ACE Report Cover
Cervical and Diaphragmatic Manual Therapy for Chronic Neck Pain
Language
Download
Cite
+ Favorites
Language
Download
Cite
+ Favorites
AceReport Image
SPINE
Cervical and Diaphragmatic Manual Therapy for Chronic Neck Pain .

The Effectiveness of Manual Therapy in the Cervical Spine and Diaphragm, in Combination with Breathing Re-Education Exercises, on the Range of Motion and Forward Head Posture in Patients with Non-Specific Chronic Neck Pain: A Randomized Controlled Trial.

Healthcare (Basel) . 2025 Jul 21;13(14):1765.

Ninety patients with non-specific chronic neck pain were randomized to receive cervical spine (Mulligan Concept) and diaphragm manual therapy plus breathing re-education (EG1; n=30), cervical spine manual therapy plus sham diaphragmatic therapy (EG2; n=30), or conventional physiotherapy (CG; n=30). The primary outcome of interest was active cervical spine range of motion (flexion/extension, bilateral side-flexion, bilateral rotation). Secondary outcome was forward head posture (craniovertebral angle). Outcomes were assessed pre-treatment, immediately post-treatment (after 10 sessions/1 month), and at 3 months. Overall, the results of the study revealed larger ROM gains with EG1 versus CG in five of six directions (except flexion) and versus EG2 for extension, with improvements generally maintained at 3 months; craniovertebral angle improved similarly across groups. These findings suggest that integrating diaphragm-focused manual therapy and breathing re-education augments cervical mobility beyond conventional care, though posture change (CVA) may require additional strategies.

Unlock the Full ACE Report

You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now

Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics

Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics

Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions

Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics

Or upgrade today and gain access to all OrthoEvidence
content for as little as $1.99 per week.
0 of 4 monthly FREE articles unlocked
You've reached your limit of 4 free articles views this month

Access to OrthoEvidence for as little as $1.99 per week.

Stay connected with latest evidence. Cancel at any time.
  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Upgrade
Welcome Back!
Forgot Password?
Start your FREE trial today!

Account will be affiliated with


OR
Forgot Password?

OR
Please check your email

If an account exists with the provided email address, a password reset email will be sent to you. If you don't see an email, please check your spam or junk folder.

For further assistance, contact our support team.

Translate ACE Report

OrthoEvidence utilizes a third-party translation service to make content accessible in multiple languages. Please note that while every effort is made to ensure accuracy, translations may not always be perfect.

Cite this ACE Report

OrthoEvidence. Cervical and Diaphragmatic Manual Therapy for Chronic Neck Pain. ACE Report. 2025;307(10):46. Available from: https://myorthoevidence.com/AceReport/Show/cervical-and-diaphragmatic-manual-therapy-for-chronic-neck-pain

Copy Citation
Please login to enable this feature

To access this feature, you must be logged into an active OrthoEvidence account. Please log in or create a FREE trial account.

Premium Member Feature

To access this feature, you must be logged into a premium OrthoEvidence account.

Share this ACE Report