Diaphragmatic Doming vs Breathing Exercises on Ventilatory Function & Core Endurance in Chronic Neck Pain

Mina Atef Georgui Elias

Status: Completed

Conditions: Neck Pain

Treatments: Other: Conventional exercise program for chronic neck pain; Other: Doming of the diaphragm; Other: Diaphragmatic Breathing Exercise; Other: Pursed Lip Breathing Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06119399

P.T.REC/012/003656

Details and patient eligibility

About

The purpose of the study is to investigate if there is any difference between effect of diaphragmatic doming versus breathing exercises on ventilatory function and core endurance in patients with chronic neck pain

Full description

Patients with chronic neck pain will be participated in this comparative study.

They will be divided into 2 groups:

Group (A) will be consisted of 30 patients who will receive conventional physiotherapy treatment for chronic neck pain plus breathing exercise (diaphragmatic and pursed lip breathing) (Three sessions per week for 6 weeks) Group (B) will be consisted of 30 patients who will receive conventional physiotherapy treatment for chronic neck pain plus Doming of the diaphragm (Three sessions per week for 6 weeks)

Pulmonary functions and neck endurance will be assessed for all patients in both groups before the first session and after the last session

Enrollment: 60 patients

Sex: All

Ages: 20 to 30 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient has chronic neck pain (for more than 3 months)
• Their age ranged from 20 to 30 years old
• Their body mass index ranged from (18.5 -29.9) kg/m2
• Poor results on the cranio-cervical flexion (CCF) test using a pressure biofeedback instrument.

Exclusion criteria

• History of respiratory disease and Clinical signs of a severe cardiac event.
• Severe psychiatric or cognitive impairment
• Tumor and Spinal fractures
• Spinal cord compression that required urgent surgery
• Current or past Smokers
• Obese (BMI >30) or underweight (BMI ˂18.5)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Breathing Exercises Plus Conventional Exercise Program for Chronic Neck Pain

Experimental group

Description:

Subjects will receive conventional exercise program for Chronic Neck Pain in addition to breathing exercises (diaphragmatic and pursed lip breathing) for (three sessions per week for six weeks).

Treatment:

Other: Pursed Lip Breathing Exercise

Other: Diaphragmatic Breathing Exercise

Other: Conventional exercise program for chronic neck pain

Doming of the diaphragm plus Conventional Exercise Program for Chronic Neck Pain

Experimental group

Description:

Patients in this arm will receive conventional physiotherapy treatment for Chronic Neck Pain in addition to doming of the diaphragm (three sessions per week for six weeks).

Treatment:

Other: Doming of the diaphragm

Other: Conventional exercise program for chronic neck pain