{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T11:28:24Z","timestamp":1765970904292,"version":"3.48.0"},"reference-count":45,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The growing population of stroke survivors living in rural communities, who require ongoing rehabilitation, highlights the need for effective, home-based rehabilitation methods. The aim of this study was to evaluate the potential benefits of Proprioceptive Neuromuscular Facilitation (PNF) on segmental and global motor function, gait performance, Activities of Daily Living (ADLs), and quality of life in a patient with chronic hemiplegia living at home. Methods: A 71-year-old woman, five years after an ischemic stroke of the left cerebral hemisphere, presented with severe right-sided hemiplegia and participated in a two-month home-based PNF rehabilitation programme consisting of 20 one-hour sessions delivered 2\u20133 times per week. To evaluate the effectiveness of the intervention, the following standardised outcome measures were used in given order: Fugl-Meyer Assessment of Lower Extremity (FMA-LE), Trunk Impairment Scale (TIS), Timed Up and Go Test (TUG), Rivermead Motor Assessment Scale (RMA), Barthel Scale (BS), and the Short Form Health Survey (SF-36). Results: Improvements were observed in lower limb motor function (FMA-LE), gait performance (TUG), and overall quality of life (SF-36). Conclusions: PNF-based physiotherapy delivered at home environment may provide meaningful benefits for patients living in rural areas, even years after stroke.<\/jats:p>","DOI":"10.3390\/jcm14248913","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T10:41:23Z","timestamp":1765968083000},"page":"8913","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Home Physiotherapy Using the Proprioceptive Neuromuscular Facilitation Concept in a Patient with Chronic Hemiplegia in a Rural Area: A Case Report"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1557-1992","authenticated-orcid":false,"given":"Tomasz","family":"Zwoli\u0144ski","sequence":"first","affiliation":[{"name":"Faculty of Health, University WSB Merito Gda\u0144sk, 80-266 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamila","family":"Gworys","sequence":"additional","affiliation":[{"name":"Department of Physical Rehabilitation Medicine, Medical University of \u0141\u00f3d\u017a, 90-419 \u0141\u00f3d\u017a, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u0142","family":"Licznerski","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2640-3791","authenticated-orcid":false,"given":"Katarzyna","family":"Zorena","sequence":"additional","affiliation":[{"name":"Department of Immunobiology and Environmental Microbiology, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1177\/17474930241308142","article-title":"World Stroke Organization: Global Stroke Fact Sheet 2025","volume":"20","author":"Feigin","year":"2025","journal-title":"Int. J. Stroke"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/10833196.2016.1216764","article-title":"The proprioceptive neuromuscular facilitation-concept; the state of the evidence, a narrative review","volume":"21","author":"Smedes","year":"2016","journal-title":"Phys. Ther. Rev."},{"key":"ref_3","first-page":"11","article-title":"Combining Proprioceptive Neuromuscular Facilitation and Virtual Reality for Improving Sensorimotor Function in Stroke Survivors: A Randomized Clinical Trial","volume":"25","author":"Junior","year":"2019","journal-title":"J. Cent. Nerv. Syst. Dis."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"105","DOI":"10.2478\/v10078-012-0011-y","article-title":"Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function","volume":"31","author":"Hindle","year":"2012","journal-title":"J. Hum. Kinet."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1589\/jpts.27.1747","article-title":"The effects of ramp gait exercise with PNF on stroke patients\u2019 dynamic balance","volume":"27","author":"Seo","year":"2015","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Huber, J., Kaczmarek, K., Leszczy\u0144ska, K., and Daroszewski, P. (2022). Post-Stroke Treatment with Neuromuscular Functional Electrostimulation of Antagonistic Muscles and Kinesiotherapy Evaluated with Electromyography and Clinical Studies in a Two-Month Follow-Up. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19020964"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Zwoli\u0144ski, T., Wujtewicz, M., Szamotulska, J., Sinoracki, T., W\u0105\u017c, P., Hansdorfer-Korzon, R., Basi\u0144ski, A., and Gosselink, R. (2022). Feasibility of Chest Wall and Diaphragm Proprioceptive Neuromuscular Facilitation (PNF) Techniques in Mechanically Ventilated Patients. