Neck Mobilization Technique for COPD Breathing Muscle Strain

This trial is testing whether a hands-on technique called Mulligan Natural Apophyseal Glides—gentle guided movements of the spine—can help ease the neck and shoulder muscle tightness that often develops in people with COPD. When you have COPD, your breathing becomes labored, which causes certain neck and shoulder muscles to work extra hard and become tight and painful. The study compares this new technique combined with stretches and breathing exercises against traditional physical therapy alone to see which approach works better.

People with COPD often develop painful tightness in their neck and shoulder muscles because they're working so hard to help with breathing. While early research suggests that the specialized mobilization technique may improve flexibility and reduce pain, there hasn't been enough research on this approach in COPD patients, especially in Pakistan.