The effectiveness of telerehabilitation-based structured exercise therapy for chronic nonspecific neck pain: a randomized controlled trial

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dc.authorid0000-0003-2822-7824
dc.authorid0000-0002-7611-0527
dc.contributor.authorÖzel, Merve
dc.contributor.authorKaya Ciddi, Pınar
dc.date.accessioned2024-11-04T13:32:23Z
dc.date.available2024-11-04T13:32:23Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractIntroduction: The aim of this research was to investigate the effects of telerehabilitation-based remote supervised or unsupervised structured exercise therapy on pain, disability, and quality of life related to chronic nonspecific neck pain. Method: The study was designed as a single-blinded randomized controlled trial. Sixty-six eligible chronic nonspecific neck pain patients were randomized across three groups: remote supervised group (RSG, n = 22), unsupervised group (UG, n = 22), and waitlist control group (CG, n = 22). Progressive structured exercise therapy program was delivered weekly to patients in remote supervised group and unsupervised group to perform four days a week for four weeks. Remote supervised group was supervised by videoconference and text message. Pain, disability, and quality of life of participants were assessed at baseline, week 2, and post-therapy. Results: Post-therapy pain and disability total change scores were ?3.64 (95% CI ?4.85 to ?2.42) and ?7.27 (95% CI ?11.05 to ?3.50) for remote supervised group compared with a change of ?2.44 (95% CI ?3.46 to ?1.43) and ?5.77 (95% CI ?8.54 to ?3.01) for unsupervised group, respectively. Post-therapy, quality of life improvements were greater for remote supervised group than unsupervised group overall (general health; remote supervised group: 19.01 (95% CI 6.86 to 31.16), unsupervised group: 12.50 (95% CI 4.79 to 20.21), and physical health; remote supervised group: 18.35 (95% CI 10.35 to 26.35), unsupervised group: 7.31 (95% CI 0.01 to 14.60)). Significant improvements in psychological health and environment-telerehabilitation for remote supervised group were not seen for unsupervised group and outcomes differences did not reach significance for control group (p > 0.05) post-therapy, except environment-telerehabilitation. Discussion: Structured exercise therapy can improve chronic nonspecific neck pain outcomes when remotely supervised or unsupervised. Structured exercise therapy content and frequent communication are important for remote chronic nonspecific neck pain management.
dc.identifier.citationÖzel, M. ve Kaya Ciddi, P. (2024). The effectiveness of telerehabilitation-based structured exercise therapy for chronic nonspecific neck pain: a randomized controlled trial. Journal of Telemedicine and Telecare, 30(5), 823-833. http://dx.doi.org/10.1177/1357633X221095782
dc.identifier.doi10.1177/1357633X221095782
dc.identifier.endpage833
dc.identifier.issn1357-633X
dc.identifier.issn1758-1109
dc.identifier.issue5
dc.identifier.pmid35570728
dc.identifier.scopus2-s2.0-85130518525
dc.identifier.scopusqualityQ1
dc.identifier.startpage823
dc.identifier.urihttp://dx.doi.org/10.1177/1357633X221095782
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12852
dc.identifier.volume30
dc.identifier.wos000798934600001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzel, Merve
dc.institutionauthorKaya Ciddi, Pınar
dc.language.isoen
dc.relation.ispartofJournal of Telemedicine and Telecareen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectChronic Neck Pain
dc.subjectDisability
dc.subjectEffectiveness
dc.subjectExercise Therapy
dc.subjectRandomized Controlled Trial
dc.subjectTelehealth
dc.subjectTelerehabilitation
dc.titleThe effectiveness of telerehabilitation-based structured exercise therapy for chronic nonspecific neck pain: a randomized controlled trial
dc.typeArticle

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