Study On The Efficacy Of Cervical Stability Training Combined With Three-dimensional Breathing In Patients With Chronic Nonspecific Cervical Pai

1 Objective:Chronic non-specific neck pain(CNSNP)has seriously hindered People’s Daily life and work.CNSNPS are usually associated with weak cervical stability and core stability.Threedimensional breathing can better balance the internal pressure of the thoracic,abdominal and pelvic cavity and improve the alignment of the thoracopelvic cylinder,which may have a better effect on promoting the trunk dynamic stability and reducing the segmental compensation of the spine.However,there are few reports on the efficacy of cervical stability training combined with three-dimensional breathing in patients with CNSNP.The purpose was to study the effect of cervical stability training combined with three-dimensional breathing on CNSNP,and to explore a better intervention mode for CNSNP.2 Methods:Fifty-eight college students with CNSNP,ranging in age from 20 to 25 years old,were recruited and randomly divided into two groups: cervical spine stability training group(CST group,N=29)and cervical spine stability training combined with three-dimensional breathing group(TDB group,N=29).The duration of intervention was 8 weeks and the training frequency was 3 times per week.Data were collected before intervention and immediately after 8 weeks of intervention.The test indicators included:(1)Basic indicators: height,weight,BMI,blood pressure and resting heart rate;(2)Clinical parameters: neck pain rate score(NPRS)and neck disability index(NDI);(3)Functional indicators: cervical range of motion,thoracic range of motion and thoracolumbar range of motion;(4)Neck muscle endurance: neck deep flexor,neck deep extensor and side neck flexor endurance;(5)Respiratory function: respiratory pattern(area of breathing,breathing balance,percentage rib cage motion and number of one-minute calm breaths)and three-dimensional breathing(deep inhalation time and deep exhalation time).3 Results:3.1Changes of clinical parameters in CST group and TDB groupCompared with before intervention,NPRS and NDI in CST group and TDB group were significantly decreased(P < 0.05);Compared with the CST group,the improvement of NPRS and NDI in the TDB group was better(P < 0.05).3.2Functional status changes of subjects in CST group and TDB group(1)Compared with before intervention,cervical flexion,extension and rotation range of motion of subjects in CST group and TDB group were significantly increased(P < 0.05),while lateral flexion range of motion of subjects in TDB group was not significantly different(P >0.05);Compared with CST group,TDB group showed better improvement in cervical flexion,extension and rotational range of motion(P < 0.05).(2)Compared with before intervention,subjects in CST group had no significant differences in thoracic flexion,extension,lateral flexion and rotational range of motion(P > 0.05),subjects in TDB group had significant increases in flexion and rotational range of motion(P < 0.05),but had no significant differences in extension and lateral flexion range of motion(P > 0.05);Compared with CST group,subjects in TDB group showed better improvement in flexion and rotation range of motion(P < 0.05).(3)Compared with before intervention,there were no significant differences in thoracolumbar flexion,extension,lateral flexion and rotational range of motion of subjects in CST group(P > 0.05),but significantly increased flexion and rotational range of motion of subjects in TDB group(P < 0.05),and no significant differences in extension and lateral flexion range of motion of subjects in TDB group(P > 0.05).Compared with CST group,subjects in TDB group showed better improvement in flexion and rotation range of motion(P < 0.05).3.3 Changes of neck muscle endurance in CST and TDB groupsCompared with before intervention,the cervical deep flexor endurance of subjects in CST group and TDB group was significantly increased(P < 0.05),but there was no significant difference between the cervical deep extensor endurance and lateral cervical flexor endurance(P > 0.05).Compared with CST group,TDB group had better cervical deep flexor endurance improvement(P < 0.05).3.4 Changes of respiratory function in CST group and TDB group(1)Compared with before intervention,the breathing pattern of subjects in CST group: area of breathing,breathing balance,percentage rib cage motion and one-minute calm breaths were not significantly different(P > 0.05),while the breathing pattern of subjects in TDB group:breathing range,respiratory balance,percentage of rib cage motion and number of one-minute calm breaths were significantly decreased(P < 0.05);Compared with CST group,TDB group showed better improvement in respiratory balance(P < 0.05).(2)Compared with before intervention,CST group had no significant difference in 3D breathing: deep inspiration time and deep expiratory time(P > 0.05),but TDB group had significantly increased 3D breathing: deep inspiration time and deep expiratory time(P < 0.05);Compared with CST group,TDB group had better improvement effect on deep inspiratory time and deep expiratory time(P < 0.05).4 Conclusion4.1 Both the cervical stability training group and the cervical stability training combined with three-dimensional breathing group could improve the neck pain rate score and neck disability index in patients with chronic non-specific neck pain,but the cervical stability training combined with three-dimensional breathing group had better improvement effect.4.2 Compared with the cervical stability training group,the cervical stability training combined with three-dimensional breathing group improved cervical,thoracic,and thoracolumbar range of motion and aligned the thoracopelvic cylinder,and improved trunk dynamic stability and reduced spinal segmental compensations.