IJPR.2019.205

Type of Article:  Original Research

Volume 8; Issue 1 (February 2020)

Page No.: 3372-3377

DOI: https://dx.doi.org/10.16965/ijpr.2019.205

STUDY ON EFFECTIVENESS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF) TECHNIQUE AND CONVENTIONAL THERAPY IN TREATING THE PATIENTS WITH CERVICAL SPONDYLOSIS

Seema Gupta *1, Preeti George 2, Ankita Prajapati 3.

*1 Physiotherapist, Department Of Physiotherapy Ayushman College, Bhopal, (M.P.), India.

2 Assistant Professor, Department Of Physiotherapy Ayushman College, Bhopal, (M.P.), India.

3 Associate Professor, Department Of Physiotherapy Ayushman College, Bhopal, (M.P.), India.

Address for Correspondence: Dr. Seema Gupta. PT., Master of Physiotherapy (Neurology),  Department Of Physiotherapy Ayushman College, Bhopal, (M.P.), India. E-Mail: seema.gupta2007@yahoo.co.in

ABSTRACT

Background: Proprioceptive Neuromuscular Facilitation (PNF) A wide range of treatment techniques and approaches from different philosophical backgrounds are utilized in Neurological Rehabilitation The aim of this study is to evaluate the effectiveness of  proprioceptive neuromuscular facilitation technique and conventional therapy in treating the patients with Cervical Spondylosis by improving the pain and range of motion of neck.

Subjects and methods: 40 cervical Spondylosis patients of both the sexes selected on the basis of inclusion and exclusion criteria were included in the study and randomly divided into two groups A and B each of 20 persons. Group A consisting of 10 males and 10 females received PNF (Hold –relax and Contract relax) exercise for 4 weeks, 5 days/ week once in a day and Group B consisting of 11males and 9 females  received  conventional therapy for 4 weeks, 5 days/ week once in a day. Variables are measured pre intervention and post intervention after 4 weeks. To evaluate changes in pain, a shortened version of the McGill Questionnaire was used, Range of motion is measured.

Result: Group A shows more significant improvement in all variables (Pain, ROM) in cervical spondylosis subjects than Group B.

Conclusion: Analysis of the results confirmed that both PNF and conventional therapy had a statistically significant impact on reducing pain and improving the range of motion of neck in subjects suffering from spondylosis, but   PNF method proved to be more effective than conventional therapy and McGill score of PNF applied group were more significant.

KEY WORDS: Proprioceptive Neuromuscular Facilitation (PNF), Pain, Range of Motion (ROM), Spondylosis, McGill Questionnaire.

