Original Research Article
Year: 2020 | Month: November | Volume: 10 | Issue: 11 | Pages: 75-83
Effect of Proprioceptive Neuromuscular Facilitation Stretching and Theraband Exercises on Knee Joint in Patient with Post Operative Tibial Fracture
Shridhar S1, Sardar Priyanka Harish2, Ravish.V.N3
1 Assistant Professor, Kempegowda Institute of Physiotherapy, KIMS & RC, Bangalore.
2PG student, Kempegowda Institute of Physiotherapy, KIMS & RC Bangalore.
3Professor, KIMS & RC, Bangalore.
Corresponding Author: Shridhar S
ABSTRACT
Background: Fractures at tibia occur very frequently due to its subcutaneous position. A variety of Interlocking nails are available and most can be inserted using reamed or undreamed technique which reduces the hospitalization and other complications to great extent. PNF (proprioceptive neuromuscular facilitation) is most effective means to increase ROM (range of motion) by way of stretching, particularly in respect to short term gains in ROM. Contract relax and Hold relax stretching has been proved to increase the restricted ROM in knee joint following tibial fractures. Elastic bands (or Thera-bands) are instruments which are often used for resistance training for purpose of muscle strengthening and improvement of functional performance in orthopedic conditions.
Methods: All individuals with age between 17 – 64 years with tibial fractures operated with Intramedullary interlocking nails were assessed after 4 weeks and were treated for 10 days. 30 subjects have been chosen and were treated with PNF stretching – Hold relax and Contract relax and Theraband exercises. Above methods were given 5 times a week for 2 weeks, the improvement was reassessed on 10th day.
Results: It was stated that PNF and Theraband produced consistent improvements in range of motion of knee joint and strengthening of knee flexors and extensors.
Conclusion: The study result shows that PNF stretching techniques and Theraband exercises proves to be effective in the in the post operative tibial fractures.
Key words: PNF stretching techniques, Theraband exercises, Knee joint, post operative tibial fractures.