International Journal For Multidisciplinary Research

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Effect of Proprioceptive Neuromuscular Facilitation (PNF) Technique Versus Guided Visual Imagery Technique along with Sensory Input on Upper Extremity Recovery in Sub-acute Stroke Patients: A Comparative Study

Author(s) Apurva Chatarkar, Dr. Chitra Mridha
Country India
Abstract Abstract
Background: Subacute stroke refers to the phase occurring from a few days to several weeks post-stroke, during which patients often experience significant impairments, particularly in the upper limbs. This can hinder their ability to perform daily activities, such as dressing, eating, and personal hygiene, leading to decreased independence and quality of life. Proprioceptive Neuromuscular Facilitation (PNF) is a therapeutic approach that utilizes specific patterns of movement and sensory feedback to enhance neuromuscular function and improve coordination. In contrast, Guided Visual Imagery (GVI) involves mentally visualizing movements to promote neural pathways associated with motor function, which can aid in rehabilitation. Both techniques aim to facilitate recovery and improve upper limb function in stroke patients.
Aim: To compare the effect of Proprioceptive neuromuscular facilitation (PNF) technique versus guided visual imagery technique along with sensory input on upper extremity recovery in sub-acute stroke patients.
Methodology: Screening of Patients was done using inclusion and exclusion criteria. Included subjects were given a written informed consent in the language best understood by them. Subjects were randomly assigned to group A and group B. The subjects in both the groups were assessed by Upper extremity functional index (UEFI) and the score was noted. A comparative study design with two groups, Group A: Proprioceptive neuromuscular Facilitation for upper extremity recovery group, Group B: Guided visual imagery technique along with sensory input for upper extremity. Both the groups A and B engaged in a conventional physical therapy program, delivered by Therapist. The subjects were given intervention for 5 days per week for 6 weeks. Post assessment of both the groups by using Upper extremity functional index (UEFI) was taken. Data were analyzed using appropriate statistical software after testing for normality; paired t-tests were used for within-group comparisons and the Mann–Whitney U test for between-group comparisons, with significance set at p < 0.05.
Results: Proprioceptive neuromuscular facilitation (PNF) had better effects compared to guided visual imagery technique along with sensory input on upper extremity recovery in subacute stroke patients.
Conclusion: The present study concluded that there were significant improvements noticed in both the groups, But Proprioceptive neuromuscular facilitation (PNF) had better effects compared to guided visual imagery technique along with sensory input on upper extremity recovery in subacute stroke patients.
Keywords Keywords: Subacute Stroke, Proprioceptive Neuromuscular Facilitation (PNF). Guided Visual Imagery Technique, Upper Extremity Recovery, Activities of Daily Living (ADL).
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-01-11
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.66120
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