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19020960"},{"key":"ref_8","first-page":"2899","article-title":"Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: Randomized controlled trial","volume":"25","author":"Pyszora","year":"2017","journal-title":"Support. Care Cancer"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e016739","DOI":"10.1136\/bmjopen-2017-016739","article-title":"The Efficacy of the proprioceptive neuromuscular facilitation (PNF) approach in stroke rehabilitation to improve basic activities of daily living and quality of life: A systematic review and meta-analysis protocol","volume":"7","year":"2017","journal-title":"BMJ Open"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Lee, J.H., and Kim, E.J. (2023). The Effect of Diagonal Exercise Training for Neurorehabilitation on Functional Activity in Stroke Patients: A Pilot Study. Brain Sci., 13.","DOI":"10.3390\/brainsci13050799"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1177\/10538135241296733","article-title":"Augmented Effect of Combined Robotic Assisted Gait Training and Proprioceptive Neuromuscular Facilitation-irradiation Technique on Muscle Activation and Ankle Kinematics in Hemiparetic Gait: A Preliminary Study","volume":"56","author":"Yoon","year":"2024","journal-title":"NeuroRehabilitation"},{"key":"ref_12","first-page":"1","article-title":"Effects of Proprioceptive Neuromuscular Facilitation with and without Electrical Muscle Stimulation on spasticity, gait and lower limb function in chronic stroke patients","volume":"4","author":"Khan","year":"2024","journal-title":"J. Health Rehabil. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1093\/ptj\/86.1.30","article-title":"Balance disability after stroke","volume":"86","author":"Tyson","year":"2006","journal-title":"Phys. Ther."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.clinbiomech.2010.10.001","article-title":"Between-limb synchronization for control of standing balance in individuals with stroke","volume":"26","author":"Mansfield","year":"2011","journal-title":"Clin. Biomech."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1589\/jpts.27.1459","article-title":"The effects of stair gait training using proprioceptive neuromuscular facilitation on stroke patients\u2019 dynamic balance ability","volume":"27","author":"Seo","year":"2015","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"van Dijk, M.M., Meyer, S., Sandstad, S., Wiskerke, E., Thuwis, R., Vandekerckhove, C., Myny, C., Ghosh, N., Beyens, H., and Dejaeger, E. (2017). A cross-sectional study comparing lateral and diagonal maximum weight shift in people with stroke and healthy controls and the correlation with balance, gait and fear of falling. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0183020"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"g1687","DOI":"10.1136\/bmj.g1687","article-title":"Better reporting of interventions: Template for Intervention Description and Replication (TIDieR) checklist and guide","volume":"348","author":"Hoffmann","year":"2014","journal-title":"BMJ"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.jclinepi.2013.08.003","article-title":"The CARE guidelines: Consensus-based clinical case reporting guideline development","volume":"67","author":"Gagnier","year":"2014","journal-title":"J. Clin. Epidemiol."},{"key":"ref_19","first-page":"1166","article-title":"Kwestionariusz oceny jako\u015bci \u017cycia SF-36\u2014Wersja polska","volume":"67","author":"Tylka","year":"2009","journal-title":"Kardiol. Pol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection","volume":"30","author":"Ware","year":"1992","journal-title":"Med. Care"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e2026676118","DOI":"10.1073\/pnas.2026676118","article-title":"Critical Period After Stroke Study (CPASS): A phase II clinical trial testing an optimal time for motor recovery after stroke in humans","volume":"118","author":"Dromerick","year":"2021","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1161\/STR.0000000000000382","article-title":"American Heart Association Stroke Council; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Radiology and Intervention; and Council on Peripheral Vascular Disease. Primary Care of Adult Patients After Stroke: A Scientific Statement From the American Heart Association\/American Stroke Association","volume":"52","author":"Kernan","year":"2021","journal-title":"Stroke"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1111\/j.1747-4949.2010.00427.x","article-title":"Rehabilitation for community-dwelling people with stroke: Home or centre based? A systematic review","volume":"5","author":"Hillier","year":"2010","journal-title":"Int. J. Stroke"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.apmr.2013.03.017","article-title":"Economic evaluation of adult rehabilitation: A systematic review and meta-analysis of randomized controlled trials in a variety of settings","volume":"95","author":"Brusco","year":"2014","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e218","DOI":"10.1161\/STR.0000000000000493","article-title":"Improving Access to Stroke Rehabilitation and Recovery: A Policy Statement From the American Heart Association\/American Stroke Association","volume":"56","author":"Ifejika","year":"2025","journal-title":"Stroke"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.jbmt.2018.05.003","article-title":"Motor learning with the PNF-concept, an alternative to constrained induced movement therapy in a patient after a stroke; a case report","volume":"23","author":"Smedes","year":"2019","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.bjpt.2020.12.002","article-title":"Intra- and inter-rater reliability of Fugl-Meyer Assessment of Lower Extremity early after stroke","volume":"25","author":"Forero","year":"2021","journal-title":"Braz. J. Phys. Ther."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1589\/jpts.23.699","article-title":"The effects of trunk stability exercise using PNF on the functional reach test and muscle activities of stroke patients","volume":"23","author":"Kim","year":"2011","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"P\u00e9rez-L\u00f3pez, J.F., Cano-de-la-Cuerda, R., and Ortiz-Guti\u00e9rrez, R.M. (2023). Accelerometry in the Functional Assessment of Balance in People with Stroke: A Systematic Review. J. Clin. Med., 15.","DOI":"10.3390\/jcm12247701"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1191\/0269215504cr733oa","article-title":"The Trunk Impairment Scale: A new tool to measure motor impairment of the trunk after stroke","volume":"18","author":"Verheyden","year":"2004","journal-title":"Clin. Rehabil."