Adding Rib Mobilization to Diaphragm Release Techniques in Patients With Non-Specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Numerical Pain Rating Scale (NPRS)
研究概览
简要总结
Rib mobilization is a therapeutic technique aimed at enhancing the mobility of the ribcage, which can have a significant impact on neck pain, even when the pain is classified as non-specific. The ribcage plays a crucial role in maintaining the alignment and posture of the upper body, including the neck. When the ribs are restricted or misaligned, it can lead to compensatory movements and increased strain on the cervical spine, contributing to neck pain. By mobilizing the ribs, we can restore their natural movement, which in turn can release tension in the surrounding musculature and improve the overall biomechanics of the thoracic and cervical regions. This approach not only addresses the immediate symptoms of neck pain but also targets the underlying structural issues that may perpetuate discomfort.
详细描述
The diaphragm is a major muscle involved in respiration, but its function extends beyond just breathing. It acts as a core stabilizer and influences the mechanics of the thoracic and cervical areas. Tension or dysfunction in the diaphragm can lead to altered breathing patterns and increased tension in the neck and shoulders, exacerbating non-specific neck pain. Releasing the diaphragm can improve respiratory efficiency and reduce undue stress on the neck. This release helps in re-establishing a more natural breathing pattern, which can alleviate pain and improve overall posture. Additionally, by addressing the diaphragm, we can indirectly affect the autonomic nervous system, promoting relaxation and reducing stress, which are often contributing factors to chronic pain syndromes.
An integrated approach that combines rib mobilization and diaphragm release can be particularly effective for managing non-specific neck pain. This method not only targets the symptoms but also addresses the root causes of neck discomfort. By improving rib and diaphragm function, we enhance the body's ability to maintain proper posture and reduce compensatory strain on the neck. This holistic treatment strategy is essential because it recognizes the interconnectedness of the body's musculoskeletal and respiratory systems. Furthermore, this approach empowers patients by providing them with a deeper understanding of their body mechanics and encouraging active participation in their rehabilitation process. Through this combination of manual therapy techniques, patients are likely to experience improved mobility, reduced pain, and a greater sense of well-being.
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)
入排标准
- 年龄范围
- 20 Years 至 45 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Neurological tests will be negative
- •Both genders having age between 20 to 45 years
- •Participants should have primary complaint of neck pain
- •Neck Disability Index (NDI) score of 20% or greater (i.e. 10 points or greater on a 0 to 50 scale)
- •A pain intensity of ≥4 on the 10-point Numerical Pain Rating Scale (NPRS)
排除标准
- •First and second rib fracture and dislocation
- •Past surgical history of cervical and thoracic region
- •Thoracic Outlet syndrome and cervical radiculopathy
- •Congenital anomalies of spine and ribs
研究组 & 干预措施
control
No intervention
RMT and DRT(Rib Mobilization Technique and Diaphragm Release Technique)
Rib Mobilization Technique and Diaphragm Release Technique(In the seated position, the participants remained seated on the stretcher, keeping the feet on the floor, while the therapist stood in front of him or her. The participant's head (frontal region) was positioned over his or her overlapping arms, which were placed on the therapist's trunk )
干预措施: Rib Mobilization Technique and Diaphragm Release Technique (Other)
RMT and DRT(Rib Mobilization Technique and Diaphragm Release Technique)
Rib Mobilization Technique and Diaphragm Release Technique(In the seated position, the participants remained seated on the stretcher, keeping the feet on the floor, while the therapist stood in front of him or her. The participant's head (frontal region) was positioned over his or her overlapping arms, which were placed on the therapist's trunk )
干预措施: Diaphragm Release Technique (Other)
DRT(Diaphragm Release Technique)
Diaphragm Release Technique:The DRT was performed according to the protocol described by Rocha et al.13 In this protocol, the participant remains in the supine position so that the therapist is able to maintain manual contact with the bottom edge of the rib cage
干预措施: Diaphragm Release Technique (Other)
结局指标
主要结局
Numerical Pain Rating Scale (NPRS)
时间窗: at baseline and at 8 weeks
The Numerical Pain Rating Scale (NPRS) is a subjective measure used to assess the intensity of neck pain in individuals. Patients are asked to rate their pain on a scale from 0 to 10, where 0 represents "no pain" and 10 signifies "the worst possible pain." This simple tool provides a quantitative measure of pain, enabling healthcare providers to evaluate the severity of the patient's condition and monitor changes over time. The NPRS is widely used due to its ease of application and effectiveness in capturing patient-reported pain intensity
Neck range of motion (ROM)
时间窗: at baseline and at 8 weeks
A goniometer is an instrument used to measure the range of motion (ROM) of the neck. It is an essential tool for evaluating the flexibility and mobility of the cervical spine. During the assessment, the goniometer is aligned with specific anatomical landmarks to measure the angles of neck flexion, extension, lateral flexion, and rotation. This objective data is crucial for identifying limitations in neck movement, which could contribute to pain and functional impairment. The goniometer is considered reliable and valid for assessing cervical ROM in clinical settings
次要结局
- Neck Disability Index(at baseline and at 8 weeks)
- Neck flexor Muscle Endurance Test(at baseline and at 8 weeks)
研究者
Ahmed Mohamed Ahmed Abd El hady El Fahl,ph.d
Assisstant professor
MTI University
