Effects of breathing re-education on endurance, strength of deep neck flexors and pulmonary function in patients with chronic neck pain: A randomised controlled trial

Anwar, Sahreen; Arslan, Syed Asadullah; Zafar, Hamayun; Ahmad, Ashfaq; Gilani, Syed Amir; Hanif, Asif

doi:10.4102/sajp.v78i1.1611

Cited by 3 publications

(2 citation statements)

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“…Sixty-three studies appeared to be eligible at preliminary review, but were deemed ineligible for the following reasons: Does not independently analyze breathing/IAQ -back/neck pain relationship (N = 11) [115][116][117][118][119][120][121][122][123][124][125], duplicate data report (N = 6) [126][127][128][129][130][131], independent effects of breathing exercise that cannot be determined (N = 5) [132][133][134][135][136], missing or discrepant data that preclude interpreting eligibility or analysis (N = 7) [137][138][139][140][141][142][143], no between-group comparison for relevant outcomes (N = 6) [144][145][146][147][148][149], no comparator to analyze breathing/IAQ -back/neck pain relationship (N = 8) [150][151][152][153][154][155][156][157], no relevant therapies or outcomes (N = 18) [158]…”

Section: Figure 1: Prisma Flow Diagram Of Search Resultsmentioning

confidence: 99%

Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review

Gherscovici,

Mayer

2023

Cureus

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Back pain and neck pain are important public health concerns and are among the most common and disabling conditions globally. However, the relationships among indoor air quality (IAQ), breathing parameters (pulmonary function, respiratory disorders), and back pain and neck pain have not been adequately assessed. The purpose of this study was to systematically review the literature about the impact of IAQ and breathing parameters on back pain and neck pain (PROSPERO ID: CRD42022380515). CINAHL, EMBASE, PEDRo, and PubMed databases were searched through January 19, 2023. Inclusion criteria for study eligibility were observational studies (except case reports) or randomized controlled trials (RCTs), published in peer-reviewed journals in the English language, human research, original research, examined the relationships between IAQ, or breathing parameters with back pain or neck pain. Review procedures were conducted and reported according to PRISMA recommendations. Empirical evidence statements were developed for observational studies, and grades of evidence statements were developed for RCTs. Sixty-seven eligible studies were found (54 observational studies and 13 RCTs) that enrolled 345,832 participants. None of the studies assessed the combined impact of IAQ and breathing parameters on back pain or neck pain. No level 1 studies were found, which precludes making strong statements about causality and strong recommendations about the efficacy of IAQ and breathing exercise interventions for reducing pain and disability related to back pain and neck pain. Evidence indicates that poor IAQ and respiratory disorders are related to an increased risk of back pain and neck pain. Conflicting evidence exists about the association between pulmonary function with back pain and neck pain. Evidence for breathing exercise interventions was mixed with numerous limitations. This review provides preliminary evidence on the relationships of IAQ and breathing parameters with back pain and neck pain, which can be used to guide future research and clinical implementation efforts. Assuming positive findings in subsequent research, a wide range of stakeholders involved with this complex human-building-environment interface can be equipped to address IAQ and breathing parameters, along with other established risk factors to help those suffering from back pain and neck pain.

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Section: Figure 1: Prisma Flow Diagram Of Search Resultsmentioning

confidence: 99%

Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review

Gherscovici,

Mayer

2023

Cureus

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“…As Stone noted, ‘the diaphragm is one of the most remarkable areas of the body in that it has so much influence, and the consequences of its dysfunction can be anywhere from the head to the toe’ [ 18 ]. Diaphragmatic breathing (DB) re-education has the effect of strengthening muscle strength and improving the lung capacity of the deep neck flexor muscles, leading to positive results for posture control in FHP and RSP patients [ 19 ]. The purpose of using DB re-education training is to alleviate UCS by reducing excessive activity in the neck muscles among UCS patients, restoring regular diaphragmatic function and aiming for pain alleviation, prevention of secondary damage, and nerve stabilization, along with various other advantages.…”

Section: Introductionmentioning

confidence: 99%

Effects of Telerehabilitation Combining Diaphragmatic Breathing Re-Education and Shoulder Stabilization Exercises on Neck Pain, Posture, and Function in Young Adult Men with Upper Crossed Syndrome: A Randomized Controlled Trial

Jeong,

Lee

2024

JCM

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Background: Forward head posture and rounded shoulder posture are common postural variants found in upper crossed syndrome, which can lead to limited neck mobility, respiratory problems, and other issues. The purpose of this study was to investigate the effects of telerehabilitation, combining diaphragmatic breathing re-education and shoulder stabilization exercises, on young men with upper crossed syndrome during the COVID-19 pandemic over 4 weeks. Methods: The study included 37 participants aged in their 20s and 30s who were randomly divided into two groups. The experimental group received diaphragmatic breathing re-education and shoulder stabilization exercises, while the control group only underwent shoulder stabilization exercises. Both groups were trained three times a week for four weeks using telerehabilitation. The comparison of within-group pre–post differences in the experimental and control groups was conducted using a paired t-test, while the effects of treatment were assessed using repeated-measures analysis of variance. Results: After 4 weeks, both groups showed significant improvements in the pain pressure threshold of the upper trapezius, craniovertebral angle, round shoulder posture, shoulder tilt degree, neck disability index, and closed kinetic chain upper extremity stability test (all p < 0.05). The results showed a significant difference between the Time effect (p adj < 0.05/4) for both sides of PPT, CVA, and STD and both sides of RSP, NDI, and CKCUEST, and an interaction between the Time × Group effects (p adj < 0.05/4) for the Rt. PPT, CVA, and STD. Conclusions: These findings suggest that the telerehabilitation training group, which included diaphragmatic breathing re-education and shoulder stabilization exercises, was more effective in improving Rt. PPT, CVA, and STD in males with UCS.

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The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis

et al. 2022

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Patients with nonspecific chronic neck pain (NSCNP) exhibit respiratory dysfunction. This systematic review aimed to analyze randomized controlled trials (RCTs) investigating the effect of spinal and/or diaphragmatic and/or specific stabilization exercise manual therapy and/or respiratory exercises on musculoskeletal and respiratory diagnostic outcomes in patients with NSCNP. A systematic search and selection of RCTs was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to April 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). The quality of the evidence was assessed with the GRADE approach. Out of 1089 studies collected in total, 1073 were excluded (i.e., did not meet the inclusion criteria or were duplicates). Sixteen RCTs were finally included, rated on 5.62/10 (PEDro score) on average for methodological quality. Overall, there was sparse evidence that spinal and/or diaphragmatic manual therapy and/or trunk stabilization exercises and/or respiratory exercises significantly improved pain, disability, and respiratory outcomes in patients with NSCNP immediately post-treatment. However, the clinical heterogeneity between studies was significant, and the level of certainty of the evidence was low to very low. More, high-quality RCTs are required, contributing to the holistic diagnostic monitoring and management of patients with NSCNP.

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Effects of breathing re-education on endurance, strength of deep neck flexors and pulmonary function in patients with chronic neck pain: A randomised controlled trial

Cited by 3 publications

References 30 publications

Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review

Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review

Effects of Telerehabilitation Combining Diaphragmatic Breathing Re-Education and Shoulder Stabilization Exercises on Neck Pain, Posture, and Function in Young Adult Men with Upper Crossed Syndrome: A Randomized Controlled Trial

The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis

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