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Diaphragmatic Breathing and Electroacupuncture for Chronic Neck Pain

7 luglio 2026 aggiornato da: University of Lahore

Diaphragmatic Breathing and Electroacupuncture in Patients With Chronic Neck Pain

Chronic non specific neck pain is a prevalent musculoskeletal disorder with significant impact on pain, forward head posture, and neck disability. Diaphragmatic breathing has been shown to improve relaxation and reduce musculoskeletal pain, while electroacupuncture has potential benefits in modulating pain pathways. However, the combined effect of these interventions in chronic neck pain remains unexplored. This randomized clinical trial aims to evaluate the effectiveness of diaphragmatic breathing and electroacupuncture, in addition to physiotherapy care, compared to simple, focused breathing, electroacupuncture, and physiotherapy care. The primary outcomes are the numeric pain rating scale (NPRS) and neck disability index (NDI), while secondary outcome include craniovertebral angle (CVA).

Panoramica dello studio

Stato

Iscrizione su invito

Condizioni

Intervento / Trattamento

Descrizione dettagliata

Chronic neck pain (CNP) is characterized as persisting pain for more than 3 months, which has a longer expected recovery time. It may be linked to a deficiency or modification of the proprioception of the neck muscles, which is essential for head motor control, cervical joint position, and postural stability (PS). In terms of pain and disability, neck discomfort presents a significant medical problem for patients. According to reports, neck pain is a major cause of illness and a global hardship. The most typical signs of the aforementioned condition are localized, dull, and deep muscle discomfort. Additional symptoms include exhaustion, stiffness, pain, decreased activity, involvement restriction, and difficulty performing coordinated motions.

Standard physiotherapy for persistent neck pain, which includes stretching, isometric exercises, and hot pack therapy, has been shown in recent trials (2021-2024) to effectively reduce pain and improve function. Isometric exercises, self-stretching, active range of motion, heat packs, and self-mobilization methods were all used in this recent randomized controlled experiment.

A breathing technique called diaphragmatic breathing training encourages maximum exhalation, enhances lung ventilation, and facilitates the release of secretions from the trachea. The objectives of these exercises are to modify the recruitment of respiratory muscles, decrease hyperinflation, enhance respiratory muscle function, maximise thoracoabdominal mobility, and lessen dyspnoea. Through diaphragmatic respiration, they can support trunk stability and lung function and posture correction.

CNP is also treated in traditional medicine using various techniques. Electroacupuncture (EA) is one of such techniques; it is safe and doesn't require medication, and numerous studies have shown that it effectively reduces pain and enhances patients' quality of life. Electroacupuncture (EA) is a modified form of acupuncture in which, following a traditional acupuncture procedure, weak electronic currents are applied through the needles.

Tipo di studio

Interventistico

Iscrizione (Stimato)

72

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54782
        • University of lahore teaching hospital

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto

Accetta volontari sani

No

Descrizione

Inclusion Criteria:

  • Patients having a history of the previous 3 months of chronic neck pain
  • NPRS 4-7
  • Patients having paradoxical breathing
  • CVA less than 49 degrees

Exclusion Criteria:

  • Congenital abnormality of the cervical spine
  • Post-traumatic neck pain
  • Hemorrhagic diseases
  • Radiculopathy

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Physiotherapy care, Diaphragmatic breathing, Electroacupuncture

These patients will receive physiotherapy care, diaphragmatic breathing, and electroacupuncture as part of their treatment program.

Total session time: 50 minutes Treatment schedule: 3 sessions on alternate days for 6 weeks
Altro: physiotherapy care, diaphragmatic breathing, and electroacupuncture
  • Physiotherapy care: 30 minutes of physiotherapy, including 10 minutes of hot pack, neck isometrics (muscle setting exercises) (10x10) 3 sets for 10 minutes, and stretching exercises for 10 minutes.
  • Diaphragmatic breathing: 10 min per session in a comfortable supine position or focusing on slow, deep inhalation with diaphragmatic expansion will reduce pain threshold and prepare the patients to receive the electroacupuncture.
  • Electroacupuncture: Electrical stimulation with acupuncture needles will be applied to the targeted muscle group for 10 minutes per session by a certified practitioner. The targeted muscles will be the upper trapezius, levator scapulae, splenius capitis, and anterior scalene.
  • Treatment schedule: The session will consist of 30 minutes of physiotherapy care, 10 minutes of diaphragmatic breathing, and 10 minutes of electroacupuncture
Comparatore attivo: Physiotherapy care, Simple focused breathing, Electroacupuncture

These patients will receive physiotherapy care, simple focused breathing exercises, and electroacupuncture as part of their treatment program.

Total session time: 50 minutes Treatment schedule: 3 sessions on alternate days for 6 weeks
Altro: physiotherapy care, simple focused breathing exercises, and electroacupuncture
  • Physiotherapy care: 30 minutes of physiotherapy, including 10 minutes of hot pack, neck isometrics (muscle setting exercises) (10x10) 3 sets for 10 minutes, and stretching exercises for 10 minutes.
  • Simple focused breathing exercises: 10 minutes per session of simple, focused breathing exercises.
  • Electroacupuncture: Electrical stimulation with acupuncture needles will be applied to the targeted muscle group for 10 minutes per session by a certified practitioner. The targeted muscles will be the upper trapezius, levator scapulae, splenius capitis, and anterior scalene.
  • Treatment schedule: The session will consist of 30 minutes of physiotherapy care, 10 minutes of simple focused breathing exercises, and 10 minutes of electroacupuncture.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Pain Intensity
Lasso di tempo: Baseline 1st, 3rd and at 6th week of intervention
Pain intensity will be assessed using the Numeric Pain Rating Scale, an 11 point scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. Higher scores indicate greater pain (worse outcome).
Baseline 1st, 3rd and at 6th week of intervention
Neck Disability
Lasso di tempo: Baseline 1st, 3rd and at 6th week of intervention
Neck disability will be assessed using the Neck Disability Index Urdu version , a 10-item questionnaire with a total score ranging from 0 to 50. Higher scores indicate greater disability (worse outcome).
Baseline 1st, 3rd and at 6th week of intervention

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Craniovertebral Angle (CVA)
Lasso di tempo: Baseline 1st, 3rd and at 6th week of intervention
Craniovertebral angle will be measured in degrees (°) using Kinovea software version 0.8.27 (64-bit) from standardized lateral photographs. The craniovertebral angle is calculated as the angle between a horizontal line passing through the spinous process of C7 and a line joining C7 to the tragus of the ear. Higher CVA values indicate improved head and neck posture (better outcome), whereas lower values indicate greater forward head posture (worse outcome).
Baseline 1st, 3rd and at 6th week of intervention

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

University of Lahore

Investigatori

  • Cattedra di studio: Sahreen Anwar, PhD, University of Lahore

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

15 novembre 2025

Completamento primario (Stimato)

15 agosto 2026

Completamento dello studio (Stimato)

15 settembre 2026

Date di iscrizione allo studio

Primo inviato

28 giugno 2026

Primo inviato che soddisfa i criteri di controllo qualità

28 giugno 2026

Primo Inserito (Effettivo)

6 luglio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

9 luglio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

7 luglio 2026

Ultimo verificato

1 settembre 2025

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • UOL/IREB/25/12/0036

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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