Overview
The aim of this work is to record changes on accessory muscles especially sternocleidomastoid and scalene after applying cervical NAGs in COPD patients.
Description
Natural gliding movements in the spine, known as apophyseal glides, occur during breathing. These movements are believed to be important for maintaining good posture and flexibility in the spine. In COPD patients, the muscles that support the spine, like the scalene and SCM, can become tight and strained due to labored breathing. This tightness can lead to neck and shoulder pain.
While studies suggest that natural apophyseal glides improve spinal mobility, accessory muscle flexibility and reduce pain, there is room for further research on COPD patients, especially in Pakistan.
Eligibility
Inclusion Criteria:
- Registered with history of moderate (II) to severe (III) grade COPD (for a minimum of 1 year) will be included in the study.
- Patients who are clinically stable.
Exclusion Criteria:
- Patients who have any pre-existing cervical spine disease.
- Patients who have any cardiac disease.
- Other respiratory co-morbidities
- Patients who have severe dizziness or coughing