ACUTE EFFECTS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION COMPARED TO ACTIVE RANGE OF MOTION EXERCISES ON RESPIRATORY AND HEMODYNAMIC RESPONSES IN CRITICALLY ILL PATIENTS: A PILOT STUDY

Aktar B., Özyürek S., Koca U., Gökmen N.

JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES, cilt.9, sa.2, 2025 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 9 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.30621/jbachs.1529638
  • Dergi Adı: JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Anahtar Kelimeler: Critically ill patients, Proprioceptive Neuromuscular Facilitation, Physiotherapy
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background and Purpose: Proprioceptive Neuromuscular Facilitation (PNF) is a widely used rehabilitation approach. However, limited studies examine the effect of PNF in a critical care setting. We aimed to investigate the acute effects of PNF-based exercises compared to active range of motion (ROM) exercises on respiratory and hemodynamic responses in critically ill patients. Methods: Twenty-one spontaneously breathing non-intubated critically ill patients were randomly assigned to either PNF-based (n=10) or active ROM exercise group (n=11). Respiratory rate (RR; breath/min), peripheral oxygen saturation (SpO(2); %), heart rate (HR; beat/min), systolic blood pressure (SBP; mmHg), diastolic blood pressure (DBP; mmHg) and mean blood pressure (MBP; mmHg) were measured using bedside monitoring system. The dyspnea severity and perceived exertion of patients were evaluated using the 0-10 numeric rating scale. Data was recorded before, immediately after, and 5 minutes after each exercise session. Results: There were no clinically significant differences between groups in RR (breath/min), SpO(2) (%), HR (beat/min), SBP (mmHg), DBP (mmHg), and MBP (mmHg), the severity of dyspnea and perceived exertion (P>0.05). Conclusion: In the treatment of spontaneously breathing non-intubated patients, PNF technique can be applied safely in terms of respiratory and hemodynamic responses, similar to active ROM exercises.