Manual Therapy to the Cervical Spine and Diaphragm Combined With Breathing Reeducation Exercises, in nsCNP Patients
CompletedNot applicableNCT05229393
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This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.
Brief summary (from the registry)
Chronic neck pain (CNP) is reported to be one of the most common musculoskeletal pain syndromes. Studies showed that patients with chronic neck pain compensated with changes in Pain, Function, Musculoskeletal and Respiratory outcomes. The diaphragm is a primary respiratory muscle contributing to postural stability and spinal control. Many studies showed that manual therapy and exercise improve clinical and respiratory outcomes in CNP patients. Few studies highlight the importance of diaphragm manual therapy and Reeducation Breathing Exercises in musculoskeletal diseases and in CNP patients. However, the exact mechanism is still unclear. This study aims to examine the hypothesis that: "Diaphragm Manual Therapy and Breathing Reeducation Exercises combined with cervical manual therapy - improve clinical and respiratory outcomes more than cervical manual therapy intervention only or conventional physiotherapy
Study details
- Official title
- The Effectiveness of Manual Therapy to the Cervical Spine and Diaphragm,Combined With Breathing Reeducation Exercises, in Patients With Non-specific Chronic Neck Pain: A Randomized Controlled Trial
- Conditions
- Interventions
- Other: Cervical plus Diaphragmatic Manual Therapy plus Breathing Reeducation Exercises
- Other: Cervical Manual Therapy plus sham Diaphragmatic Manual Therapy
- Other: Conventional Physiotherapy Program
- Sponsor
- University of West Attica
- Start date
- 2022-10-31
- Primary completion
- 2023-11-21
- Sex
- All
- Age range
- from 25 Years to 65 Years
- Results posted
- No results posted in this snapshot
- Countries
- Greece
- Total sites listed
- 1
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Individuals who have pain for at least 3 months with non-specific mechanical neck pain * Individuals voluntarily participating in the study * Patients will also be selected on the basis of demonstrating DB in at least one of a series of tests conducted to assess the extent of their Dysfunctional Breathing (biomechanical, biochemical, psychological) Exclusion Criteria: * Pregnancy * Contraindications for manual therapy or inability to complete the treatment * Patients who received physiotherapy or osteopathic treatment during the last 3 months * Individuals with bronchial asthma, chronic bronchitis, emphysema, bronchiectasis and malignancy * Medical diagnosis of rheumatologic disease * Medical diagnosis of respiratory disease (COPD, asthma) * Spine surgery (cervical, spinal, thoracic or abdominal region) * Medical diagnosis of cancer (past or present) * Whiplash injuries * Previous cervical fracture * Cervical anatomical changes * Thrombotic events, Anaemia or Diabetes * Body temperature greater than 37 degrees in the previous 48 hours * Obesity (BMI greater than 40) * Scoliosis or other diseases that cause spine and chest deformity * Positive cervical region instability and positive vertebral artery test * Individuals with neurological deficits or with motor loss * Individuals who have whiplash injuries, osteoporosis, or rheumatoid disease (such as rheumatoid arthritis, systemic lupus erythematosus, Sjögren's syndrome)
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT05229393