Daily living are an vital part of a child’s development. Range of motion exerciese, strengthening ,stretching exercise and mobilizations play important role in elbow stiffness treatment. Proprioceptive Neuromuscular Facilitation is a method of stretching that has been demonstrated to enhance active and passive ROM. PNF is applied in medical contexts by therapists to support individuals who have had invasive surgery soft tissue destruction regain their functional ROM and strength.This study aimed to determine the effects of proprioceptive neuromuscular facilitation (PNF) techniques on children with post-fracture elbow stiffness. Conducted as a randomized controlled trial at DHQ Pakpattan, 26 patients were unsystematically assigned to either Group A (experimental group receiving PNF technique and baseline treatment) or Group B (control group receiving exercise therapy with baseline treatment including a heating pad). Both groups underwent 30-minute sessions, five times a week for four weeks. The study was ethically approved, and data were analyzed using the latest version of SPSS. The results demonstrated a statistically significant difference between the two groups, with p-values less than 0.05. Post-treatment, the mean±SD for elbow flexion was 150.15±2.303 in Group A and 142.53±1.450 in Group B. For elbow extension, the post-treatment mean±SD was 1.30±1.493 in Group A and 3.69±0.8548 in Group B. The DASH score post-treatment mean±SD was 28.69±2.626 in Group A and 56.62±4.942 in Group B. The study concluded that while both treatment techniques were effective, PNF techniques were more effective than exercise therapy in improving range of motion and reducing disability in children with post-fracture elbow stiffness.

Keywords: Children, Elbow contracture,Functional Recovery, Goniometry, PNF techniques, Post-traumatic stiffness, Post-fracture elbow stiffness, Stretchings.