Diaphragm's Manual Therapy in Patients With Chronic Neck Pain

Diaphragm's Manual Therapy Reduce Pain in Patients With Chronic Neck Pain: a Randomised Controlled Trial

The aim of this study is to evaluate the effect of diaphragm's manual therapy in addition to cervical spine manual therapy in terms of pain, cervical spine range of motion, trigger points pain pressure threshold, disability and quality of life in patient with chronic aspecific neck pain.

Inclusion Criteria:

• Neck pain since at least 3 months
• Age > 18 years and < 65 years
• Male or Female

Exclusion Criteria:

• Pregnancy
• Contraindications for manual therapy or inability to complete the treatment
• Patients who received a physiotherapy or osteopathic treatment during the last 3 months
• Medical diagnosis of rheumatologic disease
• Medical diagnosis of respiratory disease (COPD, asthma)
• Spine surgery
• Medical diagnosis of past or present cancer
• Thoracic or abdominal surgery in the last 3 years
• Whiplash injuries
• Previous cervical fracture
• Cervical anatomical changes
• Thrombotic events
• Body temperature greater than 37 degrees in the previous 48 hours
• Obesity (BMI greater than 30)