Effects of Chest PNF v/s Thoracic Maitland Mobilization on Respiratory Parameters in Parkinson’s Patients: A Randomised Control Trial

Abstract

Background: Parkinson’s disease is a chronic progressive disease of nervous system characterised by cardinal features of rigidity, bradykinesia, tremor and postural instability and may also cause gait disturbances, cardiopulmonary changes, etc. Chest PNF technique leads to the possible increase in flexibility and strength. Vertebral Mobilisation is a manual technique that is commonly used by osteopaths, chiropractors and physiotherapists to treat spinal pain and dysfunction. Aim and objectives: To study the effects of Chest PNF v/s Thoracic Maitland Mobilization on respiratory parameters in Parkinson’s patients using Peak expiratory flow rate and thoracic mobility using Ott’s sign. Methodology: A total of 45 patients were selected according to the inclusion and exclusion criteria and consent was taken. 3 groups were made in which patients were divided. Group A was given chest PNF and breathing exercises, group B was given Thoracic Maitland Mobilization and breathing exercises and group C was given breathing exercises. Peak expiratory flow rate (PEFR) and thoracic mobility were assessed pre and post treatment. The treatment protocol was given 3 times a week for 4 weeks. Result: There was significant increase in PEFR (p <0.0001) and Ott’s sign for flexion (p=0.0031) and extension (p<0.001) for Chest PNF. Conclusion: The Chest PNF technique when given to a group of Parkinson’s patients gave highly significant differences in pre and post values of PEFR and Ott’s sign as compared to Thoracic Maitland Mobilization.