Effects of the combined PNF and deep breathing exercises on the ROM and the VAS score of a frozen shoulder patient: Single case study

Lee, Byung-Ki

doi:10.12965/jer.150229

Cited by 12 publications

(10 citation statements)

References 13 publications

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“…PNF has been proven to enhance flexibility in patients with musculoskeletal dysfunction (Feland and Marin, 2004 ; Hindle et al, 2012 ; Lee, 2015 ). However, research on its application to patients with lymphedema has been extremely limited.…”

Section: Discussionmentioning

confidence: 99%

Synergistic Effects of Proprioceptive Neuromuscular Facilitation and Manual Lymphatic Drainage in Patients with Mastectomy-Related Lymphedema

Lee

et al. 2017

Front. Physiol.

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Purpose: Manual lymphatic drainage (MLD) and proprioceptive neuromuscular facilitation (PNF) are potential therapeutic strategies to reduce mastectomy-induced edema. The purpose of this study was to investigate whether the combination of these therapies would induce synergistic effects to treat lymphedema-related complications and to analyze a possible physiological mechanism involved in the observed effects.Methods: A total of 55 patients diagnosed with mastectomy-induced lymphedema were recruited and randomized into three experimental groups: PNF group (n = 17), MLD group (n = 20), and PNF + MLD group (n = 18). They were subjected to designated rehabilitation program three times a week for 16 weeks. ROM (flexion of the shoulder joint), edema size, arterial blood flow velocity, and degree of pain and depression were measured every 4 weeks over experimental period.Results: Lymphedema volume, VAS pain scale, and Beck depression scale were decreased in PNF and MLD groups for 16 weeks in a time-dependent manner. In combination, a greater reduction of these variables was observed over 16 weeks compared to each PNF and MLD. While axillary arterial blood circulation rate in the affected extremity was increased in both PNF and PNF + MLD groups over 16 weeks, this value was not increased in MLD group throughout the experimental period. A greater reduction of scales of VAS pain and Beck Depression Inventory (BDI) was observed in PNF + MLD group after the 16 week-treatment, as compared to each PNF and MLD group. Pearson's coefficients test demonstrated that there are significant correlation of depression against pain (r = 0.616, p < 0.01), ROM (r = −0.478, p < 0.01), and lymphedema size (r = 0.492, p < 0.01).Conclusion: The combination of MLD and PNF induces potent synergistic effects on edema volume, shoulder range of motion (ROM), pain, and depression in patients with lymphedema. In addition, an increased rate of axillary arterial blood flow in PNF-treated patients provide a potential physiological mechanism by which local arterial pulsation in the affected extremity plays a positive role in the treatment of lymphedema. Therefore, it is suggested to incorporate an element of PNF into traditional MLD method to facilitate treatment process for patients with lymphedema.

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Section: Discussionmentioning

confidence: 99%

Synergistic Effects of Proprioceptive Neuromuscular Facilitation and Manual Lymphatic Drainage in Patients with Mastectomy-Related Lymphedema

Lee

et al. 2017

Front. Physiol.

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“…In the literature, the effect of breathing exercises on pain, shoulder joint range of motion and balance has been investigated (Lee, 2015;Stephens et all., 2017). The originality of our study is that it is the first study to examine the effects of diaphragmatic mobilization and diaphragmatic breathing exercises on pain and quality of life in individuals with shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are studies that report on the effects of breathing exercises on pain, function, and balance. (Lee, 2015;Stephens et all., 2017). However, there is no study in the literatüre that investigate the effectiveness of the diaphragmatic mobilization and diaphragmatic breathing exercise on shoulder pain and quality of life in individuals with shoulder pain.…”

Section: Effects Of Diaphragmatic Mobiliziation and Diaphragmatic Breathing Exercisementioning

confidence: 99%

Effects of Diaphragmatic Mobilization and Diaphragmatic Breathing Exercises on Pain and Quality of Life in Individuals with Shoulder Pain: A Randomized Controlled Trial

Şahin¹,

Kocamaz

2021

International Journal of Disabilities Sports and Health Sciences

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This study aimed to investigate the effects of diaphragmatic mobilization and diaphragmatic breathing exercises on pain and quality of life in individuals with shoulder pain. Methods: A total of 72 individuals with shoulder pain were included in the study. The individuals included in the study were randomly divided into 3 groups as Diaphragmatic Mobilization Group (DMG) (n=24), Diaphragmatic Breathing Group (DBG) (n=24), and control group (n=24). In addition to classical physiotherapy treatment, diaphragmatic mobilization to mobilization group and diaphragmatic breathing exercises to breathing group were applied by the physiotherapist 3 days a week for 8 weeks. On the other hand, only classical physiotherapy treatments were applied to the control group. Individuals were evaluated in terms of pain and quality of life. Pain levels assessed with the Visual Analogue Scale (VAS) and quality of life assessed with Short Form-36 (SF-36). Results: In our study, it was observed that the pain level was reduced and the quality of life was improved in all groups (p<0.05). When DMG and DBG were compared with the control group, there was found a significant difference among groups in terms of reducing pain and improving quality of life in favor of DMG and DBG (p<0.05). When DMG and DBG were compared, no statistically significant difference was found between the groups (p>0.05). Conclusion: The study results demonstrated that diaphragmatic mobilization and diaphragmatic breathing exercises are found to be effective in reducing pain and improving quality of life in individuals with shoulder pain.

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“…Pain, joint ROM, and muscular power can serve as the best efficiency indexes. 21 , 22 The exercise video was created because a single exercise training session would not suffice; nevertheless, there needs to be some impetus or incentive for users to view the video and exercise on a regular basis. E-mail, text messaging, or retraining at follow-up visits could be used to maintain user motivation.…”

Section: Discussionmentioning

confidence: 99%

Development of a Web Exercise Video for Patients With Shoulder Problems

Park

Song

2017

CIN: Computers, Informatics, Nursing

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The purpose of this study was to develop a Web video designed to promote regular shoulder joint exercise on a continuous basis among patients with shoulder joint disease. This is a methodological research. A shoulder joint exercise video was developed through the five stages of the ADDIE model: analysis, design, development, implementation, and evaluation. The video demonstrates exercises that stretch and strengthen the joints and muscles of the shoulders. Stretching exercises include the pendulum, forward elevation, outer rotation, crossover arm stretch, inner rotation, and the sleeper; strengthening exercises include dumbbell exercises, a chair exercise, wall push-ups, and rowing. This Web exercise video can be used as an educational resource for preventing shoulder joint diseases by middle-aged and elderly people and those seeking to restore shoulder joint function damaged by shoulder joint diseases.

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Effects of the combined PNF and deep breathing exercises on the ROM and the VAS score of a frozen shoulder patient: Single case study

Cited by 12 publications

References 13 publications

Synergistic Effects of Proprioceptive Neuromuscular Facilitation and Manual Lymphatic Drainage in Patients with Mastectomy-Related Lymphedema

Synergistic Effects of Proprioceptive Neuromuscular Facilitation and Manual Lymphatic Drainage in Patients with Mastectomy-Related Lymphedema

Effects of Diaphragmatic Mobilization and Diaphragmatic Breathing Exercises on Pain and Quality of Life in Individuals with Shoulder Pain: A Randomized Controlled Trial

Development of a Web Exercise Video for Patients With Shoulder Problems

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