Proposition for the innovation of the rehabilitation medicine : -Retrospection and reflection related to mechanism of Proprioceptive Neuromuscular Facilitation-

概要

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The priority of Proprioceptive Neuromuscular Facilitation (PNF) to hemiplegic patients on the affected side must be reconsidered due to a lack of effect in its procedure. By the improvement of the theory and techniques of PNF, the improvement of therapeutic effects on hemiplegia patients could be expected in connection with their progress, however the outcome of medical examination has hardly been changed on hemiplegia patients at the clinical aspect over the last 40 years. Although PNF is thought to be more suitable for the normalization of a movement pattern to perform synthetic coordinated movements by affected side priority, it takes too long to lead to the active contraction of the peripheral muscles. Sometimes, even the atrophy of an unaffected side and the trunk can be seen. In considering the PNF of unaffected side priority the effect of facilitation is larger than that of affected side priority. Therefore, if the unaffected priority is used a smaller number of patients will be bedridden by atrophy and contracture. From the recent research on new born power of a neural stem cell (NSC), the elucidation of the mechanism for the effectiveness of the kinetic rehabilitation by the unaffected side priority enables us to expect the functional recovery of a damaged area. The NSC would also affect to the rehabilitation in the realm of the nervous system. Its recommended to try to use and get the evidence of PNF by unaffected side priority.