Effect of Adding Diaphragmatic Breathing Exercise to Conventional Physiotherapy Intervention on Pain and Sleep Quality in Individuals With Non-specific Chronic Neck Pain: A Randomized Control Trial
Trial Snapshot
- Phase
- Phase 2
- Status
- Completed
- Sponsor
- University of Jordan
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- neck pain
Study Overview
Brief Summary
This research focuses on adding diaphragmatic breathing to conventional physiotherapy sessions, particularly for patients suffering from chronic neck pain aged between 20-40 years in Jordan. Chronic neck pain is recognized as one of the most prevalent musculoskeletal pain disorders, significantly impacting physical, social, and psychological aspects of life. This issue leads to a decline in functional performance and work productivity, negatively affecting both individual and societal levels. Several factors, such as poor posture and prolonged use of smartphones, contribute to the exacerbation of non-specific chronic neck pain. These problems also affect respiratory muscles, particularly the diaphragm responsible for primary respiration, resulting in a shift from abdominal to chest breathing. This alteration increases the use of neck muscles, subsequently intensifying neck pain and negatively impacting sleep quality in these individuals. The primary objective of this therapeutic study is to investigate the role of adding diaphragmatic breathing to physiotherapy sessions in alleviating pain and improving sleep quality.
RCT study will investigate the effect of adding the diaphragmatic breathing to conventional physiotherapy treatment on pain and sleep quality over one month.
Detailed Description
Non-specific chronic neck pain (NSCNP) is discomfort originating in the area between the superior nuchal line and the spinous process of the initial thoracic vertebra, extending to the scapula region, anterior chest wall, head, or upper limb . NSCNP is defined as neck discomfort persisting for over 12 weeks and is categorized as mechanical neck pain . demonstrated that NSCNP is associated with factors like forward head posture and rounded shoulders. Prolonged smartphone use, exceeding 10 hours per week, is linked to neck pain development . Additionally, found a positive correlation between mobile phone use duration and neck pain intensity, suggesting that individuals with poor posture, spending more than 10 hours daily on their phones, increase activation of neck muscles, including superficial muscles like sternocleidomastoid, anterior scalene, and trapezius. Recent findings reported that 54% of participants used their phones for more than 4 hours daily, increasing the occurrence of NSCNP .
Several negative factors affect individuals with non-specific chronic neck pain, such as poor posture, prolonged use of mobile phones throughout the day, and unhealthy sleep habits, contributing to increased neck pain and disrupting normal breathing patterns. Therefore, incorporating simple breathing re-education exercises, such as diaphragmatic breathing, into conventional physiotherapy interventions is considered effective and beneficial. It is also time-efficient and cost-effective. Moreover, this exercise is easily performed in various situations.
The aim of this study
Primary aim:
To assess the effectiveness of adding diaphragmatic breathing exercise to conservative physiotherapy interventions on pain and sleep quality in individuals with non-specific chronic neck pain.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Masking Description
the participants will not know which of exercises that will be giving for them more better in experimental or control group
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Participants aged between 20 and 40
- •experienced neck pain for more than 3 months
Exclusion Criteria
- •Individuals with neurological or cardiorespiratory problems
- •Individuals with cancer
- •Individuals with officially diagnosed sleep disturbances
- •Individuals with experiencing neck pain for less than 3 months
- •Individuals with psychological diseases
Arms & Interventions
group two
conventional physiotherapy exercise such as ROM, stretching exercises for superficial neck muscles
Intervention: conventional physiotherapy exercise (Other)
group one
diaphragmatic breathing exercise in addition to conventional physiotherapy such as ROM, stretching exercises for superficial neck muscles
Intervention: diaphragmatic breathing exercise (Other)
group one
diaphragmatic breathing exercise in addition to conventional physiotherapy such as ROM, stretching exercises for superficial neck muscles
Intervention: conventional physiotherapy exercise (Other)
Outcomes
Primary Outcomes
neck pain
Time Frame: assessed before and after 4 weeks
assessed by visual analogue scale. from 0 to 10 therefor 0 mean no pain where as 10 mean extremely pain
Secondary Outcomes
- sleep quality(assessed before and after 4 weeks)
Investigators
Islam Mazen Kamal Alnaqeeb
Principal Investigator
University of Jordan