{"id":583,"date":"2018-09-11T16:28:23","date_gmt":"2018-09-11T16:28:23","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=583"},"modified":"2018-09-11T16:28:55","modified_gmt":"2018-09-11T16:28:55","slug":"ijpr-2018-160","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2018-160","title":{"rendered":"IJPR.2018.160"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.6.5\/IJPR.2018.160.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol6_5.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 5 (October 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a02857-2863<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2018.160<\/h3>\n<h3 style=\"text-align: justify;\">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<\/h3>\n<p style=\"text-align: justify;\"><strong>Renu Pattanshetty <sup>1<\/sup>, Oshin Diana Mathias *<sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1<\/sup> Associate Professor and Head, Department Of Oncology Physiotherapy, KAHER Institute Of Physiotherapy, Nehrunagar-Belagavi, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>*2<\/sup> MPT 1<sup>st<\/sup> Year Oncology Physiotherapy, Department Of Oncology Physiotherapy, KAHER Institute Of Physiotherapy, Nehrunagar- Belagavi, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author: Oshin Diana Mathias, <\/strong>MPT 1<sup>st<\/sup> Year Oncology Physiotherapy, Department Of Oncology Physiotherapy, KAHER Institute Of Physiotherapy, Nehrunagar- Belagavi, Karnataka, india. Contact no: +91-7795991463\u00a0\u00a0<strong>E-Mail<\/strong>: droshinphysio@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background: <\/strong>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 \u00a0chronic \u00a0neck pain with restriction of cervical movements occurs following surgery that contribute to the decrements in Quality of\u00a0 Life.<\/p>\n<p style=\"text-align: justify;\"><strong>Objective: <\/strong>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.<\/p>\n<p style=\"text-align: justify;\"><strong>Settings and design: <\/strong>The study was undertaken in a tertiary health care centre for a period of 06 (six) months.<\/p>\n<p style=\"text-align: justify;\"><strong>Methodology:<\/strong> Twenty one (21) \u00a0patients 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 &amp; post outcome measures recorded were Neck Disability Index (NDI), Functional Assessment Of Cancer Therapy-Head and Neck cancer (FACT-H&amp;N) Version 4, The Vanderbilt Head And Neck Cancer Symptom Survey (Version 2.0)\u00a0 and Cervical ROM was measured using Universal goniometer which were computed at baseline and after the end of the treatment.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Statistically significant changes in all the ranges of cervical movements as well as in all the domains of \u00a0Neck 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&amp;N) Version 4 except in the emotional wellbeing where no significant improvement was seen.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>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.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong>: Head and Neck\u00a0 Cancer, Proprioceptive Neuromuscular Facilitation, Cervical ROM, Quality Of Life.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Argiris, A., Karamouzis, M., Raben, D. and Ferris, R. Head and neck cancer.\u00a0The Lancet, 2008;371(9625):1695-1709.<\/li>\n<li style=\"text-align: justify;\">Rettig, E. and D\u2019Souza, G. Epidemiology of Head and Neck Cancer.\u00a0Surgical Oncology Clinics of North America, 2015;24(3):379-396.<\/li>\n<li style=\"text-align: justify;\">Baxi, S., Shuman, A., Corner, G., Shuk, E., Sherman, E., Elkin, E., Hay, J. and Pfister, D. (2012). Sharing a diagnosis of HPV-related head and neck cancer: The emotions, the confusion, and what patients want to know.\u00a0Head &amp; Neck, 2012;35(11):1534-1541.<\/li>\n<li style=\"text-align: justify;\">Sugita, K., Mori, Y., Kanemoto, K. and Sugita, S. Physiotherapy and Head and Neck Cancers.\u00a0Journal of Novel Physiotherapies 2017;07(02).<\/li>\n<li style=\"text-align: justify;\">co.in. DECREASED SHOULDER &amp; CERVICAL RANGE OF MOTION (ROM) AND STRENGTH 2017.<\/li>\n<li style=\"text-align: justify;\">Murphy, B.A., Ridner, S., Wells, N. and Dietrich, M. 