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James WH Manik1, Beriman Rahmansyah2  
Corresponding author:
1Physiotherapy Program, Faculty of Vocational Studies, Universitas Kristen,Indonesia, Jakarta, Indonesia, Mail id:jamesmanik@uki.ac.id
CoAuthor: 2Physiotherapy Program, Faculty of Vocational Studies, Universitas Kristen Indonesia, Jakarta, Indonesia.

ABSTRACT

Background: Re-teaching functional abilities lost in stroke as early as possible with specific exercises systematically and repeatedly will produce beneficial effects on BDNF expression and balance.This study aims to determine the effect of proprioceptive neuromuscular facilitation (PNF) training in post-stroke conditions on changes in brain-derived neurotrophic factor (BDNF), postural balance and gait patterns through a narrative literature review”.

Methodology:The research method used is a narrative review based on previous studies published in English data was obtained from PubMed, Google Scholar, Research Gate and other sources.

Results: BDNF as a neurotrophic factor involved in motor learning, recovery and neurorehabilitation after stroke. BDNF levels in the acute phase of ischemic stroke are one of the prognostic considerations for the patient’s functional status. Providing specific types of training can improve impaired motor function and functional abilities in stroke conditions and in line with the increase in BDNF concentrations that enhance the process of synaptogenesis in the central nervous system. Proprioceptive neuromuscular facilitation (PNF) training with minimal resistance and carried out intensively in stroke conditions can increase BDNF levels in the blood and improve balance and improved gait patterns.

Conclusion: Studies on the effect of training with PNF techniques on BDNF concentrations in stroke conditions have not been widely conducted, however, several studies have shown an increase in BDNF levels and balance and gait patterns.

Keywords:Stroke; PNF, BDNF, Balance

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