Diaphragmatic Doming vs Breathing Exercises on Ventilatory Function & Core Endurance in Chronic Neck Pain

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

Conditions

• Neck Pain

Interventions

OTHER

Diaphragmatic Breathing Exercise

Diaphragmatic breathing exercise will be taught by placing the subject comfortably positioned with either therapist or the patient's hand directed over the abdominal area and instructing the subjects to focus on an outward movement of the abdominal area throughout inspiration and an inward movement of the abdominal area during expiration. (4 sets, and as each set had 4 complete breathing breaks, these exercises will be conducted for 3 days a week for 6 weeks)

OTHER

Pursed Lip Breathing Exercise

Pursed lip breathing exercises will be performed by necessitating the subjects to inhale through their nose and then exhaling slowly for a period of 4-6 s by pursing the lips

OTHER

Doming of the diaphragm

* The physiotherapist places the thumbs just inferior to the patient's lower costal margin and xiphoid process with the thumbs pointing cephalad. * The patient is instructed to take a deep breath and exhale. On exhalation, the physiotherapist's thumbs follow the diaphragm, which permits the thumbs to move posteriorly. * The patient is instructed to inhale, and the physiotherapist gently resists this motion. * The patient is instructed to exhale, and the physiotherapist gently follows this motion posteriorly and cephalad, as the thumbs are now beneath the costal margin and xiphoid process. * The patient inhales as the physiotherapist maintains pressure on the upper abdomen and then, on repeated exhalation, encourages further cephalad excursion. * This procedure is repeated for three to five respiratory cycles until the diaphragm domes easily at the end of exhalation.

OTHER

Conventional exercise program for chronic neck pain

Patients will perform three repetitions of stretching exercises for neck flexor, extensor, lateral flexor, and rotator for 30 seconds as warm-up and cool-down exercises, to relieve tension on each side of the neck. Then cranio-cervical flexion exercise will be started using feedback from an air-filled pressure sensor placed behind the neck. Subjects will lay in the crook lying position. The pressure biofeedback unit will be placed below the occiput and inflated up to a baseline pressure of 20 mmHg. The subjects will be instructed to perform head-nodding action to progressively target 5 pressure levels (hold 10 seconds with brief rest periods between each contraction 3-5 seconds). This includes 3 sets in a session for 10 repetitions each with 2 minutes of rest between sets and 3days a week for 6 weeks.

Sponsors & Collaborators

• Mina Atef Georgui Elias

  lead OTHER

Principal Investigators

• Eman NE Sayed, M.Sc. · Assistant Lecturer, dept of internal medicine & geriatric, Badr University in Cairo.

• Mina AG Elias, Dr. · Lecturer, dept of internal medicine & geriatric, Badr University in Cairo.

• Hany E Obaya, Ass.Prof.Dr · Dept of PT for Cardiovascular/Respiratory Disorder & Geriatrics, Faculty of PT, Cairo Univ.

• Asmaa M Sharabash, Dr. · Dept of PT for Cardiovascular/Respiratory Disorder & Geriatric, Faculty of PT, Cairo Univ.

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

30 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-03-01

Primary Completion

2024-01-31

Completion

2024-05-31

Countries

• Egypt

Study Locations