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In\u00a0Diagnosis and Management of Head and Neck Cancer. InTech 2017.<\/li>\n<li style=\"text-align: justify;\">McNeely, M.L., Parliament, M.B., Seikaly, H., Jha, N., Magee, D.J., Haykowsky, M.J. and Courneya, K.S. Effect of exercise on upper extremity pain and dysfunction in head and neck cancer survivors.\u00a0Cancer, 2008;113(1):214-222.<\/li>\n<li style=\"text-align: justify;\">Vernon, H. and Mior, S. The Neck Disability Index: a study of reliability and validity.\u00a0Journal of manipulative and physiological therapeutics,\u00a01991;14(7):409-415.<\/li>\n<li style=\"text-align: justify;\">Bonomi, A.E., Cella, D.F., Hahn, E.A., Bjordal, K., Sperner-Unterweger, B., Gangeri, L., Bergman, B., Willems-Groot, J., Hanquet, P. and Zittoun, R. Multilingual translation of the Functional Assessment of Cancer Therapy (FACT) quality of life measurement system.\u00a0Quality of Life research, 1996;5(3):309-320.<\/li>\n<li style=\"text-align: justify;\">Cooperstein, E., Gilbert, J., Epstein, J.B., Dietrich, M.S., Bond, S.M., Ridner, S.H., Wells, N., Cmelak, A. and Murphy, B.A. Vanderbilt Head and Neck Symptom Survey version 2.0: report of the development and initial testing of a subscale for assessment of oral health.\u00a0Head &amp; neck,\u00a02012;34(6):797-804.<\/li>\n<li style=\"text-align: justify;\">Farooq, M.N., Bandpei, M.A.M., Ali, M. and Khan, G.A. Reliability of the universal goniometer for assessing active cervical range of motion in asymptomatic healthy persons.\u00a0Pakistan journal of medical sciences,\u00a02016;32(2):457.<\/li>\n<li style=\"text-align: justify;\">Krause, N. Head and Neck Imaging, 5th Ed.\u00a0Academic Radiology, 2012;19(8):1044-1045.<\/li>\n<li style=\"text-align: justify;\">Maicki, T., Bilski, J., Szczygie\u0142, E. and Tr\u0105bka, R. PNF and manual therapy treatment results of patients with cervical spine osteoarthritis.\u00a0Journal of back and musculoskeletal rehabilitation,\u00a02017;30(5):1095-1101.<\/li>\n<li style=\"text-align: justify;\">Lee, J.H., Park, S.J. and Na, S.S. The effect of proprioceptive neuromuscular facilitation therapy on pain and function.\u00a0Journal of physical therapy science, 2013;25(6):713-716.<\/li>\n<li style=\"text-align: justify;\">Page, P. Current concepts in muscle stretching for exercise and rehabilitation.\u00a0International journal of sports physical therapy, 2012;7(1):109.<\/li>\n<li style=\"text-align: justify;\">Parisa, G.H., ashtiani Ahmadreza, A., Mohammad, H., Asghar, A., Leila, R. and Fateme, G. Investigating the effect of stabilization exercise and proprioceptive neuromuscular facilitation exercises on cross-sectional area of deep cervical flexor muscles in patients with chronic non-specific neck pain.\u00a0International Journal of Medical Research and Health Sciences,\u00a02016;5(11):502-508.<\/li>\n<li style=\"text-align: justify;\">Barroso, E.M., Carvalho, A.L., Paiva, C.E., Murphy, B.A. and Paiva, B.S.R. The Vanderbilt Head and Neck Symptom Survey Brazilian Portuguese version 2.0 (VHNSS 2.0): psychometric properties for patients with head and neck cancer who have undergone radiotherapy.\u00a0BMC research notes,\u00a02015;8(1):522.<\/li>\n<li style=\"text-align: justify;\">Ha, K. and Choi, S. The effect of a PNF technique program after mastectomy on lymphedema patients\u2019 depression and anxiety.\u00a0Journal of physical therapy science, 2014;26(7):1065-1067.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> 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\u00a0Res 2018;6(5):2857-22863. DOI: 10.16965\/ijpr.2018.160\n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 5 (October 2018) Page No.:\u00a02857-2863 DOI:\u00a0https:\/\/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<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2018-160\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-583","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/583"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=583"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/583\/revisions"}],"predecessor-version":[{"id":602,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/583\/revisions\/602"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}