ArticleJournal of central nervous system disease2019
Combining Proprioceptive Neuromuscular Facilitation and Virtual Reality for Improving Sensorimotor Function in Stroke Survivors: A Randomized Clinical Trial.
Article in Journal of central nervous system disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04816422 (Proprioceptive Neuromuscular Facilitation), which is not on this map. Cited by 17 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Proprioceptive Neuromuscular Facilitation (PNF) Techniques to Improve Bed Mobility, Transfer and Early Trunk Control in Stroke Patients
Who cites it
17 citing papers in PubMed, 7 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Effectiveness of non-pharmacological interventions for lower limb motor impairment in post-stroke hemiplegia: a systematic review and Bayesian network meta-analysis.Journal of neuroengineering and rehabilitation · 2026Pooled it
- Virtual reality for stroke rehabilitation.The Cochrane database of systematic reviews · 2025Pooled it
- Virtual Reality Enhanced Exercise Training in Upper Limb Function of Patients With Stroke: Meta-Analytic Study.Journal of medical Internet research · 2025Pooled it
- Effects of virtual reality with different modalities on upper limb recovery: a systematic review and network meta-analysis on optimizing stroke rehabilitation.Frontiers in neurology · 2025Pooled it
- The efficacy of virtual reality for upper limb rehabilitation in stroke patients: a systematic review and meta-analysis.BMC medical informatics and decision making · 2024Pooled it
- Comparison of immersive and non-immersive virtual reality for upper extremity functional recovery in patients with stroke: a systematic review and network meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Pooled it
- Applying Game-Based Approaches for Physical Rehabilitation of Poststroke Patients: A Systematic Review.Journal of healthcare engineering · 2021Pooled it
- A Novel Virtual Reality Training Strategy for Poststroke Patients: A Randomized Clinical Trial.Journal of healthcare engineering · 2021Trial
- Recent research on rehabilitation interventions for post-stroke gait and balance in low- and middle-income countries: a scoping review.BMC health services research · 2026Article
- Virtual Reality-Assisted Rehabilitation for Upper-Limb Function in Stroke Survivors: A Systematic Review.Brain sciences · 2026Review
- Home Physiotherapy Using the Proprioceptive Neuromuscular Facilitation Concept in a Patient with Chronic Hemiplegia in a Rural Area: A Case Report.Journal of clinical medicine · 2025Article
- The Effects of Virtual Reality Training on Post-Stroke Upper and Lower Limb Function: A Meta-Analysis.Brain & NeuroRehabilitation · 2025Article
- The effects of virtual reality immersion on drop landing mechanics.Sports biomechanics · 2024Article
- Bundling implementation strategies supports outcome measure adoption in stroke rehabilitation: preliminary findings.Implementation science communications · 2024Article
- Application of a Brain-Computer Interface System with Visual and Motor Feedback in Limb and Brain Functional Rehabilitation after Stroke: Case Report.Brain sciences · 2022Article
- Comparison of Sensory Observation and Somatosensory Stimulation in Mirror Neurons and the Sensorimotor Network: A Task-Based fMRI Study.Frontiers in neurology · 2022Article
- Prospects for intelligent rehabilitation techniques to treat motor dysfunction.Neural regeneration research · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess a program combining virtual reality (VR) games and proprioceptive neuromuscular facilitation (PNF) and to compare it with the standalone techniques in stroke survivors.
methodsA randomized controlled clinical trial. A total of 48 participants were recruited in the outpatient clinic of a University Hospital in Salvador, Brazil. They were randomly assigned to 3 groups (n = 16 each): PNF, VR, and PNF/VR. Participants attended twice-weekly 50-minute sessions over a 2-month period. The PNF/VR group performed both PNF and VR exercises employing Nintendo Wii electronic games. Motor performance was assessed before and immediately after the treatment using the Fugl-Meyer Assessment scale.
resultsAn improvement in the mean scores was observed after treatment independent of the allocation group with significant intragroup changes: 14.5, 10.5, and 10.4 for PNF, VR, and PNF/VR, respectively. Score changes were also observed in the analyses of specific sections as follows: (1) a significant improvement in the passive movement and pain score was observed in the PNF and PNF/VR groups; (2) the same was observed for the motor function of the upper limb in all groups, for the motor function of the lower limb in the VR group and for balance in the PNF and PNF/VR groups.
conclusionsThe use of a program combining virtual rehabilitation and PNF presented results that were comparable with those obtained with the isolated techniques.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.