Lial Lysnara, Moreira Rayele, Correia Luan, Andrade Alzira, Pereira Ane Caroline, Lira Ricardo, Figueiredo Rogério, Silva-Júnior Fernando, Orsini Marco, Ribeiro Pedro, Velasques Bruna, Cagy Maurício, Teixeira Silmar, Bastos Victor Hugo
a Biomedical Sciences Program (PPGCBM) , Federal University of Piauí , Parnaíba , Brazil.
b Brain Mapping and Functionality Laboratory (LAMCEF/UFPI) , Federal University of Piauí , Parnaíba , Brazil.
Somatosens Mot Res. 2017 Sep;34(3):204-212. doi: 10.1080/08990220.2017.1392298.
The physiotherapist's clinical practice includes proprioceptive neuromuscular facilitation (PNF), which is a treatment concept that accelerates the response of neuromuscular mechanisms through spiral and diagonal movements. The adaptations that occur in the nervous system following PNF are still poorly described in the literature. Thus, this study had a goal to investigate the electrophysiological changes in the fronto-parietal circuit during PNF and movement in sagittal and diagonal patterns. This study included 30 female participants, who were divided into three groups (control, PNF, and flexion groups). Electroencephalogram measurements were determined before and after tasks were performed by each group. For the statistical analysis, a two-way ANOVA was performed for the factors group and time. Interactions between the two factors were investigated using a one-way ANOVA. A value of p < 0.004 was considered significant. The results showed an increase in alpha absolute power in the left dorsolateral prefrontal cortex and upper left parietal cortex of the PNF group, suggesting these areas work together to execute a motor action. The PNF group showed a greater alpha absolute power compared with the other groups, indicating a specific cortical demand for planning and attention, reinforcing its use for the rehabilitation of individuals.
物理治疗师的临床实践包括本体感觉神经肌肉促进法(PNF),这是一种通过螺旋和对角线运动加速神经肌肉机制反应的治疗理念。关于PNF后神经系统发生的适应性变化,文献中仍描述甚少。因此,本研究旨在调查在PNF以及矢状和对角线模式运动过程中额顶叶回路的电生理变化。本研究纳入了30名女性参与者,她们被分为三组(对照组、PNF组和屈曲组)。每组在执行任务前后均进行脑电图测量。对于统计分析,对组和时间因素进行双向方差分析。使用单向方差分析研究两个因素之间的相互作用。p值<0.004被认为具有显著性。结果显示,PNF组左侧背外侧前额叶皮层和左上顶叶皮层的α绝对功率增加,表明这些区域共同协作执行运动动作。与其他组相比,PNF组显示出更大的α绝对功率,表明对计划和注意力有特定的皮层需求,这进一步证明了其在个体康复中的应用价值。