Department of Physical Therapy, Independent Medical College Faisalabad, Faisalabad, Pakistan.
University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan.
PLoS One. 2022 Aug 25;17(8):e0273471. doi: 10.1371/journal.pone.0273471. eCollection 2022.
The purpose of this randomized controlled trial was to study effects of breathing reeducation in the treatment of patients with non specific chronic neck pain.
A total of sixty eight eligible patients with chronic neck pain were randomly allocated to breathing reeducation (BR) group (n = 34) and routine physical therapy (RPT) group (n = 34). Clinical outcomes were neck pain measured through visual analogue score, cervical active range of motion through CROM device, strength of neck muscles through hand held dynamometer and endurance of neck muscles measured through craniocervical flexion test. The neck disability was measured through neck disability index (NDI) and pulmonary outcomes such as forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio were measured through Spirolab 4. The outcomes were assessed at baseline and at 4 and at 8 weeks from baseline.
There were significant improvements in the BR group compared with the RPT group (P = 0.002) for cervical flexion, extension (P = 0.029), endurance (P = 0.042), strength of neck flexors (P <0.001), neck extensors (P = 0.034). Likewise there was a significant change in NDI (P = 0.011), FEV1 (P = 0.045), FVC (P <0.001), and FEV1/FVC ratio (P <0.001) in the BR group compared with the RPT group. The cervical side flexion and rotation showed no significant difference in breathing reeducation group with p > 0.05.
Breathing reeducation combined with routine physical therapy is an effective treatment in patients with non specific chronic neck pain.
IRCT 20200226046623N1, https://www.irct.ir/trial/46240.
本随机对照试验旨在研究呼吸再教育对非特异性慢性颈痛患者的治疗效果。
共纳入 68 例符合条件的慢性颈痛患者，随机分为呼吸再教育（BR）组（n=34）和常规物理治疗（RPT）组（n=34）。临床结局指标包括视觉模拟评分（VAS）测量的颈痛、CROM 设备测量的颈椎主动活动范围、手持测力计测量的颈部肌肉力量以及颅颈屈曲试验测量的颈部肌肉耐力。颈痛残疾指数（NDI）测量颈痛残疾，Spirolab 4 测量用力肺活量（FVC）、一秒用力呼气容积（FEV1）和 FEV1/FVC 比值等肺功能。基线、治疗 4 周和 8 周时评估这些结果。
BR 组在颈椎前屈、后伸（P=0.029）、耐力（P=0.042）、颈屈肌力量（P＜0.001）、颈伸肌力量（P=0.034）方面的改善明显优于 RPT 组（P=0.002）。BR 组的 NDI（P=0.011）、FEV1（P=0.045）、FVC（P＜0.001）和 FEV1/FVC 比值（P＜0.001）也有显著变化，而 BR 组在颈椎侧屈和旋转方面与 RPT 组相比无明显差异（P＞0.05）。
呼吸再教育联合常规物理疗法治疗非特异性慢性颈痛患者是一种有效的治疗方法。
IRCT 20200226046623N1，https://www.irct.ir/trial/46240。
