Effect of proprioceptive neuromuscular facilitation (PNF) with dry needling in the management of hemiplegic shoulder

• Author Details:   
• Ashisha K Tanaya
• Birupakshya Mahakul ^*
• Soumya Ranjan Pattnaik

Purpose: The primary objective of this study was to evaluate the efficacy of combining Proprioceptive Neuromuscular Facilitation (PNF) techniques with dry needling in the treatment of hemiplegic shoulder. Secondary objectives included assessing improvements in range of motion (ROM), pain reduction, and overall functional enhancement.

Relevance: This study explores an innovative therapeutic approach that combines PNF and dry needling, offering potential improvements in patient outcomes for hemiplegic shoulder, a common post-stroke complication.

Participants: Thirty participants with chronic right hemiplegic shoulder were selected based on specific inclusion and exclusion criteria.

Materials and Methods: The intervention group received rhythmic initiation and hold-relax PNF techniques combined with dry needling, while the control group received standard physiotherapy care. Data collection included pre- and post-intervention measurements of shoulder ROM, pain levels, and functional ability.

Analysis: Quantitative data analysis was conducted using paired t-tests and ANOVA, with effect sizes calculated to determine clinical significance.

Results: The intervention group demonstrated significant improvements in shoulder ROM, pain reduction, and functional performance compared to the control group.

Conclusion: The combination of PNF and dry needling is an effective intervention for managing hemiplegic shoulder, suggesting that these techniques should be integrated into routine physiotherapy practice.

Implications: The study advocates for updated training and healthcare policies supporting evidence-based, multimodal approaches in stroke rehabilitation.