Effect Of Breathing Retraining On Pain And Diaphragmatic Excursion Using Ultrasound Measurements In Chronic Non-Specific Neck Pain Individuals With Breathing Pattern Dysfunction.
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Pain and Diaphragmatic Excursion
Overview
Brief Summary
chronic non-specific neck pain is unspecified neck pain without particular underlying condition and pain intensity will last for more than three months. Patients with chronic neck pain found to have altered respiratory pattern because of overactivation of neck and thoracic muscle, restricted cervico-thoracic mobility and postural imbalances which results in changes the biomechanics of the breathing often leading to dysfunction of the diaphragm which ultimately causes breathing pattern dysfunction. traditional conventional therapy for neck pain have showed a significant results pain and disability, for effective management combining the breathing retraining with conventional therapy will have beneficial outcome. breathing retraining focus on altering the dysfunctional pattern and activating the respiratory muscle in resting position and functional movements can help reducing the pain and restore the normal respiratory biomechanics. This randomized controlled trial aims to evaluate the effect of Breathing retraining on pain and diaphragmatic excursion using ultrasound measurements in Chronic non-specific neck pain individuals with breathing patten dysfunction.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 55.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients with Chronic Non-Specific Neck Pain for more than 3 months Pain intensity of 3-7 in NPRS patients with Forward Neck Posture of CVA less than 50 degree Patients with Breathing Pattern Dysfunction using SEBQ score more than 11.
Exclusion Criteria
- •Patient with BMI more than
- •pregnant women.
- •patients with co-ordination and balance dysfunction.
- •Patients with Neurological deficit.
- •Individuals who underwent cervical spine surgery, any chest wall surgeries, and abdominal surgeries.
- •Individuals with chest wall, spinal skeletal deformities.
- •Individuals with any pulmonary pathology.
- •Individuals with severe psychological disorder like depression, panic attacks, schizophrenia.
Outcomes
Primary Outcomes
Pain and Diaphragmatic Excursion
Time Frame: pain- At baseline (0 week), 4th week, end of treatment (8th week) | Diaphragmatic excursion-At baseline (0 week), end of the treatment (8th week)
Secondary Outcomes
- Neck disability index(At baseline (0 week), 4th week, end of treatment (8th week))
- Self evaluation breathing questionnarie(At baseline (0 week), 4th week, end of treatment (8th week))
- Manual assessment of respiratory motion(At baseline (0 week), 4th week, end of treatment (8th week))
- Cervical Range of Motion(At baseline (0 week), 4th week, end of treatment (8th week))
- Respiratory rate(At baseline (0 week), 4th week, end of treatment (8th week))
- CVA angle(At baseline (0 week))
Investigators
Bavithra Raja
Manipal Academy of Higher Education