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Effect of PNF + Core Strengthening Exercise in Sub-acute Guillain Barre Syndrome
Sponsor: Rida
Summary
This randomized controlled trial will evaluate the effectiveness of proprioceptive neuromuscular facilitation combined with core strengthening exercises in Guillain barre syndrome patients on balance, strength and ADLS. A total of 32 participants will be recruited using purposive sampling and randomly assigned into two groups through the sealed envelope method. Balance will be assessed using berg balance scale, strength will be measured by MMT and ADLS will measure by berthal index at baseline and after completion of the intervention participants in the experimental group will receive PNF + core strengthening exercise four times in week for eight weeks, and conventional physical therapy will perform on control group .
Official title: Proprioceptive Neuromuscular Facilitation Combined With Core Strengthening Exercise in Guillain Barre Syndrome Patients
Key Details
Gender
All
Age Range
18 Years - 45 Years
Study Type
INTERVENTIONAL
Enrollment
32
Start Date
2026-02-15
Completion Date
2026-04-18
Last Updated
2026-08-07
Healthy Volunteers
No
Conditions
Interventions
Proprioceptive neuromuscular facilitation combined with core strengthening exercise
Participants will receive Proprioceptive Neuromuscular Facilitation (PNF) using the Contract-Relax (CR) and Contract-Relax Agonist-Contract (CRAC) techniques for both upper and lower extremities. Each repetition consists of a 10-20 second passive or active stretch, followed by a 3-6 second isometric contraction against therapist resistance, and then a further stretch to the newly gained range of motion. In addition, participants will perform progressive core strengthening exercises, including pelvic control exercises, curl-ups, bridging (including single-leg and crossed-leg variations), and side bridging. Participants will be instructed to activate the transversus abdominis and multifidus muscles throughout the exercises to improve trunk stability, balance, muscle strength, and functional independence.
conventional physiotherapy
The conventional therapy included stretching and strengthening of upper and lower extremities, techniques to normalize the muscle tone, weight bearing exercises, active functional training to enhance postural and functional control and conventional balance training. The program included four sessions per week for eight weeks with duration of each session of about 45 minutes which included warm up of 5 minutes, conventional therapy for 35 minutes and cool down of 5 minutes with 1-2 minute rest between the tasks.
Locations (1)
University of Lahore teaching hospital, Lahore
Lahore, Punjab Province, Pakistan