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Acute Effects of Physiotherapy Interventions on Biceps Brachii Muscle Tissue Perfusion After Stroke
Sponsor: Izmir Bakircay University
Summary
This study aimed to investigate the acute effects of proprioceptive neuromuscular facilitation (PNF), the Bobath concept, and virtual reality (VR)-based interventions on biceps brachii tissue perfusion in individuals with chronic stroke. In this randomized crossover study, participants received all three physiotherapy interventions in a randomized order. Each intervention lasted 10 minutes. Biceps brachii muscle oxygenation and local blood volume responses were assessed using near-infrared spectroscopy (NIRS) before, during, and after each intervention.
Official title: Investigation of the Acute Effects of Different Physiotherapy Applications on Biceps Brachii Muscle Tissue Perfusion in Individuals With Stroke
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
26
Start Date
2024-09-19
Completion Date
2026-04-08
Last Updated
2026-10-02
Healthy Volunteers
No
Conditions
Interventions
Proprioceptive Neuromuscular Facilitation (PNF)
A 10-minute PNF intervention was applied to the affected upper extremity in the supine position. Rhythmic initiation was followed by half- and full-pattern techniques. Biceps brachii inhibition and triceps brachii facilitation were performed mainly using an extension-abduction-internal rotation pattern with elbow extension. Repeated stretch and slow opposing movements were used for triceps facilitation. Pectoral inhibition in a flexion-abduction-external rotation pattern was added when required.
Bobath Concept
A 10-minute Bobath concept intervention was applied primarily in the supine and hook-lying positions. The intervention included latissimus dorsi elongation, scapular depression, supine arm elevation, elbow control, functional elbow control, midline approximation when tolerated, and bilateral elbow flexion-extension with the hands clasped. Light resistance, repeated contractions, or active-assistive movements were used according to muscle strength and active range of motion.
Virtual Reality (VR)-Based Intervention
A 10-minute VR-based upper-extremity intervention was performed in a seated position with back support. Following orientation and device-use training, participants played a beginner-level Fruit Ninja game continuously for 10 minutes. The game was selected because its movements resembled PNF diagonals and were compatible with Bobath concept upper-extremity facilitation.
Locations (1)
Izmir Bakircay University Physiotherapy and Rehabilitation Application and Research Center
Çiğli, İzmir, Turkey (Türkiye)