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Original Research Article

Year: 2020 | Month: May | Volume: 7 | Issue: 5 | Pages: 332-339

Effect of Chest Proprioceptive Neuromuscular Facilitation Combined with Abdominal Muscle Stimulation on Respiratory Function in Tetraplegia

Apurva Chatterjee¹, Jyoti², Mohit Kumar Dahiya³

¹Post Graduate Research Scholar, ISIC Institute of Rehabilitation Science, New Delhi
²Assistant Professor, Sharda University, Noida
³Assistant Professor, Sharda University, Noida.

Corresponding Author: Apurva Chatterjee

ABSTRACT

Purpose: The purpose of this study was to determine whether there was an effect of chest proprioceptive neuromuscular facilitation combined with abdominal muscle stimulation on respiratory function in tetraplegia
Subjects and Methods: Twenty- seven tetraplegic subjects were randomly assigned to a PNF+ AS group (n=15) or a BRE+AS group (n=12). The PNF+ AS group received chest PNF along with abdominal muscle stimulation for 30 minutes, 4 times a week. Subjects were assessed pre-test and post- test by measurement of respiratory function (Forced vital capacity, Forced expiratory volume in 1 second and peak expiratory flow rate), respiratory muscle strength (Maximum inspiratory pressure and Maximum expiratory pressure) and dyspnoea (modified Borg Scale).
Results: After 3 weeks of intervention, pre and post intervention analysis for both groups showed a significant improvement in scores of FVC (% pred), FEV1 (% pred), PEF (% pred), MIP, MEP and modified Borg scale. Between group analysis showed significant improvement in FVC (% pred) at (p = .01), FEV1 (% pred) at (p = .04), PEF (% pred) at (p = .04), MIP at (p = .001), MEP at (p = .001) and modified Borg scale at (p = .001)
Conclusion: This study concludes that there was a significant improvement in respiratory function, respiratory muscle strength and dyspnoea using chest proprioceptive neuromuscular facilitation combined with abdominal muscle stimulation for tetraplegia.

Keywords: Chest PNF, Abdominal muscle stimulation, breathing exercise, tetraplegia, respiratory function.

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