Effectiveness of dynamic neuromuscular stabilisation for improving trunk control in hemiplegic stroke: A scoping mini review

Authors

  • Raghuveer Raghumahanti (1) Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Sector-43, Faridabad, Haryana 121004, India. (2) School of Physiotherapy, Gandhi Institute of Technology and Management, Gandhinagar, Rushikonda, Visakhapatnam, Andhra Pradesh 530045, India.
  • Ekta Chitkara Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Sector-43, Faridabad, Haryana 121004, India.
  • Parul Raj Agarwal College of Physiotherapy, Heritage Institute of Medical Sciences, NH2, GT Road Bypass, Bhadwar, Varanasi, Uttar Pradesh 221311, India.

DOI:

https://doi.org/10.31117/neuroscirn.v5i4.160

Keywords:

Dynamic neuromuscular stabilisation, stroke rehabilitation, reflex diaphragmatic activation, trunk control, trunk stabilisation

Abstract

Stroke is one of the leading causes of mortality and morbidity in the adult population, resulting in significant cognitive and sensorimotor impairments affecting one-half of the body in most patients. The limitations that are attributed to trunk impairment affect the postural and respiratory functions due to either spasticity or weakness of trunk muscles, including the diaphragm. Physiotherapy is effective in interdisciplinary stroke management, with approaches utilising the principles of plasticity. This review focused on briefing the pathomechanical aspects of trunk impairment in hemiplegic stroke. The proposed mechanisms of Dynamic Neuromuscular Stabilization (DNS) as a treatment for hemiplegic stroke were analysed, and the existing research evidence for the efficacy of DNS in improving trunk control among stroke participants was critically reviewed. The findings substantiate the need for high-quality trials, emphasising study design, subset size, reflective outcomes, and regulated follow-ups.

Author Biographies

Ekta Chitkara, Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Sector-43, Faridabad, Haryana 121004, India.

Faculty of Allied Health Sciences , Associate Professor

Parul Raj Agarwal, College of Physiotherapy, Heritage Institute of Medical Sciences, NH2, GT Road Bypass, Bhadwar, Varanasi, Uttar Pradesh 221311, India.

Department of Physiotherapy, Professor

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Published

2022-11-23

How to Cite

Raghumahanti, R., Chitkara, E. and Agarwal, P. R. (2022) “Effectiveness of dynamic neuromuscular stabilisation for improving trunk control in hemiplegic stroke: A scoping mini review ”, Neuroscience Research Notes, 5(4), p. 160. doi: 10.31117/neuroscirn.v5i4.160.

Issue

Vol. 5 No. 4 (2022): Regular Issue

Section

Mini-Review

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Copyright (c) 2022 Raghuveer Raghumahanti, Ekta Chitkara, Parul Raj Agarwal

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