Effect of First Rib Mobilization With Balloon Breathing Exercises
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      As Non specific chronic neck pain is effecting quality of life in many ways, there are many
      studies evaluating the methods to treat that problem. This study aims to determine Effect of
      first rib mobilization with balloon breathing exercises in non specific chronic neck pain.
      Patients would be divided into two groups and both received conventional treatment. Group A
      got conventional treatment only but Group B got 1st rib mobilization with balloon breathing
      exercises in addition.
    

Detailed description: 
      Nonspecific chronic neck pain (NSCNP) is defined as neck pain persisting for longer than 12
      weeks or after the healing period or recurring neck pain that intermittently affects an
      individual over a long time. Due to current life style, 22 to 70% of the population is
      expected to feel neck pain somewhere in their lives.

      People with non-specific chronic neck pain (NSCNP) present with local hyperalgesia, impaired
      conditioned pain modulation, low quality of life, and psychological disruptions (fear of
      movement, depressive symptoms, pain catastrophizing) A systematic review and meta-analysis on
      Respiratory dysfunction in patients with chronic neck pain reports that, patients with
      Chronic Neck Pain have reduced respiratory muscle strength and pulmonary function compared
      with asymptomatic individuals, and this difference could be clinically meaningful.

      As previous studies provides evidence about effect of MWM on non specific chronic neck pain
      and also states relation of breathing dysfunction in NSCNP so we aim to determine effect of
      first rib mobilization with balloon breathing exercise in addition to conventional treatment
      in non specific chronic neck pain.

      Patients would be divided into two groups and both received conventional treatment. Group A
      got conventional treatment only but Group B got 1st rib mobilization with balloon breathing
      exercises in addition.
    

Intervention name(s): First rib mobilization with balloon breathing exercises
Intervention type(s): Other
Intervention description(s): Patient was in the supine position, placing the soles of his feet against the wall so that the ankle, knee, and thigh joints are at a 90-degree angle. The subject placed a 3-4-inch ball between his/her knees, which he/she has to maintain through the pressure of the internal thigh muscles during the whole training period and puts his/her back on the bed. Holds the right hand above the head and the left hand with the balloon. Meanwhile examiner would palpate 1st rib with head in left side flexion. Patient was then asked to inhale through the nose in three-four seconds and then exhales slowly into the balloon. Then, holding the first rib in place, the patient was asked to inhale and exhale deeply again. The examiner continued applying pressure to hold the first rib in a position of relative depression during inhalation, and further depressed the first rib as able during exhalation.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment