Effectiveness of an Intervention Plan Targeting the Diaphragm in Young Adults With Chronic Non-specific Neck Pain: Randomised Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Change in the intensity of pain in the cervical spine after applying the diaphragm intervention plan
研究概览
简要总结
The aim of this study is to analyse the effectiveness of an intervention plan targeting the diaphragm, namely stretching technique, neuromuscular diaphragm and phrenic centre inhibition, in the treatment of chronic non-specific neck pain.
详细描述
Chronic neck pain is defined as pain and discomfort between the superior nuchal line and the spinous process of the first thoracic vertebra, which may radiate to the scapula, anterior chest wall, skull or upper limbs. It is classified as chronic if the pain persists for more than 12 weeks. Associated symptoms include headache, dizziness and pain or paresthesia in the upper limbs. These symptoms interfere with daily life and have a negative impact on physical and mental health.
The aetiology of this pathology is multifactorial and the triggering factors may vary due to the close relationship that the cervical spine has with other structures, namely the diaphragm muscle.
Our aim is to verify the effectiveness of an osteopathic treatment protocol targeting the diaphragm in chronic non-specific neck pain in young adults. Specifically, to analyse whether the mechanical, fascial and neural pathways established by the defined manual techniques, namely stretching techniques, neuromuscular inhibition of the diaphragm and the phrenic centre, have any effect on active movements (rotations and inclinations) and chronic neck pain.
This study will analyse the effects of diaphragmatic techniques on the following variables: Numerical Pain Scale and Goniometer Pro© (G-pro©).
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
- Double (Participant, Outcomes Assessor)
盲法说明
Double
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
- •Present a negative Jackson test;
- •Have a body mass index (BMI) of 20-29.9 kg/m2;
- •Suffer from chronic non-specific neck pain for 3 months or more.
排除标准
- •Have a history of cervical spine surgery, as well as any trauma or fracture of the cervical spine, clavicle, scapula and ribs;
- •Have specific neck pain due to degenerative diseases (disc prolapse, scoliosis);
- •Having a congenital cervical deformity, such as torticollis;
- •Being pregnant;
- •Having rheumatic, oncological or respiratory pathologies;
- •Have liver or gallbladder pathologies;
- •Receiving physiotherapy, osteopathy, acupuncture or massage treatment for neck pain 3 months before and during participation in the study;
- •Taking analgesics, anti-inflammatories or muscle relaxants 5 days prior to the intervention.
结局指标
主要结局
Change in the intensity of pain in the cervical spine after applying the diaphragm intervention plan
时间窗: 12 minutes after the intervention
The questionnaire of Numerical Pain Scale (NPS) will be the instrument used to access the volunteer's pain, which consists of a numerical scale from 0 to 10, in which 0 is absence of pain and 10 is maximal pain. This questionnaire is carried out at rest and at the end of the available range of lateral inclinations and rotations of the cervical spine, which are the most painful movements in this pathology.
Changes in range of motion after applying the diaphragm targeted protocol
时间窗: 12 minutes after the intervention
The range of motion of the cervical spine, rotations and lateral inclinations will be measured using the Goniometer Pro© (G-pro©) to compare the pre- and post-intervention samples. NPS questionnaire data will be collected from the subject's report and recorded in an Excel spreadsheet with the appropriate identification code. The range of motion data will be collected by the assessor and recorded in an Excel spreadsheet with the appropriate identification code.
次要结局
- Changes in pain level one week after the intervention(One week after the intervention.)
- Changes in range of motion one week later(One week after the intervention.)
研究者
Natália Maria Oliveira Campelo
Teacher
Escola Superior de Tecnologia da Saúde do Porto