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Purpose： The purpose of this study was to analyze the effect of closed kinematic chain exercise and proprioceptive neuromuscular facilitation exercise on the static⋅dynamic balance performance of hemiplegic patients in order to suggest them therapeutic intervention methods.
Methods： The subjects of this study were 18 hemiplegic patients grouped into 2 subgroups according to the exercise program. one group of closed kinematic chain exercise carried out sit to stand, Hooklying with pelvic lift(bridging) and stair-up & down by a hemiplegic leg. The other group of proprioceptive neuromuscular facilitation exercise carried out leg flexion-extension pattern in supine position, leg flexion pattern in standing and stabilizing reversal exercise in stating position. Each exercise was carried out over 3 sets of 10reps.
Results： The results of this study were summarized as follows:
1. For both groups, there were statistically significant changes in the static balance (FICSIT-4) performance after exercise program (p<.05).
2. For both groups, there were statistically significant changes in the dynamic balance (FSST, TUG, FRT) performance after exercise program (p<.05).
3. In the comparison between both groups, there was no statistically significant difference in the static⋅dynamic balance performance (FICSIT-4, FSST, TUGT, ER) after exercise program.
Conclusion： As the results of the study shows closed kinematic chain exercise and proprioceptive neuromuscular facilitation exercise affect the improvement of hemiplegic patients’' static⋅dynamic balance performance, it is supposed that these exercises could be therapeutic exercise program in clinical situations.