ACUTE EFFECT OF DIAPHRAGMATIC BREATHING ON POSTOPERATIVE UPPER TRAPEZIUS PAIN

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age22-55
SponsorIstanbul Aydın University

About this trial

This randomized controlled trial aims to investigate the acute effects of diaphragmatic breathing exercises added to soft tissue mobilization and percussive therapy on pain intensity, functional disability, and pressure pain threshold in operating room nurses experiencing upper trapezius pain after surgery-related work activities.

Participants will be operating room nurses working in a hospital operating theater who report upper trapezius pain and tenderness within 30 minutes after completing a surgical procedure. Eligible participants will be randomly assigned to either an intervention group receiving soft tissue mobilization, percussive therapy, and diaphragmatic breathing exercises, or a control group receiving soft tissue mobilization and percussive therapy alone.

Pain intensity will be assessed using the Visual Analog Scale (VAS), functional disability using the Neck Disability Index (NDI), and mechanical pain sensitivity using Pressure Pain Threshold (PPT) measurements. Assessments will be performed immediately before and after a single treatment session. The study aims to determine whether the addition of diaphragmatic breathing exercises provides additional benefits in reducing pain and improving function in the acute postoperative working period of operating room nurses.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged between 22 and 55 years.

Operating room nurse actively working in the hospital operating theater.

Reporting upper trapezius pain and tenderness within 30 minutes after completion of a surgical procedure.

Willing to participate and able to provide written informed consent.

Disqualifiers

History of trauma, surgery, or chronic disease affecting the neck or shoulder region.

Regular participation in breathing exercise programs.

Psychiatric disorders requiring anxiolytic or antidepressant medication.

Pregnancy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Diaphragmatic Breathing Exercise

    Behavioral

    Participants will perform diaphragmatic breathing exercises for 5 minutes in a seated position under physiotherapist supervision.

  • Soft Tissue Mobilization

    Other intervention

    Soft tissue mobilization techniques will be applied to the upper trapezius muscle for 5 minutes.

  • Percussive Therapy

    Device

    Percussive therapy will be applied to the upper trapezius muscle for 5 minutes using a massage device.

Treatment groups

38 Participants
are divided into 2 treatment groups
Group A: Experimental GroupExperimental treatment 3 interventions
Group B: Control GroupActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Pain Intensity

Pain intensity will be assessed using the Visual Analog Scale (VAS). The Visual Analog Scale ranges from 0 to 10 points, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity. Change from pre-intervention to immediately post-intervention will be analyzed.

Time frame
Immediately before intervention and immediately after intervention (single session)

Secondary outcomes

1

Neck Disability Index

Neck-related disability will be assessed using the Neck Disability Index (NDI). The Neck Disability Index consists of 10 items with a total score ranging from 0 to 50 points. A score of 0 indicates no disability and 50 indicates maximum disability. Higher scores indicate greater disability and poorer neck function. Change from pre-intervention to immediately post-intervention will be analyzed.

Time frame
Immediately before intervention and immediately after intervention (single session)

Other outcomes

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