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IJPR.2018.160

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Type of Article:  Original Research

Volume 6; Issue 5 (October 2018)

Page No.: 2857-2863

DOI: https://dx.doi.org/10.16965/ijpr.2018.160

EFFECT OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION NECK PATTERN EXERCISE ON CERVICAL RANGE OF MOTION AND QUALITY OF LIFE IN POST-OPERATIVE HEAD AND NECK CANCER PATIENTS: AN INTERVENTIONAL STUDY

Renu Pattanshetty 1, Oshin Diana Mathias *2.

1 Associate Professor and Head, Department Of Oncology Physiotherapy, KAHER Institute Of Physiotherapy, Nehrunagar-Belagavi, Karnataka, India.

*2 MPT 1st Year Oncology Physiotherapy, Department Of Oncology Physiotherapy, KAHER Institute Of Physiotherapy, Nehrunagar- Belagavi, Karnataka, India.

Corresponding author: Oshin Diana Mathias, MPT 1st Year Oncology Physiotherapy, Department Of Oncology Physiotherapy, KAHER Institute Of Physiotherapy, Nehrunagar- Belagavi, Karnataka, india. Contact no: +91-7795991463  E-Mail: droshinphysio@gmail.com

ABSTRACT

Background: Head and neck cancer (HNC) is the sixth most common type of cancer, representing about 6% of all cases, accounting for an estimated 65,000 new cancer cases and 3,50,0000 cancer deaths worldwide every year. The incidence of HNC increases with age especially after age of 50 years. Cervical disability in terms of  chronic  neck pain with restriction of cervical movements occurs following surgery that contribute to the decrements in Quality of  Life.

Objective: The objective of the present study was to determine the effects of Proprioceptive Neuromuscular Facilitation neck pattern exercises on cervical ROM and quality of life in post-operative head and neck cancer patients.

Settings and design: The study was undertaken in a tertiary health care centre for a period of 06 (six) months.

Methodology: Twenty one (21)  patients undergoing chemotherapy treatment were recruited in the intervention based on the inclusion and exclusion criteria. Proprioceptive neuromuscular facilitation (PNF) excercises are progressive resistance exercises to improve limited ranges and strengthen muscles which was performed 10 times of 3 sets for one week. Pre & post outcome measures recorded were Neck Disability Index (NDI), Functional Assessment Of Cancer Therapy-Head and Neck cancer (FACT-H&N) Version 4, The Vanderbilt Head And Neck Cancer Symptom Survey (Version 2.0)  and Cervical ROM was measured using Universal goniometer which were computed at baseline and after the end of the treatment.

Results: Statistically significant changes in all the ranges of cervical movements as well as in all the domains of  Neck Disability Index (NDI), The Vanderbilt Head And Neck Cancer Symptom Survey (Version 2.0), Functional Assessment Of Cancer Therapy-Head and Ncek cancer (FACT-H&N) Version 4 except in the emotional wellbeing where no significant improvement was seen.

Conclusion: Proprioceptive Neuromuscular Facilitation may be used as one of the remedial exercise for improving the Cervical ROM restriction and Quality Of Life in Post-Operative Head And Neck Cancer patients.

Key words: Head and Neck  Cancer, Proprioceptive Neuromuscular Facilitation, Cervical ROM, Quality Of Life.

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Cite this article: Renu Pattanshetty, Oshin Diana Mathias. EFFECT OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION NECK PATTERN EXERCISE ON CERVICAL RANGE OF MOTION AND QUALITY OF LIFE IN POST-OPERATIVE HEAD AND NECK CANCER PATIENTS: AN INTERVENTIONAL STUDY. Int J Physiother Res 2018;6(5):2857-22863. DOI: 10.16965/ijpr.2018.160
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