Effect Of Diaphragmatic Doming Versus Breathing Exercises On Ventilatory Function And Core Endurance In Chronic Neck Pain Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Endurance of deep cervical flexors
研究概览
简要总结
The purpose of the study is to investigate if there is any difference between effect of diaphragmatic doming versus breathing exercises on ventilatory function and core endurance in patients with chronic neck pain
详细描述
Patients with chronic neck pain will be participated in this comparative study.
They will be divided into 2 groups:
Group (A) will be consisted of 30 patients who will receive conventional physiotherapy treatment for chronic neck pain plus breathing exercise (diaphragmatic and pursed lip breathing) (Three sessions per week for 6 weeks) Group (B) will be consisted of 30 patients who will receive conventional physiotherapy treatment for chronic neck pain plus Doming of the diaphragm (Three sessions per week for 6 weeks)
Pulmonary functions and neck endurance will be assessed for all patients in both groups before the first session and after the last session
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
- None
入排标准
- 年龄范围
- 20 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient has chronic neck pain (for more than 3 months)
- •Their age ranged from 20 to 30 years old
- •Their body mass index ranged from (18.5 -29.9) kg/m2
- •Poor results on the cranio-cervical flexion (CCF) test using a pressure biofeedback instrument.
排除标准
- •History of respiratory disease and Clinical signs of a severe cardiac event.
- •Severe psychiatric or cognitive impairment
- •Tumor and Spinal fractures
- •Spinal cord compression that required urgent surgery
- •Current or past Smokers
- •Obese (BMI >30) or underweight (BMI ˂18.5)
结局指标
主要结局
Endurance of deep cervical flexors
时间窗: 6 weeks
Endurance of deep cervical flexors muscles will be measured by the cranio-cervical flexion test using a pressure biofeedback instrument. During the cranio-cervical flexion test, the subject lay in the crook lying position and the pressure biofeedback instrument will be placed under the neutral cervical spine below the occiput and inflated up to 20 mmHg. The subjects will perform this movement at 5 different pressure levels, i.e., 22, 24, 26, 28, and 30 mmHg. Each level will be supposed to be held for 10 s, and the test will be terminated if they were unable to hold the position for 10 s at any level or if the maximum level was achieved (30 mmHg).
Visual Analogue Score for pain intensity
时间窗: 6 weeks
Visual Analogue score is a measure of pain severity, it is assessed by the self-reported Visual Analogue Scale (VAS). The Visual Analogue Scale evaluates the intensity of pain. It consists of a 10 cm line, that has two end points, where 0 represents "no pain at all" while 10 indicates "most severe pain". Every patient is asked to rate his/her level of pain by placing a mark on the line. Use a ruler to measure the distance in centimetres from the 'no pain' (or zero) to the current pain mark. This provides pain intensity score out of 10.
Forced expiratory volume in the first second (FEV1)
时间窗: 6 weeks
Forced expiratory volume in the first second (FEV1) is one of ventilatory function test parameters, measured using Spirometry, Model SpirOx plus (by Meditech company-China) The forced expiratory volume in 1 second (FEV1) is the volume of air (in liters) exhaled in the first second during forced exhalation after maximal inspiration.
Forced vital capacity (FVC).
时间窗: 6 weeks
Forced vital capacity (FVC) is one of pulmonary function test parameters, measured using Spirometry, Model SpirOx plus (by Meditech company-China) Forced vital capacity (FVC) is the volume of air that can forcefully expired from the lungs following maximum inspiration, it is measured in liters.
Neck Disability Index (NDI)
时间窗: 6 weeks
Neck function is assessed using the self-reported Neck Disability Index (NDI), which is a valid and reliable test for measuring neck disability. The NDI consists of 10 items referring to daily activities (work, lifting, driving, sleeping, reading, headaches, recreation, concentration, personal care, and pain intensity). Each item (ranging from 0 to 5, with a score of 0 for no pain and no limitation and a score of 5 for maximum pain and limitation). The total maximum score is 50.
Peak expiratory flow rate (PEFR)
时间窗: 6 weeks
Peak expiratory flow rate (PEFR) is the maximal flow (or speed) achieved during the maximally forced expiration initiated at full inspiration, measured in liters per second. Peak expiratory flow rate (PEFR) as a pulmonary function, is measured using Spirometry, Model SpirOx plus (by Meditech company-China)
次要结局
- FEV1/FVC ratio(6 weeks)
研究者
Mina Atef Georgui Elias
Lecturer of Internal Medicine and Geriatric, Faculty of Physical Therapy, Badr University in Cairo.
Badr University