Impact fonctionnel de la facilitation neuromusculaire proprioceptive dans la prise en charge de l'hemiplegie post avc

CaHReF 2016, Yaoundé Conges hall, 23 – 26 August 2016 , PL167

Hemiplegia is the perturbation of the motor function usually associated with tonus and sensitive disorders of a body’s half. It is the first cause of physical and mental handicap in adults with an incidence of 1.5 per 1000. Death arises principally during the first six months; the mortality rate is estimated at 25% for the first month. There are many rehabilitative methods for this handicap but this research was focused on the Proprioceptive Neuromuscular Facilitation (PNF). PNF aims at improving motor responses but it is not yet effectively implemented in the rehabilitative protocol of post-Cerebrovascular Accident (CVA) hemiplegic patients in the Bafoussam Regional Hospital. The main objective was to evaluate the impact of proprioceptive Neurovascular Facilitation in the managementofpost-CVAhemiplegicpatients. 
This study was an interventional, evaluative and analytic study which took place at the Regional hospital of Bafoussam from the 1st August to the 6th September 2015. Sampling was accidental and exhaustive. Were included in this study, post-stroke hemiplegic patients in the recuperation phase, without understanding disabilities, under treatment in the physiotherapy unit of the Regional Hospital of Bafoussam and who accepted to participate. A questionnaire with sociodemographic data, evaluation scales like (modified Held Tardieu scale for muscular strength; Aschwoff’s scale for spasticity; Measure of Functional Independence (MIF); Postural Assessment Scale for Stroke (PASS); the Berg’s scale for equilibrium and the Orgogozo’s scale for functional deficiencies) and range of motion assessment was administered to the subjects before and after the intervention which lasted for five weeks. We had 2 groups: the case group which received PNF and the control group which received only the classical protocolofthehospital. 
Of the 20 patients retained, 19 were included in the study, 9 patients for the PNF group and 10 for the classical group. The mean age was 60.15 (±11.63) years, male participation 57.9% a predominance retired patients and residents of Bafoussam. Both PNF and classical therapy improved muscular strength, range of motion, equilibrium and functional independence but, the PNF group had better scores.

PNF is therefore efficient in the management of post–CVA hemiplegia in our context and

Physiotherapy- PNF -Hemiplegia- CVA