotherapy. The intervention will focus on lower extremity PNF techniques to improve motor control, balance, and gait performance. Outcome measures will include balance, functional mobility, walking performance, activities of daily living, and stroke-specific quality of life. Assessments will be conducted at baseline and at the end of the intervention period. The findings are expected to contribute to evidence-based rehabilitation strategies aimed at improving functional outcomes and quality of life in individuals with stroke.
Official title: The Effects of Proprioceptive Neuromuscular Facilitation-Based Lower Extremity Rehabilitation on Balance, Gait Performance, Functional Independence, and Quality of Life in Individuals With Stroke: A Randomized Controlled Study
Key Details
Gender
All
Age Range
40 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2026-04-30
Completion Date
2026-08-20
Last Updated
2026-04-17
Healthy Volunteers
No
Interventions
Proprioceptive Neuromuscular Facilitation Training
No drug or medical device is used as part of the intervention. The study involves only physiotherapy-based rehabilitation programs. A structured PNF-based exercise program targeting lower extremity motor function, balance, and gait performance. The intervention will include techniques such as rhythmic initiation, dynamic reversals, stabilizing reversals, and rhythmic stabilization applied using diagonal movement patterns (D1 and D2). Exercises will be performed in functional positions (supine, sitting, standing) and progressively adjusted according to patient tolerance.
Conventional Physiotherapy
Standard physiotherapy exercises including balance training, gait training, and strengthening exercises for individuals with stroke.