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


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


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


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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