Effect Of Proprioceptive Neuromuscular Facilitation (PNF) And Sub occipital Muscle Inhibition Technique (SMIT) On Neck Pain And Disability In Head And Neck Cancer Patients-A Randomized Control Trail

Abstract

Introduction- Head and neck cancer (H&N) is the 6th 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. Received medical treatment like surgery, radiotherapy, and chemotherapy. Radiation induced neck pain and disability is common problem for H&N Cancer and experience functional limitation. Radiation can cause stiffening of neck tissues & reduced mobility. This can result in the formation of scar tissue in the neck region, leading to reduced flexibility and increased tightness.

Aim- To study the effect of proprioceptive neuromuscular facilitation and sub occipital muscle inhibition technique on neck pain and disability in head and neck cancer patients.

Method – Total of 106 participants were eligible as per inclusion criteria. Participants were randomly assigned into 2 groups. Experimental Group A (n=53) received proprioceptive neuromuscular facilitation and sub occipital muscle inhibition technique and Control Group B (n=53) received conventional treatment. Will undergo a 3 week of intervention. Pre and post numerical pain rating scale, cervical goniometer & inclinometer for range of motion and neck disability index were assessed.

Result - Both groups significantly effective to improved neck range of motion as well as to reduced neck pain but Experimental group A are more significantly improved range & reduced neck pain and Also improve quality of life (p<0.0001).

Conclusion- In this study Proprioceptive Neuromuscular Facilitation and Sub occipital Muscle Inhibition Technique are more effective on neck pain, range of motion and disability during radiotherapy.