Diaphragmatic Breathing and Electroacupuncture in Patients With Chronic Neck Pain
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Enrollment
- 72
- Locations
- 1
- Primary Endpoint
- Pain Intensity
Study Overview
Brief Summary
Chronic non specific neck pain is a prevalent musculoskeletal disorder with significant impact on pain, forward head posture, and neck disability. Diaphragmatic breathing has been shown to improve relaxation and reduce musculoskeletal pain, while electroacupuncture has potential benefits in modulating pain pathways. However, the combined effect of these interventions in chronic neck pain remains unexplored. This randomized clinical trial aims to evaluate the effectiveness of diaphragmatic breathing and electroacupuncture, in addition to physiotherapy care, compared to simple, focused breathing, electroacupuncture, and physiotherapy care. The primary outcomes are the numeric pain rating scale (NPRS) and neck disability index (NDI), while secondary outcome include craniovertebral angle (CVA).
Detailed Description
Chronic neck pain (CNP) is characterized as persisting pain for more than 3 months, which has a longer expected recovery time. It may be linked to a deficiency or modification of the proprioception of the neck muscles, which is essential for head motor control, cervical joint position, and postural stability (PS). In terms of pain and disability, neck discomfort presents a significant medical problem for patients. According to reports, neck pain is a major cause of illness and a global hardship. The most typical signs of the aforementioned condition are localized, dull, and deep muscle discomfort. Additional symptoms include exhaustion, stiffness, pain, decreased activity, involvement restriction, and difficulty performing coordinated motions.
Standard physiotherapy for persistent neck pain, which includes stretching, isometric exercises, and hot pack therapy, has been shown in recent trials (2021-2024) to effectively reduce pain and improve function. Isometric exercises, self-stretching, active range of motion, heat packs, and self-mobilization methods were all used in this recent randomized controlled experiment.
A breathing technique called diaphragmatic breathing training encourages maximum exhalation, enhances lung ventilation, and facilitates the release of secretions from the trachea. The objectives of these exercises are to modify the recruitment of respiratory muscles, decrease hyperinflation, enhance respiratory muscle function, maximise thoracoabdominal mobility, and lessen dyspnoea. Through diaphragmatic respiration, they can support trunk stability and lung function and posture correction.
CNP is also treated in traditional medicine using various techniques. Electroacupuncture (EA) is one of such techniques; it is safe and doesn't require medication, and numerous studies have shown that it effectively reduces pain and enhances patients' quality of life. Electroacupuncture (EA) is a modified form of acupuncture in which, following a traditional acupuncture procedure, weak electronic currents are applied through the needles.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients having a history of the previous 3 months of chronic neck pain
- •Patients having paradoxical breathing
- •CVA less than 49 degrees
Exclusion Criteria
- •Congenital abnormality of the cervical spine
- •Post-traumatic neck pain
- •Hemorrhagic diseases
- •Radiculopathy
Arms & Interventions
Physiotherapy care, Diaphragmatic breathing, Electroacupuncture
These patients will receive physiotherapy care, diaphragmatic breathing, and electroacupuncture as part of their treatment program.
Total session time: 50 minutes Treatment schedule: 3 sessions on alternate days for 6 weeks
Intervention: physiotherapy care, diaphragmatic breathing, and electroacupuncture (Other)
Physiotherapy care, Simple focused breathing, Electroacupuncture
These patients will receive physiotherapy care, simple focused breathing exercises, and electroacupuncture as part of their treatment program.
Total session time: 50 minutes Treatment schedule: 3 sessions on alternate days for 6 weeks
Intervention: physiotherapy care, simple focused breathing exercises, and electroacupuncture (Other)
Outcomes
Primary Outcomes
Pain Intensity
Time Frame: Baseline 1st, 3rd and at 6th week of intervention
Pain intensity will be assessed using the Numeric Pain Rating Scale, an 11 point scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. Higher scores indicate greater pain (worse outcome).
Neck Disability
Time Frame: Baseline 1st, 3rd and at 6th week of intervention
Neck disability will be assessed using the Neck Disability Index Urdu version , a 10-item questionnaire with a total score ranging from 0 to 50. Higher scores indicate greater disability (worse outcome).
Secondary Outcomes
- Craniovertebral Angle (CVA)(Baseline 1st, 3rd and at 6th week of intervention)