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Case report analyzing PNF's impact on recovery in an adolescent post-Proximal Femoral Epiphysiolysis surgery, suggesting effective rehabilitation strategies.
Proximal Femoral Epiphysiolysis (PFE) is a common orthopedic condition in adolescence, characterized by the displacement of the femoral epiphysis. During this period of rapid growth, physical activity can promote motor development but may also represent a risk factor for injuries. Surgical treatment aims to stabilize the joint, with rehabilitation being essential for functional recovery. Proprioceptive Neuromuscular Facilitation (PNF) is an effective physiotherapeutic approach to improve motor control and strength. This study aimed to analyze the efficacy of PNF in the functional rehabilitation of an adolescent after PFE surgery. The methodology involved a case report of a 12-year-old adolescent who underwent corrective surgery, with 24 sessions of PNF conducted between August and November 2024. Evaluations included goniometry, the pelvic bridge test, and the Step Down test. The results showed significant improvement in range of motion (hip flexion: 40°→120°; external rotation: 10°→45%) and improvement in lumbopelvic stability and motor control. PNF contributed to increased muscle strength and functional alignment, facilitating a safe return to physical activities. It is concluded that PNF is an effective approach for post-operative rehabilitation of PFE, promoting improvements in mobility, stability, and motor control in adolescents.
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Almeida et al. (2025) studied this question.
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