Investigation of Combined Impact of Proprioceptive Neuromuscular Facilitation and Soft Tissue Release on Glenohumeral Rhythm in Post-Mastectomy Adhesive Capsulitis: A Pilot Study

Abstract

Background: This study investigates the combined effect of proprioceptive neuromuscular facilitation (PNF) and soft tissue release on glenohumeral rhythm in patients with post-mastectomy adhesive capsulitis. Adhesive capsulitis is a common complication following mastectomy, characterized by pain, stiffness, and limited range of motion in the shoulder joint. PNF and soft tissue release are therapeutic techniques that have shown promise in improving shoulder function and reducing pain in various musculoskeletal conditions. However, their combined effect on glenohumeral rhythm in post-mastectomy adhesive capsulitis remains underexplored. Materials & Methods: The study included a total of 50 participants with post-mastectomy adhesive capsulitis, divided into two groups: Group A (PNF and soft tissue release) and Group B (conventional physical therapy). Demographic data, including age, weight, and height, were collected from both groups. The primary outcomes assessed were range of motion measurements, including shoulder flexion, extension, abduction, adduction, medial rotation, and lateral rotation. Pain levels were evaluated using the Visual Analog Scale (VAS). The interventions were administered for a specified duration, and the outcomes were measured pre- and post-intervention. Statistical analysis, including mean, standard deviation, and p-values, was conducted to compare the results between the two groups. Results: The results of the study revealed significant improvements in range of motion and pain reduction in Group A (PNF and soft tissue release) compared to Group B (conventional physical therapy). Group A showed greater improvements in shoulder flexion, extension, abduction, adduction, medial rotation, and lateral rotation compared to Group B. Additionally, Group A demonstrated a greater reduction in pain levels compared to Group B. The differences observed between the two groups were statistically significant. Conclusion: The findings of this study support the effectiveness of the combined intervention of proprioceptive neuromuscular facilitation (PNF) and soft tissue release in improving glenohumeral rhythm, increasing range of motion, and reducing pain in patients with post-mastectomy adhesive capsulitis. These results highlight the potential benefits of incorporating PNF and soft tissue release techniques into rehabilitation protocols for individuals with adhesive capsulitis. The combined intervention offers a promising approach for optimizing shoulder function and enhancing the overall treatment outcomes in this patient population.