Cervical Nags Effect on Accessory Muscles

Riphah International University

Status: Enrolling

Conditions: COPD

Treatments: Other: Traditional Physical Therapy; Other: Mulligan Glides

Study type: Interventional

Funder types: Other

Identifiers

NCT06736145

REC/MS-PT/01938 Ghaniya Khan

Details and patient eligibility

About

The aim of this work is to record changes on accessory muscles especially sternocleidomastoid and scalene after applying cervical NAGs in COPD patients.

Full description

Natural gliding movements in the spine, known as apophyseal glides, occur during breathing. These movements are believed to be important for maintaining good posture and flexibility in the spine. In COPD patients, the muscles that support the spine, like the scalene and SCM, can become tight and strained due to labored breathing. This tightness can lead to neck and shoulder pain.

While studies suggest that natural apophyseal glides improve spinal mobility, accessory muscle flexibility and reduce pain, there is room for further research on COPD patients, especially in Pakistan.

Enrollment: 36 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Registered with history of moderate (II) to severe (III) grade COPD (for a minimum of 1 year) will be included in the study.
• Patients who are clinically stable.

Exclusion criteria

• Patients who have any pre-existing cervical spine disease.
• Patients who have any cardiac disease.
• Other respiratory co-morbidities
• Patients who have severe dizziness or coughing

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Traditional Physical Therapy

Active Comparator group

Description:

Cervical stretches and inspiratory muscle training

Treatment:

Other: Traditional Physical Therapy

Mulligan Glides

Experimental group

Description:

Mulligan Natural Apophyseal Glides along with cervical stretches and inspiratory muscle training

Treatment:

Other: Mulligan Glides