ABSTRACT
Cerebrovascular accident (CVA) is an important cause of morbidity in the elderly; resulting
not only in physical disability, but also significant cognitive impairment. There was dearth of
studies on cognitive impairment on functional recovery on stroke survivors in Nigeria.
However, previous studies elsewhere on effects of impaired cognition on functional recovery
amongst stroke survivors centered on short term outcomes of exercises on Activities of Daily
Living and balance, while this study evaluated the long term outcomes. This study sought to
ascertain the changes in functional recovery of people with cerebrovascular accident and its
associated cognitive impairment after 12 months proprioceptive neuromuscular facilitation
(PNF) and Task specific Balance Training. The research design was quasi experimental
involving hundred ischemic stroke survivors who were recruited through purposive sampling
technique from four Specialist centers. Subjects were grouped into cognitive and noncognitive
impaired after assessment for cognitive impairment by the researcher using Minimental
Stroke Examination. Other outcome measures used included: National Institute of
Health Stroke Scale for severity of impairment, Barthel Index scale for ADL, and Bergs
Balance Scale for balance. The participants in both groups were trained three times per week,
one hour per session of PNF and balance exercises for 12 months at the various intervention
sites: Physiotherapy Department Nnamdi Azikiwe University Teaching Hospital, Nnewi, and
Landmark Physiotherapy Services, Nnewi. The results showed there were significant
improvement (p < .05) in the ADL (42.481±7.415 to 76.240±12.504) with mean value of
33.759representing 79.468% increase and (59.900 ± 15.693 to 79.260±14.504) with mean
value of 19.360 representing 32.559 % increase for cognitive group and non-cognitive group
respectively; however, between groups revealed no significant difference (p> 0.056). Also
there was significant improvement in balance (26.500 ± 5.177 to 45.04o±6.013) with mean
value of 10.640 representing 69.962% increase and (35.200 ± 6.931 to45.18± 6.931) with
mean value of 7.120 representing 30.227% increase for cognitive group and non-cognitive
group respectively, however; between groups revealed no significant difference (p >.539).
There was significant improvement in cognition (19.62 ± 3.469 to 24.160 ± 3.151) with mean
value of 4.700 representing 23.955% increase and (25.040 ± 1.195 to 27.700 ± 1.249) with
mean value of 2.660representing 10.85% increase for cognitive group and non-cognitive
group respectively; however, between groups comparison showed significant difference
(p
PROSPER, O (2021). Effects Of Proprioceptive Neuromuscular Facilitation And Balance Training On Functional Recovery Of People With Cerebrovascular Accident And Its Association With Cognitive Impairment. Afribary. Retrieved from https://track.afribary.com/works/effects-of-proprioceptive-neuromuscular-facilitation-and-balance-training-on-functional-recovery-of-people-with-cerebrovascular-accident-and-its-association-with-cognitive-impairment
PROSPER, OKONKWO "Effects Of Proprioceptive Neuromuscular Facilitation And Balance Training On Functional Recovery Of People With Cerebrovascular Accident And Its Association With Cognitive Impairment" Afribary. Afribary, 13 May. 2021, https://track.afribary.com/works/effects-of-proprioceptive-neuromuscular-facilitation-and-balance-training-on-functional-recovery-of-people-with-cerebrovascular-accident-and-its-association-with-cognitive-impairment. Accessed 24 Dec. 2024.
PROSPER, OKONKWO . "Effects Of Proprioceptive Neuromuscular Facilitation And Balance Training On Functional Recovery Of People With Cerebrovascular Accident And Its Association With Cognitive Impairment". Afribary, Afribary, 13 May. 2021. Web. 24 Dec. 2024. < https://track.afribary.com/works/effects-of-proprioceptive-neuromuscular-facilitation-and-balance-training-on-functional-recovery-of-people-with-cerebrovascular-accident-and-its-association-with-cognitive-impairment >.
PROSPER, OKONKWO . "Effects Of Proprioceptive Neuromuscular Facilitation And Balance Training On Functional Recovery Of People With Cerebrovascular Accident And Its Association With Cognitive Impairment" Afribary (2021). Accessed December 24, 2024. https://track.afribary.com/works/effects-of-proprioceptive-neuromuscular-facilitation-and-balance-training-on-functional-recovery-of-people-with-cerebrovascular-accident-and-its-association-with-cognitive-impairment