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                                    Journal of Novel Physiotherapies                                                                   Bastos et al., J Nov Physiother 2018, 8:2
                                                                                                                                            DOI: 10.4172/2165-7025.1000e150
  Editorial                                                                                                                                                   Open Access
Proprioceptive Neuromuscular Facilitation: A Physiotherapeutic Concept
with Excellent Clinical Results but Little Explored in its Potential in
Scientific Research
Victor Hugo Bastos1*, Silmar Teixeira2, Carla Ayres2, Marco Orsini3, Nélio Silva de Souza4 and Pedro Ribeiro5
1Brain        Mapping and Functionality Laboratory (LAMCEF/UFPI), Federal University of Piauí, Brazil
2Brain        Mapping and Plasticity Laboratory (LAMPLACE/UFPI), Federal University of Piauí, Parnaíba, Brazil
3Applied          Health Sciences, USS Vassouras, Rehabilitation-UNISUAM - RJ, Brazil
4Physical          Therapy of University Center Serra dos Órgãos (UNIFESO), Doctoral student in neurosciences by the Federal Fluminense University (UFF), PT, Niteroi, RJ,
Brazil
5Brain        Mapping and Sensory Motor Integration Laboratory, Institute of Psychiatry of the Federal University of Rio de Janeiro (IPUB/UFRJ), Brazil
*Corresponding  author: Victor Hugo Bastos, Brain Mapping and Functionality Laboratory (LAMCEF/UFPI), Federal University of Piauí, 13010, Brazil, Tel: +
308-865-8441, E-mail: victorhugobastos@ufpi.edu.br
Received date: March 14, 2018; Accepted date: March 15, 2018; Published date: March 19, 2018
Copyright: © 2018 Bastos VH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and source are credited.
Editorial                                                                                    Unfortunately, much should be investigated to be the same certainty
                                                                                             that physiotherapists observe in the clinical aspect. We also observed
   The purpose of this editorial is to have fellow physiotherapists                          studies such as Medeiros and Martini that in 2017 [8] verified the
reflect on their clinical practice using the concept of proprioceptive                       efficacy of PNF as an alternative to treat flexibility in an excellent
neuromuscular facilitation (PNF) and what the same colleagues have                           systematic review and meta-analysis. Studies such as this should be
researched about this concept. In this sense, we observe that                                encouraged in the scientific community because of their high degree of
physiotherapy has been growing in the current world in a relevant way,                       scientific evidence. Great studies have frequently verified the efficacy of
coming from times with few scientific explanations for a strong                              the PNF concept in patients with stroke sequels [9].
evidence area and excellent articles grounding their actions [1]. It
involves a large number of resources, concepts, techniques to treat                              In general, we believe that we are on a promising path with
various diseases and functional limitations but still has to mature in its                   physiotherapy as a whole, including PNF studies. The possible cause of
scientific bases in several areas. In neurological dysfunctions, the                         a few more elaborate publications with this concept is perhaps the cost
concepts with the most clinical results for the patients need of                             of its formation. This statement may scare some physiotherapists but it
maturation.                                                                                  seems understandable that when paying for training, the professional
                                                                                             wants to put it into practice as soon as possible. In doing, so he realizes
   The PNF concept created in the 1940s by Dr. Herman Kabat and                              its effectiveness and continues with his treatments not having time to
significantly improved by the physiotherapist Maggie Knott is a typical                      write about his cases or even devote himself to more complex studies.
example of this need for growth. It is enough to observe that only in                        The same seems to be the case with fellow instructors who, while
the decade of the 1990s; PNF instructors founded the international                           engaged in clinical practice and training, are unable to stop and
PNF association (IPNFA) [2]. The instructors have always go through                          publish their findings in scientific journals. What is relevant is that
very rigorous training and refinements, but only after IPNFA did the                         physiotherapy as a whole is in good hands around the world and has
general structure of training in this concept become more organized                          been raising its name as an area of science.
and structured. Citing names of excellent instructors throughout the
world would be challenging as everyone is very well trained to pass the
details of all PNF maneuvers. In their specific PNF congresses around
                                                                                             References
the world add their experiences.                                                             1.    Wade BG (1949) Physical therapy, past and present. Arch Phys Med
                                                                                                   Rehabil 30: 593.
   It is important to note that the PNF concept was initially created for
                                                                                             2.    http://www.ipna.org.
neurological patients, but it serves all physiotherapy fields. When
elaborating this editorial, we had the curiosity to make a simple                            3.    Costa LC, Andrade A, Lial L, Moreira R, Lima AC, et al. (2017)
                                                                                                   Investigation of alpha band of the electroencephalogram before and after
research in the PubMed database. We investigated for Physiotherapy in                              a task of proprioceptive neuromuscular facilitation. J Exerc Rehabil 13:
finding twenty combinations with other clinical conditions and                                     418-424.
treatments, whereas when we checked with PNF, we found only three.                           4.    Wanderley D, Lemos A, Moretti E, Barros MB, Valença MM, et al. (2018)
Many may think that this is being only one among many others in                                    Efficacy of proprioceptive neuromuscular facilitation compared to other
physiotherapy. It may make sense, but if we think that PNF aims to                                 stretching modalities in range of motion gain in young healthy adults: A
treat strength, tone/strength relation, flexibility, range of motion,                              systematic review. Physiother Theory Pract 23: 1-21.
motor coordination, balance, radiations to weaker areas, among others,                       5.    Lial L, Moreira R, Correia L, Andrade A, Pereira, AC, et al. (2017)
there is a great potential for improvement proposals compared to few                               Proprioceptive neuromuscular facilitation increases alpha absolute power
published articles in this database.                                                               in the dorsolateral prefrontal cortex and superior parietal
                                                                                                   cortex. Somatosens Mot Res 34: 204-212.
   Obviously, some research evidence the success of the concept in                           6.    Gontijo LB, Pereira PD, Neves CDC, Santos AP, Machado DD, et al.
healthy subjects and in patients [3-5]. Some direct their goals for                                (2012) Evaluation of strength and irradiated movement pattern resulting
irradiation [6] while others target flexibility gaining standards [7].
J Nov Physiother, an open access journal                                                                                                     Volume 8 • Issue 2 • 1000e150
ISSN:2165-7025
Citation:   Bastos VH, Teixeira S, Ayres C, Orsini M, de Souza NS, et al. (2018) Proprioceptive Neuromuscular Facilitation: A Physiotherapeutic
            Concept with Excellent Clinical Results but Little Explored in its Potential in Scientific Research. J Nov Physiother 8: e150. doi:
            10.4172/2165-7025.1000e150
                                                                                                                                             Page 2 of 2
     from trunk motions of the proprioceptive neuromuscular                  8.   Medeiros DM, Martini TF (2017) Chronic effect of different types of
     facilitation. Rehabilitation research and practice 2012: 281937.             stretching on ankle dorsiflexion range of motion: Systematic review and
7.   Magalhães FX, De Mesquita Junior AR, Harnold SM, Dos Santos RM,              meta-analysis. Foot (Edinb) 34: 28-35.
     Rodrigues EC, et al. (2015) Comparison of the effects of hamstring      9.   Park SJ (2017) The immediate effects of proprioceptive neuromuscular
     stretching using proprioceptive neuromuscular facilitation with prior        facilitation with taping on gait parameters in patients with chronic
     application of cryotherapy or ultrasound therapy. J Phys Ther Sci 27:        stroke. J Phys Ther Sci 29: 2018-2021.
     1549-1553.
J Nov Physiother, an open access journal                                                                                Volume 8 • Issue 2 • 1000e150
ISSN:2165-7025