Efectos de la facilitación neuromuscular propioceptiva en pacientes pediátricos con parálisis cerebral.

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Title: Efectos de la facilitación neuromuscular propioceptiva en pacientes pediátricos con parálisis cerebral.
Alternate Title: Effects of proprioceptive neuromuscular facilitation in pediatric patients with cerebral palsy.
Authors: Vanessa Lozano-Díaz, Angela1, Rosales-Ricardo, Yury1 rosalesricardoyury@gmail.com
Source: Andes Pediatrica. jul/ago2026, Vol. 97 Issue 4, p711-723. 26p.
Subjects: Cerebral palsy, Pediatrics, Evidence synthesis, Postural balance, Physical therapy, Gait in humans, Neuromuscular system physiology
Abstract (English): Proprioceptive neuromuscular facilitation (PNF) is a series of exercises with a neurophysiological basis. Objective: To analyze the effects of PNF on motor function in children with cerebral palsy. Methodology: A systematic review of the literature was conducted following the PRISMA 2020 guidelines. The search was conducted in the Web of Science (Core Collection), Scopus, and MEDLINE via PubMed databases, using MeSH terms and keywords related to PNF, cerebral palsy, and motor function, combined using the Boolean operators AND and OR. Experimental and quasi-experimental studies in pediatric populations with cerebral palsy were included. Results: 26 studies were included, mainly randomized controlled trials (65.38%). The largest proportion of research was conducted in India (42.31%), followed by Pakistan (23.08%) and Austria (11.54%). 88.46% of the studies reported positive effects of PNF on motor function. Of these, 39.13% reported improvements in gait-related domains, such as balance and trunk control; 34.78% reported advances in functional independence and postural patterns; 13.04% showed benefits in pelvic alignment; and 8.70% described improvements in manual skills. Conclusions: PNF may be associated with improvements in specific domains of motor function in children with cerebral palsy, mainly through neuromusculoskeletal and postural control changes. However, the results are heterogeneous and do not support a direct and uniform improvement in gait. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La facilitación neuromuscular propioceptiva (FNP) es una serie de ejercicios con base neurofisiológica. Objetivo: Analizar los efectos de la FNP sobre la función motora en niños con parálisis cerebral. Metodología: Revisión sistemática de la literatura siguiendo las recomendaciones PRISMA 2020. La búsqueda se efectuó en las bases de datos Web of Science (Colección Core), Scopus y MEDLINE vía PubMed, utilizando términos MeSH y palabras clave relacionadas con FNP, parálisis cerebral y función motora, combinadas mediante operadores booleanos AND y OR. Se incluyeron estudios experimentales y cuasiexperimentales en población pediátrica con parálisis cerebral. Resultados: Se incluyeron 26 estudios, principalmente ensayos controlados aleatorizados (65,38%). La mayor proporción de investigaciones se realizó en India (42,31%), seguida de Pakistán (23,08%) y Austria (11,54%). El 88,46 % de los estudios reportó efectos positivos de la FNP sobre la función motora. De estos, el 39,13 % informó mejoras en dominios relacionados con la marcha, como equilibrio y control del tronco, el 34,78 % reportó avances en la independencia funcional y los patrones posturales, el 13,04% evidenció beneficios en la alineación pélvica y el 8,70 % describió mejoras en habilidades manuales. Conclusiones: La FNP puede asociarse a mejoras en dominios específicos de la función motora en niños con parálisis cerebral, principalmente a través de cambios neuromusculoesqueléticos y del control postural. No obstante, los resultados son heterogéneos y no permiten afirmar una mejora directa y uniforme de la marcha. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Proprioceptive neuromuscular facilitation (PNF) is a series of exercises with a neurophysiological basis. Objective: To analyze the effects of PNF on motor function in children with cerebral palsy. Methodology: A systematic review of the literature was conducted following the PRISMA 2020 guidelines. The search was conducted in the Web of Science (Core Collection), Scopus, and MEDLINE via PubMed databases, using MeSH terms and keywords related to PNF, cerebral palsy, and motor function, combined using the Boolean operators AND and OR. Experimental and quasi-experimental studies in pediatric populations with cerebral palsy were included. Results: 26 studies were included, mainly randomized controlled trials (65.38%). The largest proportion of research was conducted in India (42.31%), followed by Pakistan (23.08%) and Austria (11.54%). 88.46% of the studies reported positive effects of PNF on motor function. Of these, 39.13% reported improvements in gait-related domains, such as balance and trunk control; 34.78% reported advances in functional independence and postural patterns; 13.04% showed benefits in pelvic alignment; and 8.70% described improvements in manual skills. Conclusions: PNF may be associated with improvements in specific domains of motor function in children with cerebral palsy, mainly through neuromusculoskeletal and postural control changes. However, the results are heterogeneous and do not support a direct and uniform improvement in gait. [ABSTRACT FROM AUTHOR]
ISSN:24526045
DOI:10.32641/andespediatr.v97i4.5934