Effect of First Rib Mobilization With Balloon Breathing Exercises

NCT05732246 | Completed

• 1 other identifier: ferozanawaz15
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

As Non specific chronic neck pain is effecting quality of life in many ways, there are many studies evaluating the methods to treat that problem. This study aims to determine Effect of first rib mobilization with balloon breathing exercises in non specific chronic neck pain. Patients would be divided into two groups and both received conventional treatment. Group A got conventional treatment only but Group B got 1st rib mobilization with balloon breathing exercises in addition.

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (4)

• Neck Disability Index (change is being assessed)

  Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. 0-4points (0-8%) no disability, 5-14points ( 10 - 28%) mild disability, 15-24points (30-48% ) moderate disability, 25-34points (50- 64%) severe disability, 35-50points (70-100%) complete disability

  Change from Baseline measures at 8 weeks

• Numeric Pain Rating Scale (change is being assessed)

  The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"

  Change from Baseline measures at 8 weeks

• Single Breath Count (change is being assessed)

  Participants will be requested to count out loud after maximal inspiration. The ability to reach a count of 50 is considered as normal respiratory function

  Change from Baseline measures at 8 weeks

• Chest Wall Expansion (change is being assessed)

  Take an inches tape and encircle chest around the level of nipple. Take measurements at the end of deep inspiration and expiration. Normally, a 2-5" of chest expansion can be observed

  Change from Baseline measures at 8 weeks

Study Arms (2)

Conventional treatment group

NO INTERVENTION

Hot pack and TENS at neck for 10minutes. Therapeutic ultrasound for 5 minutes Soft tissue techniques (gliding and kneading) was applied at a slow speed for 5 minutes over the neck muscles. Gentle stretching and strengthening exercises

First rib mobilization with balloon breathing exercises group

EXPERIMENTAL

Patient was in supine position, placing the soles of his feet against the wall so that the ankle, knee, and thigh joints are at a 90-degree angle. The subject placed a 3-4-inch ball between his/her knees, which he/she has to maintain through the pressure of the internal thigh muscles during the whole training period and puts his/her back on the bed. Holds the right hand above the head and the left hand with the balloon. Meanwhile examiner palpated 1st rib with head in left side flexion. Patient was then asked to inhale through the nose in three-four seconds and then exhales slowly into the balloon. Then, holding the first rib in place, the patient was asked to inhale and exhale deeply again. The examiner continued applying pressure to hold the first rib in a position of relative depression during inhalation, and further depress the first rib as able during exhalation.

Other: First rib mobilization with balloon breathing exercises

Interventions

First rib mobilization with balloon breathing exercises OTHER

Patient was in the supine position, placing the soles of his feet against the wall so that the ankle, knee, and thigh joints are at a 90-degree angle. The subject placed a 3-4-inch ball between his/her knees, which he/she has to maintain through the pressure of the internal thigh muscles during the whole training period and puts his/her back on the bed. Holds the right hand above the head and the left hand with the balloon. Meanwhile examiner would palpate 1st rib with head in left side flexion. Patient was then asked to inhale through the nose in three-four seconds and then exhales slowly into the balloon. Then, holding the first rib in place, the patient was asked to inhale and exhale deeply again. The examiner continued applying pressure to hold the first rib in a position of relative depression during inhalation, and further depressed the first rib as able during exhalation.

First rib mobilization with balloon breathing exercises group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age group 18-45 years
• Gender: Male, Female
• Patients with non-specific chronic neck pain referred by physician or orthopedic surgeon
• Computer users, mobile users and those with routine of prolonged sitting

You may not qualify if:

• Any H/o neurological or vestibular disorders.
• Any H/o Cervical Trauma or surgery
• Any history of Physiotherapy treatment for the cervical region within the previous three months
• cardiac or respiratory insufficiency
• Pregnancy
• Neoplasm

Sponsors & Collaborators

• Sehat Medical Complex: lead

Study Sites (1)

Sehat Medical Complex, Lahore

Lahore, Punjab Province, 55201, Pakistan

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Feroza Nawaz, MSOMPT

  University of Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Project Director

Study Record Dates

• First Submitted: February 7, 2023
• First Posted: February 16, 2023
• Study Start: February 6, 2023
• Primary Completion: June 30, 2023
• Study Completion: August 24, 2023
• Last Updated: August 29, 2023

Record last verified: 2023-08

Locations

PA (1)