International Journal For Multidisciplinary Research

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Impact of Neurophysiological Facilitation (Pnf Strech) of Pectoralis Major and Minor Muscle: a Noval Approach to Improve Pulmonary Function in Copd Patient

Author(s) SAKSHI TIWARI, SUMEDHA RABRA
Country India
Abstract Abstract:
Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory condition characterized by airflow limitation, leading to reduced pulmonary function and impaired quality of life. Effective rehabilitation strategies to enhance respiratory function and muscle strength are critical in managing COPD symptoms. Proprioceptive Neuromuscular Facilitation (PNF) stretching techniques have been widely used in physiotherapy for improving flexibility, muscle strength, and neuromuscular function. Among various muscle groups, targeting the pectoralis major and minor muscles through PNF techniques may play a significant role in enhancing respiratory mechanics and pulmonary function in COPD patients.
Objective: This systematic review aims to evaluate the impact of PNF stretching on the pectoralis major and minor muscles as a novel approach to improving pulmonary function in individuals with COPD.
Methods: A comprehensive search of relevant databases (PubMed, Scopus, Cochrane Library, etc.) was conducted for studies published between 2000 and 2024. Studies assessing the effects of PNF stretching specifically targeting the pectoralis major and minor muscles in COPD patients, with a focus on pulmonary outcomes such as Forced Expiratory Volume (FEV1), Forced Vital Capacity (FVC), peak expiratory flow (PEF), and oxygen saturation, were included. Both randomized controlled trials and observational studies were considered for review.
Results: Initial findings suggest that PNF stretching of the pectoralis muscles may contribute to improved thoracic mobility, enhanced diaphragm function, and reduced respiratory muscle fatigue in COPD patients. Additionally, a number of studies demonstrated a positive impact on pulmonary function parameters such as FEV1, FVC, and oxygen saturation levels. The PNF technique was found to improve postural alignment, chest expansion, and muscle flexibility, indirectly contributing to better respiratory function.
Conclusion: PNF stretching of the pectoralis major and minor muscles shows promise as a novel approach in pulmonary rehabilitation for COPD patients. This review highlights the potential benefits of incorporating PNF techniques into standard COPD management, suggesting improvements in pulmonary function and overall respiratory performance. However, further large-scale randomized controlled trials are needed to conclusively establish its effectiveness and long-term benefits for COPD rehabilitation.
Keywords Keywords: Chronic Obstructive Pulmonary Disease, Proprioceptive Neuromuscular Facilitation, Pectoralis Major, Pectoralis Minor, Pulmonary Function, Respiratory Rehabilitation.
Field Biology > Medical / Physiology
Published In Volume 7, Issue 2, March-April 2025
Published On 2025-03-18
DOI https://doi.org/10.36948/ijfmr.2025.v07i02.38496
Short DOI https://doi.org/g895kb
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