Protocol summary

Study aim
To compare the effects of breathing reeducation on clinical outcomes in non specific chronic neck pain.
Design
A Randomised controlled trial,Double blinded,sample size of 80 patients single centre
Settings and conduct
Trial will be conducted at district Headquarter Hospital Faisalabad,patient and therapist are blinded by sealed envelop method
Participants/Inclusion and exclusion criteria
Inclusion criteria • Patients having non specific neck pain for more than 3 months • Patients having no history of respiratory disease • Patients having FEV1/FVC ratio=0.7 or 70% of the predicted • Age between 25-50 years Exclusion criteria • Smokers • Patients with upper cervical signs and symptoms • Prolong sitting
Intervention groups
Intervention group will receive supervised breathing exercises focusing on proper inhalation, exhalation and chest expansion for 15 minutes in addition to routine physical therapy treatment. Patients will undergo the intervention twice a week for consecutive 8 weeks.
Main outcome variables
Pain, ROM,Disability, Strength of neck muscles, Endurance, Quality of life, Vital capacity FET values

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200226046623N1
Registration date: 2020-04-17, 1399/01/29
Registration timing: registered_while_recruiting

Last update: 2020-04-17, 1399/01/29
Update count: 0
Registration date
2020-04-17, 1399/01/29
Registrant information
Name
sahreen Anwar
Name of organization / entity
The University of Lahore
Country
Pakistan
Phone
+92 41 8750106
Email address
sahreenanwar@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-02-27, 1398/12/08
Expected recruitment end date
2021-06-30, 1400/04/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effects of breathing Reeducation on clinical outcomes in non specific chronic neck pain.
Public title
Breathing reeducation in neck pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients having non specific neck pain for more than 3 months• Patients having no history of respiratory disease• Patients having FEV1/FVC ratio=0.7 or 70% of the predicted value• Patients having no history of antidepressant drug treatment• Both genders Age between 25-50 years
Exclusion criteria:
Smokers• Known history of depression• Patients having any sort of Asthma• Patients with upper cervical signs and symptoms• Prolong sitting.
Age
From 25 years old to 50 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
  • Outcome assessor
Sample size
Target sample size: 80
Randomization (investigator's opinion)
Randomized
Randomization description
simple randomization by sealed envelop method
Blinding (investigator's opinion)
Double blinded
Blinding description
participants in the study are blind to the treatement to which they are exposed to.The assessor who is measuring the outcome measures is unaware of the treatment the patient has gone through
Placebo
Not used
Assignment
Single
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of university of Lahore
Street address
1km, Defence Road, Bhobatian chowk Lahore Pakistan
City
Lahore
Postal code
54000
Approval date
2019-12-16, 1398/09/25
Ethics committee reference number
697

Health conditions studied

1

Description of health condition studied
Non specific Neck pain
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Pain
Timepoint
Before intervention and at 4th ,8th week
Method of measurement
Visual Analogue scale (VAS)

2

Description
Range of motion neck
Timepoint
Before intervention,at 4th and 8th week
Method of measurement
CROM device

3

Description
Cervical muscle strength
Timepoint
Before intervention,and at 4th week and 8th week
Method of measurement
Dynamometer

4

Description
Neck muscles endurance
Timepoint
Before intervention,4th week and 8th week
Method of measurement
Craniocervical Flexion test, Biopressure feedback

5

Description
Neck disability
Timepoint
Before intervention,at 4th and 8th week
Method of measurement
Neck disability index questionire

6

Description
Quality of life
Timepoint
Before intervention and at 4th and 6th week
Method of measurement
NOOS Questioire

7

Description
Pulmonary Function Test
Timepoint
Before intervention, at 4th and 6th week
Method of measurement
Spirometry

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Group will receive supervised breathing exercises focusing on proper inhalation, exhalation and chest expansion for 15 minutes with routine physical therapy treatment in form of infrared for 10 minutes, isometric exercises for flexor, extensor and side flexor of cervical spine in supine lying 20 repetitions with 10 seconds hold. Patients will undergo the intervention twice a week for consecutive 8 weeks. Outcome measures will be taken for musculoskeletal and respiratory elements on baseline and at 4th and 8th week respectively. For musculoskeletal element Pain and ROM will be assessed by using visual Analogue scale and CROM (deluxe), Functional disability will be measured through Neck disability index. Cervical muscle strength and endurance will be measured through isometric neck dynamometer and craniocervical flexion test respectively. For respiratory element Spirometer will be used for assessing pulmonary volumes, flows and maximal voluntary ventilation.
Category
Treatment - Other

2

Description
Control group: Control group will receive routine physical therapy treatment in form of infrared for 10 minutes, isometric exercises for flexor, extensor and side flexor of cervical spine in supine lying 20 repetitions with 10 seconds hold. Patients will undergo the intervention twice a week for consecutive 8 weeks. Outcome measures will be taken for musculoskeletal and respiratory elements on baseline and at 4th and 8th week respectively. For musculoskeletal element Pain and ROM will be assessed by using visual Analogue scale and CROM (deluxe), Functional disability will be measured through Neck disability index. Cervical muscle strength and endurance will be measured through isometric neck dynamometer and craniocervical flexion test respectively. For respiratory element Spirometer will be used for assessing pulmonary volumes, flows and maximal voluntary ventilation.
Category
Other

Recruitment centers

1

Recruitment center
Name of recruitment center
District Headquarter Hospital Faisalabad
Full name of responsible person
shaista Bano
Street address
Department of physical Therapy., District Headquarter Hospital Faisalabad
City
Faisalabad
Postal code
38000
Phone
+92 41 8750106
Email
shaistaphysio@hotmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
University of Lahore
Full name of responsible person
Dr. Ashfaq Ahmed
Street address
One Km Defence Road, Bobatiyan Chowk, Lahore, Pakistan
City
Lahore
Postal code
51000
Phone
+92 42 35321456
Email
Ashfaaqpt@gmail.com
Web page address
https://www.Uol.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
University of Lahore
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
The University of Lahore
Full name of responsible person
Sahreen Anwar
Position
Assistant professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Street#2, canal park, Vip block
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 41 8750106
Fax
Email
sahreenanwar@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
The University of Lahore
Full name of responsible person
Sahreen Anwar
Position
Assistant professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Street#2, canal park, Vip block
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 41 8750106
Fax
Email
sahreenanwar@yahoo.com
Web page address
http://www.uol.edu.pk

Person responsible for updating data

Contact
Name of organization / entity
The University of Lahore
Full name of responsible person
Sahreen Anwar
Position
Assistant professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Street#2, canal park, Vip block
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 41 8750106
Fax
Email
sahreenanwar@yahoo.com
Web page address
http://www.uol.edu.pk

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
IPD collected for primary outcome measures only
When the data will become available and for how long
june 2022 till june 2023
To whom data/document is available
people working in academics as well as in business
Under which criteria data/document could be used
type of analyses and criterias will be available
From where data/document is obtainable
data will be available on request through email id...Sahreenanwar@yahoo.com
What processes are involved for a request to access data/document
Just send an email with purpose of acquiring data and within a week data will be provided
Comments
N/A
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