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Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment
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Published on: June 27, 2025

Respiratory dysfunction in chronic neck pain patients. A pilot study.

E Kapreli1, E Vourazanis, E Billis

  • 1Department of Physiotherapy, TEI of Lamia, Lamia, Greece. ekapreli@teilam.gr

Cephalalgia : an International Journal of Headache
|February 4, 2009
PubMed
Summary

Patients with chronic neck pain show reduced respiratory muscle strength and lung function. This pilot study suggests a link between neck posture and breathing difficulties, impacting patient care.

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04:28

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Published on: June 27, 2025

Area of Science:

  • Physiology
  • Pulmonology
  • Musculoskeletal Disorders

Background:

  • Chronic neck pain is prevalent and can impact overall physical function.
  • The relationship between neck pain and respiratory mechanics is not fully understood.
  • Forward head posture is a common postural deviation in individuals with neck pain.

Purpose of the Study:

  • To investigate the hypothesis that chronic neck pain is associated with respiratory dysfunction.
  • To compare respiratory function between patients with chronic neck pain and healthy controls.
  • To explore the association between forward head posture and respiratory muscle strength in neck pain patients.

Main Methods:

  • Pilot study involving 12 patients with chronic neck pain and 12 matched controls.
  • Assessment of spirometric values, maximal static respiratory pressures (Pimax, Pemax), and forward head posture.
  • Inclusion of functional tests to evaluate respiratory capacity.

Main Results:

  • Chronic neck pain patients exhibited significantly decreased maximal voluntary ventilation (P=0.042).
  • Patients showed significantly reduced respiratory muscle strength (Pimax P=0.001, Pemax P=0.002).
  • A strong association was found between increased forward head posture and decreased respiratory muscle strength.

Conclusions:

  • Chronic neck pain may predispose individuals to respiratory dysfunction.
  • Forward head posture is linked to diminished respiratory muscle strength in this population.
  • Findings suggest considering respiratory function in the assessment and rehabilitation of chronic neck pain patients.