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Efecto de la facilitación neuromuscular propioceptiva en la independencia y marcha asistida en el síndrome de Miller-Fisher. Reporte de caso.

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Title: Efecto de la facilitación neuromuscular propioceptiva en la independencia y marcha asistida en el síndrome de Miller-Fisher. Reporte de caso.
Alternate Title: Effect of proprioceptive neuromuscular facilitation on independence and assisted gait in Miller-Fisher syndrome. A case report.
Authors: Torres-González, Salvador1, Casas-Castillo, Laura N.1 lcasas@enes.unam.mx
Source: Archivos de Neurociencias. ene-mar2026, Vol. 31 Issue 1, p39-43. 5p.
Subjects: BIOMECHANICS, MOTOR ability, PROPRIOCEPTION, MILLER Fisher syndrome, EXERCISE therapy, REHABILITATION, DIAGNOSIS, GAIT in humans, FUNCTIONAL status, GAIT disorders, STRENGTH training, NEUROLOGICAL disorders, MUSCLE strength, ELECTROMYOGRAPHY, POSTURE, WALKING speed, NEURODEVELOPMENTAL treatment, ACTIVITIES of daily living, RANGE of motion of joints, POSTURAL balance
Abstract (English): A descriptive case study of a single 16-year-old subject diagnosed with Guillain-Barré syndrome, Miller Fisher variant, with a 2-year history of onset. The intervention technique was proprioceptive neuromuscular facilitation (PNF), which was applied for 30 sessions 50 min over a 10-week period. Pre- and post-intervention analyses were performed to assess the results. The following were evaluated: joint range of motion, muscle strength, deep tendon and pathological reflexes, dermatomes, and movements; as well as the application of the functional independence scale and biomechanical gait analysis using Kino-vea 2023 version 1.1 software, assessing the following temporal and spatiotemporal variables: toe-off angle, foot elevation, step length, and gait speed. The intervention resulted in an increase in muscle strength and complete movements, as well as joint and dermatome ranges within the norm. Regarding the biomechanical analysis, there was a decrease in foot elevation on the right side and an increase on the left side, resulting in a difference of 7.45 cm compared to the initial evaluation. There was a decrease in step length bilaterally, a decrease in foot angles bilaterally, and an improvement in speed with a difference of 00.15.24 m/s. It is concluded that PNF can generate favorable changes in the temporal and spatiotemporal. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Estudio de caso con diseño descriptivo de un único sujeto de 16 años con diagnóstico de Guillain-Barré en la variante de Miller-Fisher con dos años de evolución. La técnica de intervención se realizó por medio de la facilitación neuromuscular propioceptiva (FNP) la cual se aplicó durante 30 sesiones de 50 minutos, por un periodo de 10 semanas, realizando análisis previo y posterior a la intervención para el análisis de resultados. Se evaluaron: rango articular, fuerza muscular, reflejos osteotendinosos y patológicos, dermatomas y mudanzas. También se aplicó la escala de independencia funcional (FIM) y se realizó análisis biomecánico de la marcha mediante el software Kinovea 2023 versión 1.1, valorando las variables temporales y espaciotemporales: ángulo de despegue de pie, elevación de pie, longitud de paso y velocidad de la marcha. Como resultados de la intervención se registró un aumento de la fuerza muscular y mudanzas completas, así como rangos articulares y dermatomas dentro de la norma. En cuanto al análisis biomecánico, hubo una disminución de elevación del pie de lado derecho y aumento del lado izquierdo, dando una diferencia de 7.45 cm respecto a la evaluación inicial, disminución en la longitud de paso de manera bilateral, disminución del ángulo de pie de manera bilateral y mejorando la velocidad con una diferencia de 00.15.24 m/s. Se concluye que la FNP puede generar cambios favorables en los parámetros temporales y espaciotemporales de la marcha, así como mejora de la funcionalidad e independencia en un paciente con síndrome de Miller-Fisher con estas características. [ABSTRACT FROM AUTHOR]
Copyright of Archivos de Neurociencias is the property of Instituto Nacional de Neurologia y Neurocirugia, Departamento de Publicaciones Cientificas and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Efecto de la facilitación neuromuscular propioceptiva en la independencia y marcha asistida en el síndrome de Miller-Fisher. Reporte de caso.
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  Data: Effect of proprioceptive neuromuscular facilitation on independence and assisted gait in Miller-Fisher syndrome. A case report.
