The Effect of Telerehabilitation in Patients With Chronic Neck Pain

Not Applicable

Completed

• Conditions: Chronic Neck Pain
• Interventions: Other: Conventional Rehabilitation (CR); Other: Telerehabilitation (TR)

• Registration Number: NCT04752488
• Lead Sponsor: Marmara University

Brief Summary

Telerehabilitation offers more efficient follow-up of patients during their home exercise period as a cost-effective and effective treatment model. This study was planned to examine the effectiveness of telerehabilitation in patients with chronic neck pain. The aim of the study is to compare the video-based and telerehabilitation based home-exercise program in patients with chronic neck pain. It is aimed to evaluate the patients in terms of pain, functionality, quality of life, and exercise adherence.

Detailed Description

With telerehabilitation, patients can easily adapt to home exercise programs and be monitored remotely. In this way, it will be ensured that individuals can apply their exercises at an optimum level in non-clinical settings and to prevent exercise application errors that occur due to the learning effect frequently observed in conventional methods. Exercise is considered a central element in physical therapy and rehabilitation management in patients with chronic neck pain. However, studies have found that improvements after physical therapy and rehabilitation are not preserved in the long term, and recurrence of chronic low back pain is common. With a more cost-effective treatment model, "telerehabilitation", it is aimed that patients can be followed more efficiently during their home exercise period. The aim of the study is to compare the video-based and telerehabilitation based home-exercise program in patients with chronic neck pain. It is aimed to evaluate the patients in terms of pain, functionality, quality of life, and exercise adherence.

Study Timeline

• Study First Submitted: 2021-02-10
• Study First Submitted QC: 2021-02-10
• Study First Posted: 2021-02-12
• Study Start: 2022-03-20
• Primary Completion: 2022-06-20
• Study Completion: 2022-07-29
• Status Verified: 2022-08
• Last Update Submitted: 2022-08-12
• Last Update Posted: 2022-08-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients between the ages of 18 - 65
• Patients who have suffered from neck pain for at least 3 months
• Signing the consent form

Exclusion Criteria

• Situations that prevent the evaluation or communication with the individual
• Illiterate individuals
• Individuals who have undergone an operation due to neck pain problem, diagnosed with a tumor, infection, ankylosing spondylitis, rheumatoid arthritis or inflammatory diseases, fracture, cauda equina syndrome
• Conditions in which specific pathological condition is proven such as malignant condition, fracture, systemic rheumatoid disease
• Orthopedic and neurological problems that prevent evaluation and/or treatment
• Complaints of pain and numbness spreading to the upper extremities
• Individuals with a diagnosed psychiatric disease
• Individuals who have received physiotherapy in the last 6 months
• Individuals using another treatment method during the study
• Individuals with musculoskeletal pain in any other part of the body during work
• Pregnant participants

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional Rehabilitation (CR) Group	Conventional Rehabilitation (CR)	The CR group will be trained face-to-face with conventional methods before the 8-week home exercise program, and an exercise program will be prescribed with a visual information form.
Telerehabilitation (TR) Group	Telerehabilitation (TR)	The TR group will be followed up through the video-based exercise software within the 8-week home exercise program.

Primary Outcome Measures

Name	Time	Method
Neck Disability Index (NDI)	5 minutes	NDI consists of 10 titles: pain intensity, personal care, lifting, reading, headache, concentration, study, driving, sleeping, and recreation. For each item included in the study; 0 indicates "no disability" and 5 represents "complete disability" Participants will be asked to give points between these scores. The total score ranges between 0 (no disability) and 50 (complete disability).
Visual Analogue Scale (VAS)	2 minutes	The patients will be asked to mark their pain feelings for rest and activity on a 10 cm numerical line (0: no pain, 10: unbearable pain). It is planned to use numerical VAS in our study. The cut-off values for chronic musculoskeletal pain will be classified as the severity of pain according to VAS as follows: \<3.4 centimeters: mild pain, 3.5-7.4 centimeters: moderate pain, \> 7.5 centimeters: severe pain.
Short Form-36 (SF-36)	5 minutes	SF-36 consists of thirty-six items. These provide measurements of eight dimensions. Subscales evaluate health between 0-100 points; '0' indicates poor health, '100' indicates good health.
Tampa Scale for Kinesiophobia	5 minutes	The scale is a 17-item. A 4-point Likert scoring (1= strongly disagree, 4= totally agree) is used in the scale. The participant gets a total score between 17-68. The high score obtained by the participant indicates that the kinesiophobia is also high.

Secondary Outcome Measures

Name	Time	Method
Exercise Adherence Rating Scale (EARS)	5 minutes	EARS provides a measurement of commitment to home exercise. This may facilitate the evaluation of interventions that promote self-management, for the treatment of chronic conditions.
Telemedicine Patient Questionnaire	5 minutes	Telemedicine Patient Questionnaire evaluates the usability and satisfaction of the patients. The total score is scored between 17 and 85. Higher scores indicate expectation, satisfaction and usability.

Trial Locations

Locations (1)

Training and Research Hospital; 🇹🇷 Muğla, Turkey