Pilates Exercises Versus Proprioceptive Neuromuscular Facilitation Post Mastectomy: A Controlled Clinical Trial

Abstract

Background: Mastectomy can lead to restricted shoulder range of motion, which can impact daily activities. Pilates exercises are a series of movements that aim to improve core strength, flexibility, and balance. Research indicates that Proprioceptive Neuromuscular Facilitation technique is effective in improving and maintaining Range of Motion, increasing muscular strength, power, and athletic performance, especially after exercise. Objective: This study aimed to compare the effects of Pilates and Proprioceptive Neuromuscular Facilitation (PNF) on shoulder ROM, pain and disability in women post modified radical mastectomy. Methods: 60 female patients with modified radical mastectomy one month after surgery, aged between 40 and 65 years participated in the study. They were divided into three equal groups in number; group A received Pilates exercises and a traditional physical therapy program, group B received PNF exercises and a traditional physical therapy program, and group C received a traditional physical therapy program only. All treatments extend three times a week for twelve weeks. The range of motion was assessed using an electronic goniometer, and shoulder pain and disability were evaluated using a shoulder disability scale, both before beginning of treatment and after three months after treatment. Results: There were significant improvements in shoulder range of motion, and shoulder pain and disability index scores of groups A and B compared to group C (P <0.05). Conclusions: Both Pilates and Proprioceptive Neuromuscular Facilitation (PNF) exercises significantly improved shoulder function and reduced pain in post-mastectomy patients.