Citation Information :
Sabherwal PK. Immediate Effect of Proprioceptive Neuromuscular Facilitation on Chest Mobility, Pain and Range of Motion of Thorax in Patients of Intercostal Drainage: A Randomised Control Trial. Indian J Chest Dis Allied Sci 2021; 63 (3):131-135.
Objective: Intercostal muscle strain leading to pain, muscle spasm and related morbidities is common in pleural diseases following insertion of intercostal tube drain (ICD). Hence, suitable lengthening of soft tissue and muscles around the chest wall using various stretching techniques can help in improving the efficiency of respiratory muscles and chest movement.
Methods: Thirty patients who underwent ICD insertion were randomly allocated to control group (receiving chest mobility exercises only) and treatment group (receiving proprioceptive neuromuscular facilitation [PNF] stretches), in addition to chest mobility exercises. Pain assessed by visual analogue scale (VAS), thoracic spine range of motion (flexion and rotation) and chest expansion values at 2nd, 4th and 6th rib (R2, R4 and R6) were recorded before and after a single intervention session in both the groups.
Results: There was statistically significant improvement in VAS, thoracic ranges and chest expansion at all R2, R4 and R6 levels (P<0.05) in the treatment group.
Conclusions: Proprioceptive neuromuscular facilitation was more effective in reducing pain, increasing chest mobility and range of thoracic motion in patients with ICD insertion.
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