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  Data: <searchLink fieldCode="AR" term="%22Torres-González%2C+Salvador%22">Torres-González, Salvador</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Casas-Castillo%2C+Laura+N%2E%22">Casas-Castillo, Laura N.</searchLink><relatesTo>1</relatesTo><i> lcasas@enes.unam.mx</i>
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  Data: <searchLink fieldCode="JN" term="%22Archivos+de+Neurociencias%22">Archivos de Neurociencias</searchLink>. ene-mar2026, Vol. 31 Issue 1, p39-43. 5p.
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: A descriptive case study of a single 16-year-old subject diagnosed with Guillain-Barré syndrome, Miller Fisher variant, with a 2-year history of onset. The intervention technique was proprioceptive neuromuscular facilitation (PNF), which was applied for 30 sessions 50 min over a 10-week period. Pre- and post-intervention analyses were performed to assess the results. The following were evaluated: joint range of motion, muscle strength, deep tendon and pathological reflexes, dermatomes, and movements; as well as the application of the functional independence scale and biomechanical gait analysis using Kino-vea 2023 version 1.1 software, assessing the following temporal and spatiotemporal variables: toe-off angle, foot elevation, step length, and gait speed. The intervention resulted in an increase in muscle strength and complete movements, as well as joint and dermatome ranges within the norm. Regarding the biomechanical analysis, there was a decrease in foot elevation on the right side and an increase on the left side, resulting in a difference of 7.45 cm compared to the initial evaluation. There was a decrease in step length bilaterally, a decrease in foot angles bilaterally, and an improvement in speed with a difference of 00.15.24 m/s. It is concluded that PNF can generate favorable changes in the temporal and spatiotemporal. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Estudio de caso con diseño descriptivo de un único sujeto de 16 años con diagnóstico de Guillain-Barré en la variante de Miller-Fisher con dos años de evolución. La técnica de intervención se realizó por medio de la facilitación neuromuscular propioceptiva (FNP) la cual se aplicó durante 30 sesiones de 50 minutos, por un periodo de 10 semanas, realizando análisis previo y posterior a la intervención para el análisis de resultados. Se evaluaron: rango articular, fuerza muscular, reflejos osteotendinosos y patológicos, dermatomas y mudanzas. También se aplicó la escala de independencia funcional (FIM) y se realizó análisis biomecánico de la marcha mediante el software Kinovea 2023 versión 1.1, valorando las variables temporales y espaciotemporales: ángulo de despegue de pie, elevación de pie, longitud de paso y velocidad de la marcha. Como resultados de la intervención se registró un aumento de la fuerza muscular y mudanzas completas, así como rangos articulares y dermatomas dentro de la norma. En cuanto al análisis biomecánico, hubo una disminución de elevación del pie de lado derecho y aumento del lado izquierdo, dando una diferencia de 7.45 cm respecto a la evaluación inicial, disminución en la longitud de paso de manera bilateral, disminución del ángulo de pie de manera bilateral y mejorando la velocidad con una diferencia de 00.15.24 m/s. Se concluye que la FNP puede generar cambios favorables en los parámetros temporales y espaciotemporales de la marcha, así como mejora de la funcionalidad e independencia en un paciente con síndrome de Miller-Fisher con estas características. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Archivos de Neurociencias is the property of Instituto Nacional de Neurologia y Neurocirugia, Departamento de Publicaciones Cientificas and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.24875/ANC.M25000041
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      – Code: spa
        Text: Spanish
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    Subjects:
      – SubjectFull: BIOMECHANICS
        Type: general
      – SubjectFull: MOTOR ability
        Type: general
      – SubjectFull: PROPRIOCEPTION
        Type: general
      – SubjectFull: MILLER Fisher syndrome
        Type: general
      – SubjectFull: EXERCISE therapy
        Type: general
      – SubjectFull: REHABILITATION
        Type: general
      – SubjectFull: DIAGNOSIS
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      – SubjectFull: GAIT in humans
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      – SubjectFull: FUNCTIONAL status
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      – SubjectFull: GAIT disorders
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      – SubjectFull: STRENGTH training
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      – SubjectFull: NEUROLOGICAL disorders
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      – SubjectFull: MUSCLE strength
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      – SubjectFull: ELECTROMYOGRAPHY
        Type: general
      – SubjectFull: POSTURE
        Type: general
      – SubjectFull: WALKING speed
        Type: general
      – SubjectFull: NEURODEVELOPMENTAL treatment
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      – SubjectFull: ACTIVITIES of daily living
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      – SubjectFull: RANGE of motion of joints
        Type: general
      – SubjectFull: POSTURAL balance
        Type: general
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      – TitleFull: Efecto de la facilitación neuromuscular propioceptiva en la independencia y marcha asistida en el síndrome de Miller-Fisher. Reporte de caso.
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