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1589\/jpts.28.850","article-title":"Effects of proprioceptive neuromuscular facilitation neck pattern exercise on the ability to control the trunk and maintain balance in chronic stroke patients","volume":"28","author":"Hwangbo","year":"2016","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Nguyen, P.T., Chou, L.W., and Hsieh, Y.L. (2022). Proprioceptive Neuromuscular Facilitation-Based Physical Therapy on the Improvement of Balance and Gait in Patients with Chronic Stroke: A Systematic Review and Meta-Analysis. Life, 12.","DOI":"10.3390\/life12060882"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/j.apmr.2018.11.020","article-title":"Effectiveness of the Proprioceptive Neuromuscular Facilitation Method on Gait Parameters in Patients With Stroke: A Systematic Review","volume":"100","author":"Gunning","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_34","first-page":"e30630","article-title":"Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Techniques on Balance and Gait Parameters in Chronic Stroke Patients: A Randomized Clinical Trial","volume":"14","author":"Boob","year":"2022","journal-title":"Cureus"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"79","DOI":"10.18857\/jkpt.2018.30.3.79","article-title":"Effects of Proprioceptive Neuromuscular Facilitation and Treadmill Training on the Balance and Walking Ability of Stroke Patients","volume":"30","author":"Kim","year":"2018","journal-title":"J. Korean Phys. Ther."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"39","DOI":"10.5114\/pq.2023.125746","article-title":"Effects of gait training with and without proprioceptive neuromuscular facilitation on balance and gait in chronic stroke patients","volume":"31","author":"Asghar","year":"2023","journal-title":"Physiother. Q."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"106425","DOI":"10.1016\/j.jstrokecerebrovasdis.2022.106425","article-title":"Immediate Effect of Lower-Leg Kinesio Taping on Ankle Dorsiflexion and Gait Parameters in Chronic Stroke with Foot Drop","volume":"31","author":"Bae","year":"2022","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"3150","DOI":"10.16965\/ijpr.2019.149","article-title":"A comparative study on the effects of pelvic PNF exercises and hip extensor strengthening exercises on gait parameters of chronic hemiplegic patients","volume":"7","author":"Patni","year":"2019","journal-title":"Int. J. Physiother. Res."},{"key":"ref_39","first-page":"200","article-title":"Effect of PNF Technique on Gait Parameters and Functional Mobility in Hemiparetic Patients","volume":"13","author":"Kumar","year":"2017","journal-title":"J. Exerc. Rehabil."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Hatem, S.M., Saussez, G., Della Faille, M., Prist, V., Zhang, X., Dispa, D., and Bleyenheuft, Y. (2016). Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Front. Hum. Neurosci., 13.","DOI":"10.3389\/fnhum.2016.00442"},{"key":"ref_41","first-page":"550","article-title":"Effectiveness of the Proprioceptive Neuromuscular Facilitation Method Application on Upper Limb Functions in Patients After Stroke: A Systematic Review of Literature","volume":"Volume 2","author":"Kaminska","year":"2024","journal-title":"Society Integration Education, Proceedings of the International Scientific Conference, Rezekne, LV, USA, 24\u201325 May 2024"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1191\/0269215504cr793oa","article-title":"Outcomes of the Bobath concept on upper limb recovery following stroke","volume":"18","author":"Luke","year":"2004","journal-title":"Clin. Rehabil."},{"key":"ref_43","first-page":"268","article-title":"The effect of standard kinesiotherapy combined with proprioceptive neuromuscular facilitation method and standard kinesiotherapy only on the functional state and muscle tone in patients after ischaemic stroke","volume":"35","author":"Klimkiewicz","year":"2013","journal-title":"Pol. Merkur. Lekarski."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1159\/000200461","article-title":"Quality of life after stroke: The importance of a good recovery","volume":"27","author":"Egido","year":"2009","journal-title":"Cerebrovasc. Dis."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez-Herrera-Baeza, P., Cano-de-la-Cuerda, R., Serrada-Tejeda, S., Fern\u00e1ndez-V\u00e1zquez, D., Navarro-L\u00f3pez, V., Gonz\u00e1lez-Alted, C., and Miangolarra-Page, J.C. (2023). Influence of Age, Gender and Education Level on Executive Functions and Functioning in People with Stroke. Biomedicines, 11.","DOI":"10.3390\/biomedicines11061603"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/24\/8913\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T10:58:39Z","timestamp":1765969119000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/24\/8913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,17]]},"references-count":45,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["jcm14248913"],"URL":"https:\/\/doi.org\/10.3390\/jcm14248913","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,17]]}}}