Cervical Stabilization Exercises on Respiratory Strength in Chronic Neck Pain

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Cervical Stabilization exercises; Other: baseline physical therapy treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT04674891

REC/LHR/20/1048 Tooba Arif

Details and patient eligibility

About

This project was a Randomized control trial conducted to check the effects of Cervical Stabilization Exercises on Respiratory Strength in Chronic Neck Pain Patients with Forward Head Posture, duration of study was of 6 months, convenient sampling was done, subject following eligibility criteria from Jinnah Hospital Lahore, were randomly allocated in two groups via lottery method, baseline assessment was done, Group A participants were given baseline treatment protocol for 4 weeks which included 3 sessions per week. Heating Pad applied for 15 min and TENS (Transcutaneous Electric Nerve Stimulation) for 10 min. After that Cervical isometric exercises performed in sitting (10sec hold, 10 to 15 reps). Group B was experimental group and participants were given baseline treatment in addition to Cervical Stabilization exercises for 4 weeks which included 3 sessions per week. The baseline measurement was taken on day one for Numeric Pain Rating Scale (NRPS) and Neck Disability Index (NDI). Forward head posture assessed by measuring Cranio Vertebral Angle (CVA). Respiratory muscle strengths measured by Spirometer and SBC (single breath count). All the measurements repeated at the end of fourth week. Data was analyzed by using SPSS version 20.

Full description

Extensive usage of electronic gadgets in today's life leads to the musculoskeletal problems among which neck pain is the most common problem reported to physicians, orthopedics and physical therapists. Even before reporting to clinics there is long history of using over the counter pain killers. Pain avoidance behaviors let the cervical spine stiff so much that a clinician help is sought. There is huge literature regarding the management of chronic neck pain and yet after the decades of research there are gaps in treatment options. In modern age of health care, it is common goal of every healthcare to make patient self-sufficient as early as possible. The self-care models have tremendous advantages. The current study has compared the effects of cervical stabilization exercises and isometric exercises. The current study was novel in a way that there is limited literature about treating Chronic Neck Pain Patients with effects of physiotherapy on respiratory strength in improving forward head posture. All the methods were employed to see if they improve ranges along with accompanying pain and disability.

Enrollment: 44 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with chronic neck pain for more than 3 months.
• Mild neck disability (NDI score 5-15)

Exclusion criteria

• Neck pain secondary to trauma
• Deformities of thoracic region or vertebral column
• History of any thoracic or vertebral column surgery.
• History of smoking
• Patients with any other serious pathology/red flags

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

baseline physical therapy treatment

Active Comparator group

Description:

baseline physical therapy treatment ,Control group- Group A

Treatment:

Other: baseline physical therapy treatment

Cervical Stabilization exercises

Experimental group

Description:

baseline physical therapy treatment along with Cervical Stabilization exercises- Experimental Group- Group B

Treatment:

Other: Cervical Stabilization exercises