Immediate Effects and Acceptability of an Application-Based Stretching Exercise Incorporating Deep Slow Breathing for Neck Pain Self-management

Thongtipmak, Sadudee; Buranruk, Orawan; Eungpinichpong, Wichai; Konharn, Kurusart

doi:10.4258/hir.2020.26.1.50

Cited by 19 publications

(33 citation statements)

References 24 publications

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“…On average, the methodological quality score of all included studies rated with the PEDro scale ( Table 2 ) was 5.62/10. Specifically, only one study was rated 9/10 [ 20 ], two 8/10 [ 21 , 22 ], five 6/10 [ 23 , 24 , 25 , 26 , 27 ], three 5/10 [ 28 , 29 , 30 ], and five 4/10 [ 31 , 32 , 33 , 34 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…A large effect size [SMD (95% CI) = −0.91 (−1.45 to −0.36), favoring RRI] with statistical significance (p < 0.001) and no statistical heterogeneity was noted, based, however, on low-quality evidence (Table 3D). [21,22,24,25,27,29,32,35]), (B) disability (references [23,24,27,29,32]), (C) maximum voluntary ventilation (references [25,32]), and (D) chest wall expansion (references [25,32]).…”

Section: Effects Of Rri On Painmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Effects Of Rri On Painmentioning

confidence: 99%

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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“…In our study, we observed the effects of eight weeks breathing re-education, a duration long enough to observe any significant change in the strength and endurance of cervical muscles. In another study evaluating a mobile app based self-management neck programme, the incorporation of deep slow breathing with stretching resulted in a significant improvement in pain intensity, muscle activation and pain threshold (Thongtipmak et al 2020 ). It was a self management programme and patients were responsible for the execution of breathing and stretching based on the mobile app.…”

Section: Discussionmentioning

confidence: 99%

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

Arslan

Zafar

et al. 2022

South African Journal of Physiotherapy

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Background: People with chronic neck pain show decreased endurance and strength of cervical muscles with compromised respiratory function. There is little evidence that improvement in breathing function of people with neck pain can help in enhancing cervical muscle strength and pulmonary function. The objective of this our clinical trial was to examine the effects of breathing re-education combined with physiotherapy on endurance and strength of deep neck flexors, and pulmonary function in patients with chronic neck pain.Methods/design: In this double blind randomised clinical trial, 30 patients with chronic neck pain (25–50 years old) were randomly allocated to two groups. Group A, physiotherapy (n = 15), and Group B, breathing re-education (n = 15). The duration of intervention was eight weeks with treatment five days a week. The endurance was measured with the craniocervical flexion test, strength with a handheld dynamometer (Baseline USA) and pulmonary functions with the Spiro lab 4 (USA) at baseline, at week four and at week eight of the intervention.Discussion: There was a significant between group improvement in the strength of deep neck flexors and forced vital capacity (FVC) in Group B p = 0.0001 and p = 0.0200 (p ˂ 0.05) respectively. Intergroup comparisons showed no significant differences for endurance, cervical extensor strength, Forced Expiratory Volume in one second (FEV1), and FEV1/FVC percentage.Conclusion: Our study concluded that breathing re-education combined with other physiotherapy management is effective for improving the strength of neck flexors and increasing FVC in people with chronic neck pain.Clinical implication: Breathing re-education may be part of physiotherapy management in patients with chronic neck pain.Trial Registration: Iranian Registry of Clinical Trials, IRCT20200226046623N1, https://www.irct.ir/trial/46240.

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“…There have been many interventions to improve CROM that use a variety of exercise methods [17,18], and among these is mind-body exercise. Mind-body exercise is a multi-modal exercise [19,20], and its typical characteristics include slow body movements, whole body stretching and relaxing, breath control, mental concentration, and other structured movements.…”

Section: Introductionmentioning

confidence: 99%

The effect of mind-body exercise on cervical spine mobility of people with neck discomfort: A systemic review and meta-analysis of randomised controlled trials

Liao

Chen

2022

PLoS ONE

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Background Long-term and high-intensity work can lead to considerable discomfort in people’s cervical spines. Objectives This study sought to explore the effect of mind-body exercise intervention on the cervical spine mobility of people with neck discomfort through meta-analysis. Methods This study’s researchers were searched a total of five research databases for data retrieval: China National Knowledge Infrastructure (from 1979), Web of Science (from 1950), PubMed (from 1965), Cochrane (from 1991), and EBSCO (from 1949) (Date of retrieval: March 10, 2021). Two authors independently searched literature records, scanned titles, abstracts, and full texts, collected data, and assessed materials for risk of bias. Stata14.0 software was used for the data analysis (Registration number: INPLASY202140126). Results Four articles were finally included with a total of 208 participants, and their age range was 18–65 years old. (1) Mind-body exercise intervention had a significant improving effect on Cervical extension, effect size of [SMD = 0.51 (95% CI 0.13 to 0.88), p <0.01; I2 = 45.2%], there was moderate heterogeneity; Mind-body exercise intervention had a significant improving effect on Cervical flexion, effect size of [SMD = 0.61 (95% CI 0.32 to 0.90), p <0.01; I2 = 5.7%], no heterogeneity; (2) Mind-body exercise intervention was no effect on the other four cervical range of motions; (3) The difference in participant’s neck discomfort was the source of heterogeneity, and all results had the potential risk of publication bias. Conclusion This study showed that mind-body exercise had a positive effect on the extension and flexion of people with neck discomfort. However, further research and more reliable evidence were needed to prove that mind–body exercise could be used for the treatment of neck discomfort.

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Immediate Effects and Acceptability of an Application-Based Stretching Exercise Incorporating Deep Slow Breathing for Neck Pain Self-management

Cited by 19 publications

References 24 publications

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

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

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

The effect of mind-body exercise on cervical spine mobility of people with neck discomfort: A systemic review and meta-analysis of randomised controlled trials

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