Cargando…

The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial

Until now, non-specific chronic neck pain has mainly been considered as a musculoskeletal system dysfunction, with associated psychological involvement due to its prolonged or recurrent nature. However, patients with non-specific chronic neck pain frequently additionally exhibit respiratory dysfunct...

Descripción completa

Detalles Bibliográficos
Autores principales: Tatsios, Petros I., Grammatopoulou, Eirini, Dimitriadis, Zacharias, Koumantakis, George A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689657/
https://www.ncbi.nlm.nih.gov/pubmed/36359533
http://dx.doi.org/10.3390/diagnostics12112690
_version_ 1784836590658387968
author Tatsios, Petros I.
Grammatopoulou, Eirini
Dimitriadis, Zacharias
Koumantakis, George A.
author_facet Tatsios, Petros I.
Grammatopoulou, Eirini
Dimitriadis, Zacharias
Koumantakis, George A.
author_sort Tatsios, Petros I.
collection PubMed
description Until now, non-specific chronic neck pain has mainly been considered as a musculoskeletal system dysfunction, with associated psychological involvement due to its prolonged or recurrent nature. However, patients with non-specific chronic neck pain frequently additionally exhibit respiratory dysfunction. Emerging evidence suggests that addressing the respiratory dysfunction in these patients will provide additional therapeutic benefits in musculoskeletal and respiratory-related outcomes for several reasons (biomechanical, biochemical, and psychological). Motor control dysfunction of the muscles surrounding the spine (diaphragm included) negatively affects the mechanics and biochemistry of breathing (pH-homeostasis). An impaired and ineffective breathing pattern has been recognized as the primary source of many unexplained symptoms (anxiety, depression, confusion, chest pain, hypocapnia, and breathlessness) in patients with non-specific chronic neck pain. The proposed protocol’s purpose is dual: to assess the relative effectiveness of manual therapy in the cervical spine and the diaphragm, in combination with breathing reeducation exercises, along with cervical spine manual therapy or usual physical therapy care on the underlying dysfunctions in patients with non-specific chronic neck pain via a randomized controlled clinical trial, and to validate part of the outcome measures. Several musculoskeletal and respiratory dysfunction outcomes will be employed to delimit the initial extent and level of dysfunction and its resolution with the treatments under study.
format Online
Article
Text
id pubmed-9689657
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96896572022-11-25 The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial Tatsios, Petros I. Grammatopoulou, Eirini Dimitriadis, Zacharias Koumantakis, George A. Diagnostics (Basel) Protocol Until now, non-specific chronic neck pain has mainly been considered as a musculoskeletal system dysfunction, with associated psychological involvement due to its prolonged or recurrent nature. However, patients with non-specific chronic neck pain frequently additionally exhibit respiratory dysfunction. Emerging evidence suggests that addressing the respiratory dysfunction in these patients will provide additional therapeutic benefits in musculoskeletal and respiratory-related outcomes for several reasons (biomechanical, biochemical, and psychological). Motor control dysfunction of the muscles surrounding the spine (diaphragm included) negatively affects the mechanics and biochemistry of breathing (pH-homeostasis). An impaired and ineffective breathing pattern has been recognized as the primary source of many unexplained symptoms (anxiety, depression, confusion, chest pain, hypocapnia, and breathlessness) in patients with non-specific chronic neck pain. The proposed protocol’s purpose is dual: to assess the relative effectiveness of manual therapy in the cervical spine and the diaphragm, in combination with breathing reeducation exercises, along with cervical spine manual therapy or usual physical therapy care on the underlying dysfunctions in patients with non-specific chronic neck pain via a randomized controlled clinical trial, and to validate part of the outcome measures. Several musculoskeletal and respiratory dysfunction outcomes will be employed to delimit the initial extent and level of dysfunction and its resolution with the treatments under study. MDPI 2022-11-04 /pmc/articles/PMC9689657/ /pubmed/36359533 http://dx.doi.org/10.3390/diagnostics12112690 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Protocol
Tatsios, Petros I.
Grammatopoulou, Eirini
Dimitriadis, Zacharias
Koumantakis, George A.
The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial
title The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial
title_full The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial
title_fullStr The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial
title_full_unstemmed The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial
title_short The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Reeducation Exercises, in Patients with Non-Specific Chronic Neck Pain: Protocol for Development of Outcome Measures and a Randomized Controlled Trial
title_sort effectiveness of manual therapy in the cervical spine and diaphragm, in combination with breathing reeducation exercises, in patients with non-specific chronic neck pain: protocol for development of outcome measures and a randomized controlled trial
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689657/
https://www.ncbi.nlm.nih.gov/pubmed/36359533
http://dx.doi.org/10.3390/diagnostics12112690
work_keys_str_mv AT tatsiospetrosi theeffectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT grammatopouloueirini theeffectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT dimitriadiszacharias theeffectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT koumantakisgeorgea theeffectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT tatsiospetrosi effectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT grammatopouloueirini effectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT dimitriadiszacharias effectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial
AT koumantakisgeorgea effectivenessofmanualtherapyinthecervicalspineanddiaphragmincombinationwithbreathingreeducationexercisesinpatientswithnonspecificchronicneckpainprotocolfordevelopmentofoutcomemeasuresandarandomizedcontrolledtrial