Effect of Respiratory Muscle Exercises Versus Deep Neck Flexor Training on Pain, Function and Neck Muscle Endurance in Patients With Chronic Mechanical Neck Pain

Cairo University1 个研究点分布在 1 个国家目标入组 66 人开始时间: 2026年3月10日最近更新: 2026年4月22日

适应症

干预措施

试验速览

阶段: 不适用
状态: 招募中
发起方: Cairo University
入组人数: 66
试验地点: 1
主要终点: Neck pain

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

This study will be conducted to compare the effect of adding respiratory exercises versus deep neck flexor training to conventional program on pain, cervical ROM, cervical muscle endurance, function, and chest expansion in patients with chronic mechanical neck pain. Sixty-six (66) of both genders ranging in age from 18 to 35 years old, with a history of mechanical neck pain longer than 3 months (chronic neck pain) will be invited to participate in this study. Participants will be randomly assigned into one of the three experimental groups as follow:

Group A will receive respiratory exercises in form of diaphragmatic breathing & respiratory muscle stretch gymnastics plus conventional program.

Group B will receive deep neck flexor training in the form of low-load craniocervical flexion using feedback from an air-filled pressure sensor placed behind the neck plus conventional program.

Group C (control group) will receive conventional program in form of TENS, infrared, isometric neck strengthening exercises and stretching exercises.

详细描述

Introduction:

Neck pain (NP) impacts the cervical motor system, posture, and movement. Motor output of cervical muscles is impaired. Muscles have decreased strength, endurance, and force steadiness and cervical muscle behavior is altered eg., decreased activity of deep postural muscles, reduced directional specificity, delayed onset of muscle responses and muscle fatigability. Patients with neck pain usually present with weak deep neck flexors and extensors, increased fatigability of superficial neck flexors, alterations in posture, limited range of motion, decreased proprioception and other psycho-social affections such as anxiety, depression, kinesiophobia, and catastrophizing. These factors are responsible for the predisposition of respiratory dysfunction in these patients.

Statement of the problem:

This study will be conducted to answer the following question: Does adding respiratory exercises or deep neck flexor training to conventional program have any effect on pain, ROM, cervical muscle endurance, function, and chest expansion?

Significance of the study:

研究设计

研究类型: Interventional
分配方式: Randomized
干预模型: Parallel
主要目的: Treatment
盲法: Single (Participant)

入排标准

年龄范围: 18 Years 至 35 Years（Adult）
性别: All
接受健康志愿者: 否

入选标准

•Patients have mechanical neck pain lasting longer than three months.
•The ages of patients range from 18 to 35 years.
•Patients are lifetime non-smoker and non-alcoholic.

排除标准

•History of trauma or cervical spine fractures.
•Previous spinal surgery.
•Any inflammatory pathology.
•Any cervical disc pathology and neurological signs.
•Malignancy.
•Cervical radiculopathy.
•Rheumatoid arthritis.
•Pregnant female.
•Currently using muscle relaxation medication.
•History of respiratory and cardiovascular illness

研究组 & 干预措施

Respiratory exercises group

Experimental

22 male and female patients with chronic mechanical neck pain who will receive respiratory exercises in form of diaphragmatic breathing & respiratory muscle stretch gymnastics plus conventional program.

干预措施: Respiratoty exercises (Other)

control group

Experimental

22 male and female patients with chronic mechanical neck pain who will receive conventional program in form of TENS, infrared, isometric neck strengthening exercises and stretching exercises

干预措施: conventional program (Other)

Deep neck flexor training group

Experimental

22 male and female patients with chronic mechanical neck pain who will receive deep neck flexor training in the form of low-load craniocervical flexion using feedback from an air-filled pressure sensor placed behind the neck plus conventional program

干预措施: Deep neck flexor training (Other)