The Effect of Manual Treatment on Respiratory Parameters, Pain, Posture and Quality of Life in Chronic Neck Pain Individuals
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Hacettepe University
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- respiratory function(forced vital capacity,peak expiratory flow,maximum voluntary ventilation,forced expiratory flow at 1sn)
Study Overview
Brief Summary
Neck pain which is common musculoskeletal system problem in all populations, negatively affects functional status and quality of life. Muscle spasms, postural problems in cervical and thoracic regions and impairment on respiratory parameters (respiratory functions and respiratory muscle strength) is seen with neck pain. Manual therapy and exercise are widely preferred in the treatment of neck pain for improve pain, posture, muscle strength, range of motion, functional status and quality of life.
There are some studies showing that manual therapy improves respiratory parameters in pulmonary diseases but studies are lacking for neck pain. Our aim is to indicate that effects of manual therapy, manual therapy for different regions (cervical and/or thoracal region) and exercises for pain, posture, quality of life and also respiratory parameters in patients with chronic neck pain.
Detailed Description
Manual therapy and exercises are evidence-based methods for improving pain, muscle strength, range of motion, function and quality of life in individuals with neck pain. These physiotherapy approaches have been shown to improve respiratory functions in patients with neck pain and also in pulmonary diseases such as cystic fibrosis and chronic obstructive pulmonary diseases.
Studies show that to improve respiratory parameters in patients for chronic neck pain, mobilization of thoracic region and exercises for endurance of deep neck muscles are beneficial. Despite the proposal given in this study, there are few studies evaluating the relationship between respiratory functions and the strength of respiratory muscles in patients with neck pain in detail, and also the effectiveness of different physiotherapy-rehabilitation methods on respiratory functions on neck pain. In a single study on this subject, thoracic region manual therapy, stretching exercise program and both of these applications were applied for the subjects. At the end of the treatment, respiratory functions developed in all three groups; but both applications group have been shown to more effective than thoracic manual therapy group for increasing respiratory functions.Exercises and manual therapy for cervical and/or thoracic region frequently used for chronic neck pain but there are no studies that compare manual therapy for different region on respiratory parameters. Therefore, our aim is to determine the effects of exercises with manual therapy methods for cervical and/or thoracic region in chronic neck pain patients on pain, posture, quality of life, as well as on respiratory parameters.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Individuals who have pain for at least 3 month with mechanical neck pain
- •Individuals voluntarily participating to the study
Exclusion Criteria
- •Individuals who have undergone cervical, spinal, thoracic, or abdominal region surgeries or pathology; whiplash injury; neurological deficit; osteoporosis; rheumatological disease; pulmonary disease; pharmacological treatment; or malignancy; or have a body mass index (BMI) >40 or were smokers
Arms & Interventions
cervical group
cervical spinal mobilizations, exercises, 2 session for 6 weeks
Intervention: cervical (Other)
cervical group
cervical spinal mobilizations, exercises, 2 session for 6 weeks
Intervention: exercises (Other)
thoracic group
cervical and thoracic spinal mobilizations, exercises, 2 session for 6 weeks
Intervention: cervical (Other)
thoracic group
cervical and thoracic spinal mobilizations, exercises, 2 session for 6 weeks
Intervention: thoracic (Other)
thoracic group
cervical and thoracic spinal mobilizations, exercises, 2 session for 6 weeks
Intervention: exercises (Other)
exercise group
exercises, 2 session for 6 weeks
Intervention: exercises (Other)
Outcomes
Primary Outcomes
respiratory function(forced vital capacity,peak expiratory flow,maximum voluntary ventilation,forced expiratory flow at 1sn)
Time Frame: change from baseline respiratory parameters at six weeks
respiratory function will be measured with spirometer (%)high degrees represent better outcome, low degrees represent worse outcome)
respiratory muscle strength
Time Frame: change from baseline respiratory muscle strength at six weeks
inspiratory muscle strength and expiratuary muscle strength will be measured with digital mouth pressure measuring device (%).
Secondary Outcomes
- pain position(change from baseline pain at six weeks)
- posture(change from baseline posture at six weeks)
- range of motion(change from baseline range of motion at six weeks)
- neck functional status(change from baseline functional status at six weeks)
- quality of life status(change from baseline quality of life at six weeks)
- anxiety level(change from baseline anxiety level at six weeks)
- depression level(change from baseline depression level at six weeks)
- physical activity level(change from baseline physical activity level at six weeks)
- kinesiophobia(change from baseline kinesiophobia at six weeks)
- neck muscle endurance(change from muscle endurance baseline at six weeks)
- neck and upper limb strengths test(change from baseline strength at six weeks)
- pressure pain(change from baseline strength at six weeks)
- Thoracal expansion(change from baseline expansion strength at six weeks)
Investigators
SEVAL TAMER
Principal Investigator
Hacettepe University