https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.248

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 6 (December 2017)

Page No.: 2552-2559

DOI: https://dx.doi.org/10.16965/ijpr.2017.248

EFFECT OF COMBINED MANUAL THERAPY ON NECK PAIN AND QUALITY OF LIFE IN POST – OPERATIVE HEAD AND NECK CANCER PATIENTS – A PRE – POST EXPERIMENTAL STUDY

Renu Pattanshetty 1, Erohit khanna *2.

1 Associate Professor and Head, Department of Oncology Physiotherapy, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India.

*2 Post graduate student (oncology physiotherapy), KLEU Institute of Physiotherapy, Belagavi, Karnataka, India.

Corresponding  Author: Dr. Erohit khanna, Post graduate student (oncology physiotherapy), KLEU Institute of Physiotherapy, Belagavi – 590010, Karnataka, India. Contact No.: +91 9611726520  E-Mail: kerohit@gmail.com

ABSTRACT

Background: The burden of head and neck cancer in India  has been increasing in recent years. Despite   evidence   that physical   therapy   exists   throughout   phases   of   treatment   for   head   and   neck cancer patients ,  combined   treatment   of  manual therapy in the form of  mobilization,   muscle energy technique   and   soft   tissue   mobilization   techniques   are rarely   available   for   clinical   practice. Hence, the present study was taken up.

Aim: To   study   the   effect   of   combined manual therapy in form of mobilization, Muscle   energy   technique   and   soft   tissue   mobilization   on neck pain, quality of life, mobility      in   Head   and   Neck Cancer Patients.

Settings and Design: The experimental study was undertaken in a tertiary care referral hospital over a period of three months.

Materials and Methods: A total of fifteen(15) subjects including eleven (11) males and four (4) females post operative head and neck cancer subjects were given combined manual therapyin the form of cervical mobilization, muscle energy technique and Soft tissue Mobilization for duration of a week during the hospitalisation phase. Pain was assessed using Numeric pain rating Scale, Range of motion of cervical joint, shoulder joint and Temporomandibular joint, Functional assessment was done using Neck disability index and FACT H&N Questionnaire. Statistical Analysis was done using SPSS Version 0.21. Students dependent ‘t’ test was used to analyse the pre and post treatment difference in all outcome measures.

Results: The study demonstrated improvement in all the outcome measures in the study, the significant difference was seen in with p≤0.001 except cervical rotation and shoulder range of motion.

Conclusion: The study demonstrated Pain reduction, Improvement in Cervical, TMJ and shoulder range of motion, Improved Quality of life and reduction in disability following combined manual therapy approach.

KEY WORDS: Head and Neck Cancer, Cervical Mobilization, Muscle energy technique, Soft tissue mobilization , quality of life, manual therapy, TMJ

REFERENCES

  1. World Health Organization. Cancer. WHO definition of palliative care.
  2. Harrison LB, Sessions RB, Hong WK, editors. Head and neck cancer: a multidisciplinary approach. Lippincott Williams & Wilkins; 2009.
  3. Kulkarni MR. Head and neck cancer burden in India. Int J Head and Neck Surg. 2013 Jan;4(1):29-35.
  4. Datta S, Chaturvedi P, Mishra A, Pawar P. A review of Indian literature for association of smokeless tobacco with malignant and premalignant diseases of head and neck region. Indian J Cancer 2014;51:200-8
  5. Cassidy J, Bissett D.,OBE, R.A.S.,Payne M, Morris-Stiff G, editors. Oxford handbook of oncology. OUP Oxford; 2015 Aug 13
  6. Gugliotti M. The use of mobilization, muscle energy technique, and soft tissue mobilization following a modified radical neck dissection of a patient with head and neck cancer. Rehabilitation Oncology. 2011 Jan 1;29(1):3-8.
  7. Carter BC. Physical therapy treatment for a patient with complex rehabilitation needs during and after chemoradiation for head and neck cancer (Doctoral dissertation, FLORIDA GULF COAST UNIVERSITY).
  8. McNeely ML, Parliament M, Courneya KS, Haykowsky M. Resistance exercise for post dissection shoulder pain: Three case reports. Physiother Theory Prac. 2004;20:41­56
  9. Maitland GD. Maitland’s Vertebral Manipulation. 6th ed. London: Butterworth­Heinemann; 2001
  10. Greenman PE. Principles of Manual Medicine. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003.
  11. Cyriax JH. Cyriax’s Illustrated Manual of Orthopaedic Medicine. 2nd ed. Woburn, MA: Butterworth­Heinemann; 2000
  12. Von Doersten PG, Cruz RM, Rasgon BM, Quesenberry Jr CP, Mlsinger Jr RL. Relation between age and head and neck cancer recurrence after surgery: a multivariate analysis. Otolaryngology–Head and Neck Surgery. 1995 Sep;113(3):197-203.
  13. Lees J. Incidence of weight loss in head and neck cancer patients on commencing radiotherapy treatment at a regional oncology centre. European journal of cancer care. 1999 Sep;8(3):133-6.
  14. Hassan SJ, Weymuller EA. Assessment of quality of life in head and neck cancer patients. Head & neck. 1993 Nov 1;15(6):485-96.
  15. Ringash J, Bezjak A, O’sullivan B, Redelmeier DA. Interpreting differences in quality of life: the FACT-H&N in laryngeal cancer patients. Quality of Life Research. 2004 May 1;13(4):725-33.
  16. Kanlayanaphotporn R, Chiradejnant A, Vachalathiti R. Immediate effects of the central posteroanterior mobilization technique on pain and range of motion in patients with mechanical neck pain. Disability and rehabilitation. 2010 Jan 1;32(8):622-8.
  17. Schenk R, Adelman K, Rousselle J. The effects of muscle energy technique on cervical range of motion. Journal of manual & manipulative therapy. 1994 Jan 1;2(4):149-55.
  18. Hunter G. Specific soft tissue mobilization in the management of soft tissue dysfunction. Manual Therapy. 1998 Feb 28;3(1):2-11.

Cite this article: Renu Pattanshetty, Erohit khanna. EFFECT OF COMBINED MANUAL THERAPY ON NECK PAIN AND QUALITY OF LIFE IN POST – OPERATIVE HEAD AND NECK CANCER PATIENTS – A PRE – POST EXPERIMENTAL STUDY. Int J Physiother Res 2017;5(6):2552-2559. DOI: 10.16965/ijpr.2017.248
Post Views: 0