RESEARCH PAPER
Effect of respiratory exercises on neck pain patients: A pilot study
 
More details
Hide details
1
Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia
 
 
Submission date: 2015-01-12
 
 
Acceptance date: 2016-01-07
 
 
Online publication date: 2016-01-27
 
 
Publication date: 2020-03-23
 
 
Corresponding author
Vikram Mohan   

Cardiorespiratory Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Puncak Alam, Selangor, Malaysia. Tel.: +60 3 32584367; fax: +60 3 32584599.
 
 
Pol. Ann. Med. 2016;23(1):15-20
 
KEYWORDS
ABSTRACT
Introduction:
Neck exercises are reported to improve the patient's conditions in chronic neck pain (CNP). However, the existence of pain and loss of range of motion often results in CNP. As a result, respiratory functions are compromised and extended rehabilitation may be required for respiratory parameters among these populations.

Aim:
The purpose of this study was to analyze the effects of respiratory exercises on respiratory muscle endurance, cervical range of motion and chest expansion after a set of prescribed respiratory exercise procedure among CNP.

Material and methods:
Ten patients with CNP participated in this study. Subjects were divided randomly into either an experimental group, which received respiratory exercises or a control group, which received a routine physiotherapy exercises. The outcome measures such as pain, respiratory muscle endurance, cervical range of motion and chest expansion were assessed before and eight weeks following treatment by an assessor blinded to the treatment allocation of the patient.

Results and discussion:
There was a highly significant increase in maximum voluntary ventilation (MVV) scores from before (mean 34.88, SD 21.81) to after treatment (mean 55.10, SD 16.76 and t-value 6.48) with P = 0.003 in the experimental group as compared to control group from before (mean 38.32, SD 19.50) to after treatment (mean 39.74, SD 17.56 and t-value 0.845) with P = 0.446. The two sets of scores in the active flexion and for the visual analogue scale also showed significant difference in the experimental group P < 0.05.

Conclusions:
Respiratory exercise contributes to improvement in respiratory muscle endurance and reduces pain who is enduring from CNP.

ACKNOWLEDGEMENTS
The authors would like to thank National Medical Research Register (NMRR), Clinical Research Centre (CRC), Hospital Sungai Buloh, Ministry of Health, Malaysia and Staffs of Physiotherapy, Hospital Sungai Buloh, Malaysia for their help and support throughout the study process.
CONFLICT OF INTEREST
None declared.
 
REFERENCES (23)
1.
Hoy D, March L, Woolf A, et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1309–1315.
 
2.
Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70(5):1009–1013.
 
3.
Kapreli E, Vourazanis E, Billis E, Oldham JA, Strimpakos N. Respiratory dysfunction in chronic neck pain patients. A pilot study. Cephalalgia. 2009;29(7):701–710.
 
4.
Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Respiratory weakness in patients with chronic neck pain. Man Ther. 2013;18(3):248–253.
 
5.
Wirth B, Amstalden M, Perk M, Boutellier U, Humphreys BK. Respiratory dysfunction in patients with chronic neck pain – influence of thoracic spine and chest mobility. Man Ther. 2014;19(5):440–444.
 
6.
Hadała M, Gryckiewicz S. Movement pattern and muscle imbalance as a source of lumbar spine health according to the concept of Kinetic Control. Pol Ann Med. 2014;21(2):152–157.
 
7.
Scherer TA, Spengler CM, Owassapian D, Imhof E, Boutellier U. Respiratory muscle endurance training in chronic obstructive pulmonary disease: impact on exercise capacity, dyspnea, and quality of life. Am J Respir Crit Care Med. 2000;162(5):1709–1714.
 
8.
Cabral LF, D'Elia TC, Marins DS, Zin WA, Guimarães FS. Pursed lip breathing improves exercise tolerance in COPD: a randomized crossover study. Eur J Phys Rehabil Med. 2015;51(1):79–88.
 
9.
Van Houtte S, Vanlandewijck Y, Kiekens C, Spengler CM, Gosselink R. Patients with acute spinal cord injury benefit from normocapnic hyperpnoea training. J Rehabil Med. 2008;40(2):119–125.
 
10.
Rassler B, Marx G, Hallebach S, Kalischewski P, Baumann I. Long-term respiratory muscle endurance training in patients with myasthenia gravis: first results after four months of training. Autoimmune Dis. 2011;7. http://dx.doi.org/10.4061/2011.... Accessed: 12.10.2015.
 
11.
Mohan V, Dzulkifli NH, Justine M, Haron R, Leonard Joseph H, Rathinam C. Intrarater reliability of chest expansion using cloth tape measure technique. Bangladesh J Med Sci. 2012;11(4):307–311.
 
12.
Mohan V, Aziz KBK, Kamaruddin K, Leonard JH, Das S, Jagannathan MG. Effect of intercostal stretch on pulmonary function parameters among healthy males. EXCLI J. 2012;11:284–290.
 
13.
Wolfenberger VA, Bui Q, Batenchuk GB. A comparison of methods of evaluating cervical range of motion. J Manipulative Physiol Ther. 2002;25(3):154–160.
 
14.
Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion – comparison of three methods. Phys Ther. 1991;71(2):98–104.
 
15.
Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409–415.
 
16.
Grunberg SM, Groshen S, Steingass S, Zaretsky S, Meyerowitz B. Comparison of conditional quality of life terminology and visual analogue scale measurements. Qual Life Res. 1996;5(1):65–72.
 
17.
Paul-Dauphin A, Guillemin F, Virion JM, Briancon S. Bias and prediction in visual analogue scales: a randomized controlled trial. Am J Epidemiol. 1999;150(10):1117–1127.
 
18.
Tomich GM, França DC, Diniz MT, Britto RR, Sampaio RF, Parreira VF. Effects of breathing exercises on breathing pattern and thoracoabdominal motion after gastroplasty. J Bras Pneumol. 2010;36(2):197–204.
 
19.
Restrepo RD, Wettstein R, Wittnebel L, Tracy M. Incentive spirometry: 2011. Respir Care. 2011;56(10):1600–1604.
 
20.
Garrod R, Mathieson T. Pursed lips breathing: are we closer to understanding who might benefit? Chron Respir Dis. 2013;10(1):3–4.
 
21.
Reynolds J, Marsh D, Koller H, Zenenr J, Bannister G. Cervical range of movement in relation to neck dimension. Eur Spine J. 2009;18(6):863–868.
 
22.
de Koning CH, van den Heuvel SP, Staal JB, Smits-Engelsman BC, Hendriks EJ. Clinimetric evaluation of active range of motion measures in patients with non-specific neck pain: a systematic review. Eur Spine J. 2008;17(7):905–921.
 
23.
Gonçalves MJ, do Lago ST, Godoy Ede P, Fregonezi GA, Bruno SS. Influence of neck circumference on respiratory endurance and muscle strength in the morbidly obese. Obes Surg. 2011;21(8):1250–1256.
 
Journals System - logo
Scroll to top