Effectiveness of PNF stretch of pectoralis major muscle on pulmonary function in COPD patients
Keywords:
Neurophysiological Facilitation, Pectoralis Major, Hold Relax, Chest Expansion, Pulmonary FunctionAbstract
COPD is a common and a progressive disorder that is characterised by respiratory symptoms and airflow limitation due to the abnormalities of the airway or alveoli. Proprioceptive neuromuscular facilitation technique can increase the contractive capacity of muscles. The study aimed at assessing the effect of Proprioceptive neuromuscular facilitation stretch of pectoralis major muscle on chest expansion and pulmonary function values in COPD patients. Methods: hold relax PNF of pectoralis major muscle was given for a duration of 6 weeks on the particpants who are met with inclusion and exclusion criteria. Chest expansion was measured at axillary level and xiphisternal level, FEV1, FVC and FEV1/FVC were measured pre and the post intervention. Results: statistical analysis was done using paired t test (p<0.05). the results of the study shows that there is increase in the chest expansion at axillary level and xiphisternal level and increase in the FEV1/FVC ratio following 6 weeks of hold relax PNF stretch of pectoralis major in COPD patients. Conclusion: the study concludes that with hold relax PNF stretch there is increase in chest expansion and pulmonary function values.
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Liu K, Yu X, Cui X, Su Y, Sun L, Yang J, Han W. Effects of Proprioceptive Neuromuscular Facilitation Stretching Combined with Aerobic Training on Pulmonary Function in COPD Patients: A Randomized Controlled Trial. International Journal of Chronic Obstructive Pulmonary Disease. 2021;16:969..
Alwan A. Global status report on noncommunicable diseases 2010. Global status report on noncommunicable diseases 2010.. 2011.
Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS medicine. 2006 Nov 28;3(11):e442.
Han MK, Dransfield MT, Martinez FJ. Chronic obstructive pulmonary disease: Definition, clinical manifestations, diagnosis, and staging. Uptodate. May. 2018;14.
de Sá RB, Pessoa MF, Cavalcanti AG, Campos SL, Amorim C, de Andrade AD. Immediate effects of respiratory muscle stretching on chest wall kinematics and electromyography in COPD patients. Respiratory physiology & neurobiology. 2017 Aug 1;242:1-7.
Rehman A, Ganai J, Aggarwal R, Alghadir AH, Iqbal ZA. Effect of Passive Stretching of Respiratory Muscles on Chest Expansion and 6-Minute Walk Distance in COPD Patients. International Journal of Environmental Research and Public Health. 2020 Jan;17(18):6480.
Courtney R. The functions of breathing and its dysfunctions and their relationship to breathing therapy. International Journal of Osteopathic Medicine. 2009 Sep 1;12(3):78-85.
Putt MT, Watson M, Seale H, Paratz JD. Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease. Archives of physical medicine and rehabilitation. 2008 Jun 1;89(6):1103-7.
Potter HM. Musculoskeletal dysfunction in respiratory disease. In:Pryor JA, Prasad SA, editors. Physiotherapy for respiratory and cardiac problems. 3rd ed. London: Churchill Livingstone; 2002. P 161-70.
Cabral LF, D'Elia TC, Marins DS, Zin WA, Guimarães FS. Pursed lip breathing improves exercise tolerance in COPD: a randomized crossover study. Eur J Phys Rehabil Med. 2015 Feb;51(1):79-88.
EMCHRC P, Giri JU. Efficacy of Retraining Diaphragm by Proprioceptive Neuromuscular Facilitation versus Diaphragmatic Breathing Exercises in Reducing Dyspnoea in the Copd Patients.
Mehta GP, Babu VK, Akalwadi A, Kumar SN. Combined effect of PNF stretching with chest mobility exercises on chest expansion and pulmonary functions for elderly. International Journal of Physiotherapy. 2015 Jun 1;2(3):563-71.
Wanderley D, Lemos A, Moretti E, Barros MM, Valença MM, de Oliveira DA. Efficacy of proprioceptive neuromuscular facilitation compared to other stretching modalities in range of motion gain in young healthy adults: a systematic review. Physiotherapy theory and practice. 2019 Feb 1;35(2):109-29.
Slupska L, Halski T, Żytkiewicz M, Ptaszkowski K, Dymarek R, Taradaj J, Paprocka-Borowicz M. Proprioceptive neuromuscular facilitation for accessory respiratory muscles training in patients after ischemic stroke. InAdvances in Pulmonary Medicine: Research and Innovations 2019 (pp. 81-91). Springer, Cham.
Ong KC, editor. Chronic Obstructive Pulmonary Disease: Current Concepts and Practice.
Marek SM, Cramer JT, Fincher AL, Massey LL, Dangelmaier SM, Purkayastha S, Fitz KA, Culbertson JY. Acute effects of static and proprioceptive neuromuscular facilitation stretching on muscle strength and power output. Journal of athletic training. 2005 Apr;40(2):94.
Taylor DC, Dalton JR JD, Seaber AV, Garrett JR WE. Viscoelastic properties of muscle-tendon units: the biomechanical effects of stretching. The American journal of sports medicine. 1990 May;18(3):300-9.
Ganesh BR, Goud A. Short term effects of respiratory muscle stretch gymnastics versus hold relax PNF on pulmonary functions and chest expansion in elderly individuals-a randomized clinical trial. Int J Appl Res. 2017;3(7):1018-22.
Wang RY. Effect of proprioceptive neuromuscular facilitation on the gait of patients with hemiplegia of long and short duration. Physical Therapy. 1994 Dec 1;74(12):1108-15.
Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching. Sports medicine. 2006 Nov;36(11):929-39.
Hindle KB, Whitcomb TJ, Briggs WO, Hong J. Proprioceptive neuromuscular facilitation (PNF): Its mechanisms and effects on range of motion and muscular function. Journal of human kinetics. 2012 Mar;31:105.
Abdel-aziem AA, Draz AH, Mosaad DM, Abdelraouf OR. Effect of body position and type of stretching on hamstring flexibility. International Journal of Medical Research & Health Sciences. 2013;2(3):399-406.
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