2018 Volume 2018 Issue 1 Pages 32-
This article summarized the lecture performed at the ninth Biophilia Rehabilitation Academy.
Authorial career became a doctor of engineering in Tokyo Imperial University and became a medical doctor after that in the University of Tokyo in 1959. The author acted as a doctor of the department of rehabilitation in the Kanagawa prefectural Nanasawa rehabilitation hospital, vice-director, and director of the Kageyu rehabilitation institute of Nagano Prefecture, and worked after that till November 2005 as a rehabilitation specialist at " Shonan-no-oka geriatric facility."
The author summarized his experienced intervention result as the rehabilitation specialist and also quoted the published result of the general investigation of the theory which is a core of rehabilitation medicine.
The priority of Proprioceptive Neuromuscular Facilitation (PNF) to hemiplegic patients on the affected side must be reconsidered due to a lack of effect in its procedure. By the improvement of the theory and techniques of PNF, the improvement of therapeutic effects on hemiplegia patients could be expected in connection with their progress. However, the outcome of medical examination has hardly been changed on hemiplegia patients at the clinical aspect over the last 40 years. Although PNF is thought to be more suitable for the normalization of a movement pattern to perform synthetic coordinated movements by affected side priority, it takes too long to lead to the active contraction of the peripheral muscles. Sometimes, even the atrophy of an unaffected side and the trunk can be seen.
In considering the PNF of unaffected side priority, the effect of facilitation is larger than that of affected side priority.
Therefore, if the unaffected priority is used a smaller number of patients will be bedridden by atrophy and contracture.
From the recent research on the new born power of a neural stem cell (NSC), the elucidation of the mechanism for the effectiveness of the kinetic rehabilitation by the unaffected side priority enables us to expect the functional recovery of a damaged area.
The NSC would also affect to the rehabilitation in the realm of the nervous system. It is recommended to try to use and get the evidence of PNF by unaffected side priority. Please read the following for details1).
