Background: The burden of head and neck cancer in India has been increasing in recent years. Despite evidence that physical therapy exists throughout phases of treatment for head and neck cancer patients , combined treatment of manual therapy in the form of mobilization, muscle energy technique and soft tissue mobilization techniques are rarely available for clinical practice. Hence, the present study was taken up.
Aim:To study the effect of combined manual therapy in form of mobilization, Muscle energy technique and soft tissue mobilization on neck pain, quality of life, mobility in Head and Neck Cancer Patients.
Settings and Design:The experimental study was undertaken in a tertiary care referral hospital over a period of three months.
Materials and Methods:A total of fifteen(15) subjects including eleven (11) males and four (4) females post operative head and neck cancer subjects were given combined manual therapyin the form of cervical mobilization, muscle energy technique and Soft tissue Mobilization for duration of a week during the hospitalisation phase. Pain was assessed using Numeric pain rating Scale, Range of motion of cervical joint, shoulder joint and Temporomandibular joint, Functional assessment was done using Neck disability index and FACT H&N Questionnaire. Statistical Analysis was done using SPSS Version 0.21. Students dependent 't' test was used to analyse the pre and post treatment difference in all outcome measures.
Results:The study demonstrated improvement in all the outcome measures in the study, the significant difference was seen in with pd"0.001 except cervical rotation and shoulder range of motion.
Conclusion:The study demonstrated Pain reduction, Improvement in Cervical, TMJ and shoulder range of motion, Improved Quality of life and reduction in disability following combined manual therapy approach.