Effects of proprioceptive neuromuscular facilitation combined with balance training on limb stability,postural adjustment ability and fall risk in patients with brain injury

Li Chunfang; Zhang Chen; Cui Liru; Tan Jian; Yang Aoran

doi:10.3760/j.issn.1673-4777.2026.05.009

Abstract：Objective To investigate the effects of proprioceptive neuromuscular facilitation combined with balance training on limb stability,postural adjustment ability and fall risk in patients with brain injury.Methods A total of 98 patients with brain injury admitted to Beijing Rehabilitation Hospital,Capital Medical University from March 2024 to February 2025 were selected and divided into balance training group(received balance training)and neuromuscular facilitation group(received proprioceptive neuromuscular facilitation combined with balance training)according to the random number table method,with 49 cases in each group.Limb stability,postural adjustment ability,fall risk,rehabilitation training compliance and muscle strength were compared between the two groups before and after intervention.Results After intervention,the scores of Fugl-Meyer assessment scale,Tinetti balance and gait scale and rehabilitation training compliance in the neuromuscular facili-tation group were higher than those in the balance training group,while the score of Morse fall assessment scale was lower than that in the balance training group(all P＜0.05).The proportions of grade 0 and grade 1 muscle strength in the medical research council scale in the neuromuscular facilitation group were lower than those in the balance training group[0(0/49)vs 12.2％(6/49),4.1％(2/49)vs 32.7％(16/49)],and the proportions of grade 4 and grade 5 muscle strength were higher than those in the balance training group[24.5％(12/49)vs 6.1％(3/49),14.3％(7/49)vs 2.0％(1/49)](all P＜0.05).Conclusion The comprehensive therapy of proprioceptive neuromuscular facilitation combined with balance training is significantly better than single balance training in the rehabilitation of patients with brain injury,which can more effectively improve limb stability and postural adjustment ability,reduce fall risk,improve muscle strength grade,and achieve higher rehabilitation training compliance.