REFERENCES

  1. Hirpara, K. M., Butller, et al. Nonoperative Modalities to treat neuroscience in translation from bench to bedside.PM R. 2013; 5: 453-61.
  2. Gandhi R, Tsvetkov D, Dhottar H, Davey JR, Mahomed NN.,et al.Quantifying the pain experience in hip and knee osteoarthritis., Pain Res Manag.2010; 15: 224–8.
  3. Gross RA, Goldsmith CH, Hoving LJ, Haines T, Peloso P,Aker P, et al. Conservative management of mechanical neck disorders: A systematic review. J Rheumatol. 2007; 34(5):1083-1102.
  4. Kwiatkowski P, Majcher P, Fatyga M., et al. Stabilisation exercises of the cervical and lumbar spine in the disc disease. Ortop Traumatol Rehabil. 2004; 6(2): 177-182\
  5. Smedes F, Heidmann M,Fischer N,et al. The proprioceptive neuromuscular facilitation-concept; the state of the evidence, a narrative review. Phys Ther Rev. 2016; 21(1): 17-31.
  6. Moffett JAK, Jackson DA, Richmond S, Hahn S, CoultonS, Farrin A, et al. Randomised trial of brief physiotherapy intervention compared with usual physiotherapy for neck pain patients: Outcomes and patients preference. BMJ. 2005; 330(7482): 75-81.
  7. Hamidu AU, kajogbola GA, et al. Magnetic resonance findings in cervical spondylosis and cervical spondylotic myelopathy in zaria, northen Nigeria, sub-saharan Afr J Med,2015[cited2019 sep 17]:274-8.
  8. Creamer P,Hochberg MC., et al. Determinants of pain severity in knee osteoarthritis: effect of demographic and psychosocial variables using 3 pain measures. J Rheumatol 1999 ; 26: 1785–92.
  9. Gross RA, Goldsmith CH, Hoving LJ, Haines T, Peloso P,Aker P, et al. Conservative management of mechanical neck disorders: A systematic review. J Rheumatol. 2007; 34(5):1083-1102
  10. Hoving JL, de Vet HC, Koes BW, Mameren H, Devillé WL, et al. Manual therapy, physical therapy,or continued care by the general practitioner for patients with neck pain: Long-term results from a pragmatic randomized clinical trial. Clin J Pain. 2006; 22(4): 370-7
  11. Nelson J., et al. Chronic neck pain and exercise interventions: Frequency, intensity, time, and type principle. Arch Phys Med Rehabil. 2014;95(4): 770-783. doi: 10.1016/j.apmr.2013.11.015
  12. The Spine: Basic Evaluation and Mobilization Techniques, Kaltenborn FM., 2nd ed., 1993. Oslo, Norway: Olaf Norlis Bokhandel.
  13. Palmer KT, Cooper C, Walker-Bone K, Syddall H, Coggon D.,et al. Use of keyboards and symptoms in the neck and arm: Evidencefrom a national survey. Occup Med. 2001; 51(6): 392-395
  14. Gross RA, Goldsmith CH, Hoving LJ, Haines T, Peloso P,Aker P, et al. Conservative management of mechanical neck disorders: A systematic review. J Rheumatol. 2007; 34(5):1083-1102
  15. Brattberg G, Thorslund M,Wikman A.,et al. The prevalence of pain in a general population. The results of a postal survey in a country of Sweden. Pain. 1989; 37: 215-22
  16. Fejer R, Kyvik KO, Hartvigsen J., et al. The prevalence of neck pain in the world population: A systematic critical review of the literatur˛e. Eur Spine J. 2006 Jun; 15(6): 834-848.
  17. Physical risk factor for neck pain, Ariens GA, Mechelen W,4th edition, 2000,USA.
  18. Maicki T., et al. Effects of complex physiotherapeutic treatment on functional condition in outpatients suffering from cervical spine pain. Hygeia Public Health. 2013; 48(1): 73-79
  19. Azemi A, Gashi AI, Zivkovic V, Gontarev S., et al. The effect of dynamic exercises in the treatment of cervical spondylosis. Research in Physical Education, Sport & Health. 2018 Jul 1; 7(2).
  20. Melzack R., et al. The short form of McGill pain questionnaire, Pain. 1987; 30(2): 191-197
  21. Falla DL, Jull G, Hodges P., et al. Patient with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the carniocervical flexion test.Spine. 2004; 29(19): 2108-2114.
  22. Falla DL, Jull G, Hodges P., et al. Patient with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the carniocervical flexion test.Spine. 2004; 29(19): 2108-2114.
  23. Fariba G, Asghari JM, Khodabakhsh J., et al. The clinical and EMG assessment of the effects of stabilization exercise on nonspecific chronic neck pain: A randomized controlled trial. J Back Musculoskeletal Rehabilitation, 2016
  24. Domaniecki J. et al. The PNF method in the treatment of intervertebral disc disease. Fizjot Pol. 2008; 8(3):241-252.
  25. V senthilanathan, A. gurulakshmi, and G. Mohan kumar, et al. Effects of Isometric Neck Exercises in Improving Cervical Range of Motion in Long Time Helmet Wearers, international journal of physiotherapy & occupational therapy, june 2015; ,vol.1,issue1.,9-16
  26. Brattberg G, Thorslund M,Wikman A.,et al. The prevalence of pain in a general population. The results of a postal survey in a country of Sweden. Pain. 1989; 37: 215-22.
  27. Smedes F, Heidmann M,Fischer N,et al. The proprioceptive neuromuscular facilitation-concept; the state of the evidence, a narrative review. Phys Ther Rev. 2016; 21(1): 17-31.
  28. Ylinen J, Takala EP, Nykanen M, Pohjolainen T, et al. Active neck muscle training in the treatment of chronic neck pain in women: A randomized controlled trial. JAMA. 2003; 289(19): 2509-2516
  29. Feise RJ, Menke JM., et al. Functional rating index: A new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine. 2001; 26(1): 78-87.

Cite this article: Seema Gupta, Preeti George, Ankita Prajapati. STUDY ON EFFECTIVENESS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF) TECHNIQUE AND CONVENTIONAL THERAPY IN TREATING THE PATIENTS WITH CERVICAL SPONDYLOSIS. Int J Physiother Res 2020;8(1):3372-3377. DOI: 10.16965/ijpr.2019.205