The Effect of Manual Treatment on Respiratory Parameters, Pain, Posture and Quality of Life in Chronic Neck Pain

NCT03447977 | Completed

• 1 other identifier: KA-17109
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain which is common musculoskeletal system problem in all populations, negatively affects functional status and quality of life. Muscle spasms, postural problems in cervical and thoracic regions and impairment on respiratory parameters (respiratory functions and respiratory muscle strength) is seen with neck pain. Manual therapy and exercise are widely preferred in the treatment of neck pain for improve pain, posture, muscle strength, range of motion, functional status and quality of life. There are some studies showing that manual therapy improves respiratory parameters in pulmonary diseases but studies are lacking for neck pain. Our aim is to indicate that effects of manual therapy, manual therapy for different regions (cervical and/or thoracal region) and exercises for pain, posture, quality of life and also respiratory parameters in patients with chronic neck pain.

Conditions

Neck Pain

Keywords

neck pain; manual therapy; respiratory function

Outcome Measures

Primary Outcomes (2)

• respiratory function(forced vital capacity,peak expiratory flow,maximum voluntary ventilation,forced expiratory flow at 1sn)

  respiratory function will be measured with spirometer (%)high degrees represent better outcome, low degrees represent worse outcome)

  change from baseline respiratory parameters at six weeks

• respiratory muscle strength

  inspiratory muscle strength and expiratuary muscle strength will be measured with digital mouth pressure measuring device (%).

  change from baseline respiratory muscle strength at six weeks

Secondary Outcomes (13)

• pain position

  change from baseline pain at six weeks

• posture

  change from baseline posture at six weeks

• range of motion

  change from baseline range of motion at six weeks

• neck functional status

  change from baseline functional status at six weeks

• quality of life status

  change from baseline quality of life at six weeks

Study Arms (3)

cervical group

EXPERIMENTAL

cervical spinal mobilizations, exercises, 2 session for 6 weeks

Other: cervical; Other: exercises

thoracic group

EXPERIMENTAL

cervical and thoracic spinal mobilizations, exercises, 2 session for 6 weeks

Other: cervical; Other: thoracic; Other: exercises

exercise group

EXPERIMENTAL

exercises, 2 session for 6 weeks

Other: exercises

Interventions

cervical OTHER

cervical spine manual therapy

Also known as: cervical spine mobilization

cervical group; thoracic group

thoracic OTHER

thoracic spine manual therapy

Also known as: thoracic spine mobilizations

thoracic group

exercises OTHER

exercises for pain

cervical group; exercise group; thoracic group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals who have pain for at least 3 month with mechanical neck pain
• Individuals voluntarily participating to the study

You may not qualify if:

• Individuals who have undergone cervical, spinal, thoracic, or abdominal region surgeries or pathology; whiplash injury; neurological deficit; osteoporosis; rheumatological disease; pulmonary disease; pharmacological treatment; or malignancy; or have a body mass index (BMI) \>40 or were smokers

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Seval Tamer

Ankara, Turkey (Türkiye)

Location

Related Publications (3)

• Hwangbo PN, Hwangbo G, Park J, Lee S. The Effect of Thoracic Joint Mobilization and Self-stretching Exercise on Pulmonary Functions of Patients with Chronic Neck Pain. J Phys Ther Sci. 2014 Nov;26(11):1783-6. doi: 10.1589/jpts.26.1783. Epub 2014 Nov 13.

  PMID: 25435700 BACKGROUND

• Wirth B, Amstalden M, Perk M, Boutellier U, Humphreys BK. Respiratory dysfunction in patients with chronic neck pain - influence of thoracic spine and chest mobility. Man Ther. 2014 Oct;19(5):440-4. doi: 10.1016/j.math.2014.04.011. Epub 2014 Apr 30.

  PMID: 24835338 BACKGROUND

• Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70(5):1009-13. doi: 10.1016/j.mehy.2007.07.050. Epub 2007 Oct 23.

  PMID: 17959320 BACKGROUND

MeSH Terms

Conditions

Neck Pain; Respiratory Aspiration

Interventions

Exercise

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Respiration Disorders; Respiratory Tract Diseases; Pathologic Processes

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Seval Tamer, Mcs

  Hacettepe University Physiotherapy and Rehabilitation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 22, 2017
• First Posted: February 27, 2018
• Study Start: June 1, 2018
• Primary Completion: October 12, 2019
• Study Completion: December 24, 2019
• Last Updated: May 29, 2025

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: 8 months after publication
• Access Criteria: requestors will be required to sign a data access agreement

Locations

TU (1)