Manual Therapy to the Cervical Spine and Diaphragm Combined With Breathing Reeducation Exercises, in nsCNP Patients
Chronic Neck Pain
About this trial
This is an interventional treatment trial for Chronic Neck Pain focused on measuring neck pain,diaphragm manual, manual therapy
Eligibility Criteria
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)
Sites / Locations
- Tatsios PetrosRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Sham Comparator
Active Comparator
Diaphragmatic Manual Therapy Group A
Cervical Manual Therapy Group B
Conventional Physiotherapy Program Group C
Experimental: Diaphragmatic Manual Therapy plus Cervical Manual Therapy plus Breathing Reeducation Exercises group. Cervical manual therapy will be the same as for the Manual Control Group (20 minutes). Diaphragmatic Manual Therapy (10 minutes) and Breathing Reeducation Exercises (10 minutes). The program will be carried out three times per week lasting four weeks in total. Each session will last about 40 minutes.
Sham Comparator: Sham Treatment group or Manual Control Group Patients included in this group will receive Cervical Manual Therapy (25 minutes) plus sham Diaphragmatic Manual techniques (15 minutes). The program will be carried out three times per week lasting four weeks in total. Each session will last about 40 minutes.
Active Comparator: Conventional Treatment group Patients included in this group will receive a conventional physiotherapy program with Transcutaneous Electrical Nerve Stimulation-TENS (15 minutes) plus Microwave pulsed Diathermy (10 minutes), and soft tissue techniques (15 minutes). The program will be carried out three sessions per week during the four weeks. Each session will last about 40 minutes.