The Effectiveness of the Exercise Program Applied by Telerehabilitation Method in Individuals With Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- Medipol University
- Enrollment
- 66
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating Scale
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Neck pain is a common musculoskeletal problem occurring as one of the first conditions causing decreased quality of life and disability.
An estimated 67.5% of people experience neck pain in their lives (5, 6). When the adult population is considered (15-74 years old), the prevalence ranges from 5.9% to 38.7%.
Causes of neck pain are largely variable, and include working in unsuitable ergonomic positions, sitting for a long time, and keeping the neck in abnormal physiological position for a long time.
Various factors are effective in the chronic stage of neck pain. Neck pain is associated with decreased strength and endurance of the cervical muscles. It was observed that deep flexor muscles are weak and superficial flexor muscle activity is increased in patients with neck pain; and that exercise is effective in reducing neck pain because strength, endurance, and flexibility can be regained in the structures around the damaged tissue.
There are several approaches that were found to be effective in the treatment of neck pain. These treatment strategies include physical therapy modalities, manual therapy, therapeutic exercise (stretching, strengthening, and endurance exercises) and home exercise programs.
Home exercise programs are used to expand the clinic-based physical therapy approaches to treat neck pain.
It was stated that it is now compulsory to develop new rehabilitation models and practices to cope with global increase in elderly population, limited resources allocated to public health, and changes in population needs. Telerehabilitation is recommended as a solution to provide physical therapy services; however, it was reported in previous studies that more studies are required in this field to accept its effectiveness.
The purpose of the present study is to examine the effects of 4-week exercise protocol established with stretching, strengthening the scapula muscles for the neck and upper body, neck and core stabilization exercises by ensuring the follow-up of the patients with Telerehabilitation Method on patients' neck pain, Daily Life Activities (DLA), and quality of life by comparing its effects with individuals who apply only home program.
Investigators
merve özel
physiotherapist
Medipol University
Eligibility Criteria
Inclusion Criteria
- •voluntary individuals suffering from neck pain for at least 3 months
- •over the age of 18
- •have a minimum score of 3/10 according to the Numeric Pain Rating Scale
- •who fill out the pain preliminary information form, and who will agree to participate in the study through this form.
Exclusion Criteria
- •Pregnant women,
- •History of malignancy
- •Congenital deformities or surgery history in the neck or shoulder area
- •perception problems for verbal commands
- •not having internet access
- •not having equipment to make video calls
Outcomes
Primary Outcomes
Numeric Pain Rating Scale
Time Frame: 4 weeks
Numeric Pain Rating Scale (NPRS) will be used to evaluate pain subjectively. NPRS is used to evaluate pain. The patient is asked to rate the severity of pain over 10, 0 showing no pain, and 10 showing the worst pain score. Validity and validation of the use of NPRS to evaluate chronic pain in the literature with face-to-face and telepresentation methods. Its reliability has been reported
Deep Neck Flexor Endurance Test
Time Frame: 4 weeks
Patients are asked to lie on a flat ground in the form of a "hook" during the online video conference. They are then asked to move their jaws closer to their chests in the Chin Tuck Position, raise their heads approximately 2.5 cm, and remain in this position. If patients experience any pain and fatigue or put their heads back on the floor, the test is terminated. The physiotherapist keeps track of the patient during this period. Two measurements are made, and the long-lasting result is recorded. The validity and reliability of the evaluation has been demonstrated by the online video videoconferencing method.
Secondary Outcomes
- World Health Organization Quality of Life Scale-Short Form (WHOQOL-Bref)(4 weeks)
- Neck Disability Index (NDI)(4 weeks)