Effects of Respiratory Muscle Training on Pulmonary Function

Not Applicable

Completed

• Conditions: Chronic Neck Pain
• Interventions: Other: Neck stretching exercises

• Registration Number: NCT05588765
• Lead Sponsor: University of Lahore

Brief Summary

The study was conducted to determine the effects of respiratory muscle training on pulmonary function and musculoskeletal parameters in patients with chronic neck pain. It included 43 patients, 20-40 years old males and females having non-specific chronic neck pain for more than three months and with low maximum voluntary ventilation (MVV) values were included. Control group (n=21) received conventional physiotherapy with diaphragmatic breathing exercises and experimental group (n=23) received conventional physiotherapy with specially designed respiratory exercise protocol. It concluded that RMT in addition to conventional physiotherapy is effective to improve musculoskeletal and pulmonary parameters in CNP patients.

Detailed Description

To determine the effects of respiratory muscle training on pulmonary function and musculoskeletal parameters in patients with chronic neck pain.

Study design: A randomized controlled trial Place and Duration of Study: Riphah Rehabilitation and Research Center in Railway General Hospital and Benazir Bhutto Hospital, Rawalpindi from January 2019 to July 2019.

Methodology: 43 patients, 20-40 years old males and females having non-specific chronic neck pain for more than three months and with low maximum voluntary ventilation (MVV) values were included. Control group (n=21) received conventional physiotherapy with diaphragmatic breathing exercises and experimental group (n=23) received conventional physiotherapy with specially designed respiratory exercise protocol. They were assessed prior to, at 2nd week and after 4 weeks of treatment.

Study Timeline

• Study Start: 2019-03-01
• Primary Completion: 2019-07-31
• Study Completion: 2019-08-31
• Status Verified: 2022-10
• Study First Submitted: 2022-10-03
• Study First Submitted QC: 2022-10-18
• Last Update Submitted: 2022-10-18
• Study First Posted: 2022-10-20
• Last Update Posted: 2022-10-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 43

Inclusion Criteria

• . Patients having non-specific chronic neck pain with or without headache for more than three months with pain complaints at least once a week 2. Males and females both of age 20 to 40 years old 3. Patients with low maximum voluntary ventilation (MVV) values i.e., less than 110 L/min in males and 80 L/min in females

Exclusion Criteria

• Patients already participating in physiotherapy program 2. Patients with past history of

  • surgery to the cervical spine
  • traumatic cervical injuries
  • clinical abnormalities or surgeries of the thoracic cage or vertebral column
  • severe obesity (BMI>40)
  • pregnancy
  • smoking history/occupational industrial exposures
  • chronic neuro-musculoskeletal pain in any other non-related body area
  • respiratory or cardiac illness, diabetes mellitus and serious comorbidities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Respiratory muscle endurance training	Neck stretching exercises	Volume oriented incentive spirometer improves respiratory muscle endurance and chest expansion.
Diaphragmatic breathing exercises	Neck stretching exercises	Improvement in diaphragm contraction, chest wall symmetry and reduce activity of accessory muscle due to diaphragmatic breathing technique causes respiratory muscle endurance to improve.

Primary Outcome Measures

Name	Time	Method
Change from baseline in Pulmonary Function	Baseline and 4 weeks	Determines possible obstruction or restriction is present in patients suspect-able to lung dysfunction
Change from baseline in Cloth tape measurement technique	Baseline and 4 weeks	Cloth tape measurement technique is used as an outcome measure for chest expansion in management of cardio respiratory conditions.

Trial Locations

Locations (1)

Suman; 🇵🇰 Islamabad, Pakistan