The aim of the present study is to investigate the effects of additional functional inspiratory muscle training in individuals with non-specific chronic neck pain.
Patients participating in the study will be divided two parallel groups. The patients in study group will instruct to perform both functional inspiratory muscle training and conventional treatments for neck pain, the patients in the control group will instruct to perform just conventional treatments. The severity of the pain, disability, fear of movement and depression levels will be assessed by visual analog scale, neck disability index, Tampa Scale of kinesiophobia and beck depression inventory, respectively. Neck postures (craniovertebral angle) will be evaluated by photogrammetric method.Endurance of deep cervical flexor muscles will be measured using Stabilizer Pressure Biofeedback Unit with cranio-cervical flexion test. Pain threshold will be measured by algometer from the middle point of upper trapezius. Cervical proprioceptions will be evaluated by laser pointer method in the right and left rotational directions. In addition, diaphragma thickness will be measured by two-dimensional ultrasonography. Assessments were repeated before and after the treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
functional inspiratory muscle training is an exercise program that practises gradual training of the diaphragm muscle.
conventional physiotherapy is a treatment program consisting of evidence based modalities as mobilization and specific exercises.
Dokuz Eylul University, Department of Neurosurgery
Izmir, Inciraltı, Turkey (Türkiye)
RECRUITINGDokuz Eylul University, School of Physical Therapy and Rehabilitation
Izmir, Turkey (Türkiye)
RECRUITINGChanges in Pain Severity
Patients' resting pain intensities will be assessed by Visual Analog Scale. (a 10 cm horizontal line). There is two anchors in the tips of the visual analog scale and while the zero represented "no pain", ten indicated "excessive pain". The length from the zero to marked point was recorded in cm.
Time frame: change from baseline in pain severity at 6 weeks
Changes in Disability
Patients' disability levels will be assessed by neck disability index. The questionnaire has ten sections; pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored between zero (no disability) and five (total disability). The maximum score is therefore 50. Higher scores indicates having more disability.
Time frame: change from baseline in disability at 6 weeks
Changes in Fear of Movement
Patients' fear of movement will be assesed by Tampa Kinesiophobia Scale. The scale has 17 pain statements, and the patient selected her agreement for each question using a 4-point scale. The maximum score is 68. Higher score indicates having more fear of movement.
Time frame: change from baseline in disability at 6 weeks
Changes in Depression
Patients' depression levels will be assessed by Beck Depression Inventory. composed 21 questions. The maximum total score is 63. Higher scores demonstrate greater level of depression
Time frame: change from baseline in disability at 6 weeks
Craniovertebral Angle
Photogrammetric method will be used to evaluate craniovertebral angle.
Time frame: change from baseline in disability at 6 weeks
Pain threshold
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Pain threshold will be measured by Algometer device.
Time frame: change from baseline in disability at 6 weeks
Cervical Proprioception
Cervical Proprioception will be evaluated by laser pointer method.
Time frame: change from baseline in disability at 6 weeks
Cranio-cervical flexion endurance
Cranio-cervical flexion endurance (activation score) will be measured by stabilizer pressure biofeedback unit.
Time frame: change from baseline in disability at 6 weeks
Diaphragma thickness
Diaphragma thickness will be measured by two dimensional ultasonography
Time frame: change from baseline in disability at 6 weeks
Respiratory Muscle Strength
Respiratory Muscle Strength (maximum inspiratory and expiratory mouth pressure) will be measured by Micro RPM device
Time frame: change from baseline in disability at 6 weeks