Diaphragmatic Doming vs Breathing Exercises on Ventilatory Function & Core Endurance in Chronic Neck Pain

Effect Of Diaphragmatic Doming Versus Breathing Exercises On Ventilatory Function And Core Endurance In Chronic Neck Pain Patients

The purpose of the study is to investigate if there is any difference between effect of diaphragmatic doming versus breathing exercises on ventilatory function and core endurance in patients with chronic neck pain

Patients with chronic neck pain will be participated in this comparative study.

They will be divided into 2 groups:

Group (A) will be consisted of 30 patients who will receive conventional physiotherapy treatment for chronic neck pain plus breathing exercise (diaphragmatic and pursed lip breathing) (Three sessions per week for 6 weeks) Group (B) will be consisted of 30 patients who will receive conventional physiotherapy treatment for chronic neck pain plus Doming of the diaphragm (Three sessions per week for 6 weeks)

Pulmonary functions and neck endurance will be assessed for all patients in both groups before the first session and after the last session

Inclusion Criteria:

• Patient has chronic neck pain (for more than 3 months)
• Their age ranged from 20 to 30 years old
• Their body mass index ranged from (18.5 -29.9) kg/m2
• Poor results on the cranio-cervical flexion (CCF) test using a pressure biofeedback instrument.

Exclusion Criteria:

• History of respiratory disease and Clinical signs of a severe cardiac event.
• Severe psychiatric or cognitive impairment
• Tumor and Spinal fractures
• Spinal cord compression that required urgent surgery
• Current or past Smokers
• Obese (BMI >30) or underweight (BMI ˂18.5)