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IRCT20200226046623N1 IRCT 2020-04-17 University of Lahore Breathing reeducation in neck pain Effects of breathing Reeducation on clinical outcomes in non specific chronic neck pain. 2020-02-27 anticipated 80 Complete https://irct.ir/trial/46240 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment, Randomization description: simple randomization by sealed envelop method, Blinding description: participants in the study are blind to the treatement to which they are exposed to.The assessor who is measuring the outcome measures is unaware of the treatment the patient has gone through. N/A Non specific Neck pain. Intervention 1: Intervention group: Group will receive supervised breathing exercises focusing on proper inhalation, exhalation and chest expansion for 15 minutes with routine physical therapy treatment in form of infrared for 10 minutes, isometric exercises for flexor, extensor and side flexor of cervical spine in supine lying 20 repetitions with 10 seconds hold. Patients will undergo the intervention twice a week for consecutive 8 weeks. Outcome measures will be taken for musculoskeletal and respiratory elements on baseline and at 4th and 8th week respectively. For musculoskeletal element Pain and ROM will be assessed by using visual Analogue scale and CROM (deluxe), Functional disability will be measured through Neck disability index. Cervical muscle strength and endurance will be measured through isometric neck dynamometer and craniocervical flexion test respectively. For respiratory element Spirometer will be used for assessing pulmonary volumes, flows and maximal voluntary ventilation. Intervention 2: Control group: Control group will receive routine physical therapy treatment in form of infrared for 10 minutes, isometric exercises for flexor, extensor and side flexor of cervical spine in supine lying 20 repetitions with 10 seconds hold. Patients will undergo the intervention twice a week for consecutive 8 weeks. Outcome measures will be taken for musculoskeletal and respiratory elements on baseline and at 4th and 8th week respectively. For musculoskeletal element Pain and ROM will be assessed by using visual Analogue scale and CROM (deluxe), Functional disability will be measured through Neck disability index. Cervical muscle strength and endurance will be measured through isometric neck dynamometer and craniocervical flexion test respectively. For respiratory element Spirometer will be used for assessing pulmonary volumes, flows and maximal voluntary ventilation. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Mainly due to institutional policy
public Sahreen Anwar
Street#2, canal park, Vip block
Faisalabad Pakistan 38000 +92 41 8750106 sahreenanwar@yahoo.com The University of Lahore scientific Sahreen Anwar
Street#2, canal park, Vip block
Faisalabad Pakistan 38000 +92 41 8750106 sahreenanwar@yahoo.com The University of Lahore Pakistan Patients having non specific neck pain for more than 3 months• Patients having no history of respiratory disease• Patients having FEV1/FVC ratio=0.7 or 70% of the predicted value• Patients having no history of antidepressant drug treatment• Both genders Age between 25-50 years 25 years 50 years Both Smokers• Known history of depression• Patients having any sort of Asthma• Patients with upper cervical signs and symptoms• Prolong sitting. Treatment - Other Other Intervention group: Group will receive supervised breathing exercises focusing on proper inhalation, exhalation and chest expansion for 15 minutes with routine physical therapy treatment in form of infrared for 10 minutes, isometric exercises for flexor, extensor and side flexor of cervical spine in supine lying 20 repetitions with 10 seconds hold. Patients will undergo the intervention twice a week for consecutive 8 weeks. Outcome measures will be taken for musculoskeletal and respiratory elements on baseline and at 4th and 8th week respectively. For musculoskeletal element Pain and ROM will be assessed by using visual Analogue scale and CROM (deluxe), Functional disability will be measured through Neck disability index. Cervical muscle strength and endurance will be measured through isometric neck dynamometer and craniocervical flexion test respectively. For respiratory element Spirometer will be used for assessing pulmonary volumes, flows and maximal voluntary ventilation. Control group: Control group will receive routine physical therapy treatment in form of infrared for 10 minutes, isometric exercises for flexor, extensor and side flexor of cervical spine in supine lying 20 repetitions with 10 seconds hold. Patients will undergo the intervention twice a week for consecutive 8 weeks. Outcome measures will be taken for musculoskeletal and respiratory elements on baseline and at 4th and 8th week respectively. For musculoskeletal element Pain and ROM will be assessed by using visual Analogue scale and CROM (deluxe), Functional disability will be measured through Neck disability index. Cervical muscle strength and endurance will be measured through isometric neck dynamometer and craniocervical flexion test respectively. For respiratory element Spirometer will be used for assessing pulmonary volumes, flows and maximal voluntary ventilation. Pain. Timepoint: Before intervention and at 4th ,8th week. Method of measurement: Visual Analogue scale (VAS). Range of motion neck. Timepoint: Before intervention,at 4th and 8th week. Method of measurement: CROM device. Cervical muscle strength. Timepoint: Before intervention,and at 4th week and 8th week. Method of measurement: Dynamometer. Neck muscles endurance. Timepoint: Before intervention,4th week and 8th week. Method of measurement: Craniocervical Flexion test, Biopressure feedback. Neck disability. Timepoint: Before intervention,at 4th and 8th week. Method of measurement: Neck disability index questionire. Quality of life. Timepoint: Before intervention and at 4th and 6th week. Method of measurement: NOOS Questioire. Pulmonary Function Test. Timepoint: Before intervention, at 4th and 6th week. Method of measurement: Spirometry. University of Lahore Approved 2019-12-16 Ethics committee of university of Lahore 1km, Defence Road, Bhobatian chowk Lahore Pakistan Lahore Punjab Pakistan