Clinical trial NCT06119399: Diaphragmatic Doming vs Breathing Exercises on Ventilatory Function & Core Endurance in Chronic Neck Pain
Official title: Effect Of Diaphragmatic Doming Versus Breathing Exercises On Ventilatory Function And Core Endurance In Chronic Neck Pain Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Chronic Neck Pain
Lead sponsor: Badr University
Sponsor class: OTHER
First posted: 2023-11-07
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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

Detailed description: 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

Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

* 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)

Primary outcomes:
measure: Endurance of deep cervical flexors
timeFrame: 6 weeks
measure: Forced expiratory volume in the first second (FEV1)
timeFrame: 6 weeks
measure: Forced vital capacity (FVC).
timeFrame: 6 weeks
measure: Peak expiratory flow rate (PEFR)
timeFrame: 6 weeks
measure: Neck Disability Index (NDI)
timeFrame: 6 weeks
measure: Visual Analogue Score for pain intensity
timeFrame: 6 weeks
Secondary outcomes:
measure: FEV1/FVC ratio
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Outpatient Clinic; Faculty of Physical Therapy, Badr University in Cairo.
state: Badr
city: Giza
country: Egypt
facility: Outpatient clinic, Faculty of physical therapy, Cairo University.
state: Dokki
Study officials:
affiliation: Assistant Lecturer, dept of internal medicine & geriatric, Badr University in Cairo.
name: Eman NE Sayed, M.Sc.
role: PRINCIPAL_INVESTIGATOR
affiliation: Lecturer, dept of internal medicine & geriatric, Badr University in Cairo.
name: Mina AG Elias, Dr.
role: STUDY_CHAIR
affiliation: Dept of PT for Cardiovascular/Respiratory Disorder & Geriatrics, Faculty of PT, Cairo Univ.
name: Hany E Obaya, Ass.Prof.Dr
role: STUDY_DIRECTOR
affiliation: Dept of PT for Cardiovascular/Respiratory Disorder & Geriatric, Faculty of PT, Cairo Univ.
name: Asmaa M Sharabash, Dr.
role: STUDY_CHAIR
References: