NCT07133646

Effect of Rib Mobilization and Diaphragm Release Techniques in Patients With Non-Specific Neck Pain

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (actual)
• Sponsor: MTI University · Academic / Other
• Sex: All
• Age: 20 Years – 45 Years
• Healthy volunteers: Not accepted

Summary

Rib mobilization is a therapeutic technique aimed at enhancing the mobility of the ribcage, which can have a significant impact on neck pain, even when the pain is classified as non-specific. The ribcage plays a crucial role in maintaining the alignment and posture of the upper body, including the neck. When the ribs are restricted or misaligned, it can lead to compensatory movements and increased strain on the cervical spine, contributing to neck pain. By mobilizing the ribs, we can restore their natural movement, which in turn can release tension in the surrounding musculature and improve the overall biomechanics of the thoracic and cervical regions. This approach not only addresses the immediate symptoms of neck pain but also targets the underlying structural issues that may perpetuate discomfort.

Detailed description

The diaphragm is a major muscle involved in respiration, but its function extends beyond just breathing. It acts as a core stabilizer and influences the mechanics of the thoracic and cervical areas. Tension or dysfunction in the diaphragm can lead to altered breathing patterns and increased tension in the neck and shoulders, exacerbating non-specific neck pain. Releasing the diaphragm can improve respiratory efficiency and reduce undue stress on the neck. This release helps in re-establishing a more natural breathing pattern, which can alleviate pain and improve overall posture. Additionally, by addressing the diaphragm, we can indirectly affect the autonomic nervous system, promoting relaxation and reducing stress, which are often contributing factors to chronic pain syndromes. An integrated approach that combines rib mobilization and diaphragm release can be particularly effective for managing non-specific neck pain. This method not only targets the symptoms but also addresses the root causes of neck discomfort. By improving rib and diaphragm function, we enhance the body's ability to maintain proper posture and reduce compensatory strain on the neck. This holistic treatment strategy is essential because it recognizes the interconnectedness of the body's musculoskeletal and respiratory systems. Furthermore, this approach empowers patients by providing them with a deeper understanding of their body mechanics and encouraging active participation in their rehabilitation process. Through this combination of manual therapy techniques, patients are likely to experience improved mobility, reduced pain, and a greater sense of well-being.

Conditions

• Neck Pain

Interventions

Type	Name	Description
OTHER	Rib Mobilization Technique and Diaphragm Release Technique	The RMT, adapted from Henderson et al10 and Abdelaal et al,15 was carried out in 2 different participant positions: supine and seated. In the supine position, the therapist was placed next to the participant and positioned the last 4 fingertips of both hands at the rib angles. The therapist mobilized the costal angles in the postero anterior direction accompanying the participant's normal inspiration The movement was performed in 2 series of 10 respiratory cycles in each hemi thorax, with a 1-minute interval between sets.
OTHER	Diaphragm Release Technique	The DRT was performed according to the protocol described by Rocha et al.13 In this protocol, the participant remains in the supine position so that the therapist is able to maintain manual contact with the bottom edge of the rib cage. During inspiration, the therapist exerts traction after the natural rib-cage movement, then deepens the manual contact and maintains the resistance exerted in the previous phase throughout exhalation. The technique was applied in 2 series of 10 deep respiratory cycles, with a 1-minute interval between the series, under the therapist's verbal command.

Timeline

• Start date: 2025-10-01
• Primary completion: 2025-12-01
• Completion: 2025-12-01
• First posted: 2025-08-21
• Last updated: 2025-12-02

Locations

1 site across 1 country: Egypt