Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial

Background: Non-specific chronic neck pain is a prevalent musculoskeletal disorder with a significant impact on individuals’ quality of life. The lack of consensus on effective therapeutic management complicates the establishment of standardized treatment protocols. Home exercise programs have yield...

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Main Authors: Laura Guerra-Arencibia, Cristina Santana-Déniz, Daniel Pecos-Martín, Samuel Fernández-Carnero, Nerea de Miguel-Hernando, Alexander Achalandabaso-Ochoa, Daniel Rodríguez-Almagro
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/24/24/8069
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author Laura Guerra-Arencibia
Cristina Santana-Déniz
Daniel Pecos-Martín
Samuel Fernández-Carnero
Nerea de Miguel-Hernando
Alexander Achalandabaso-Ochoa
Daniel Rodríguez-Almagro
author_facet Laura Guerra-Arencibia
Cristina Santana-Déniz
Daniel Pecos-Martín
Samuel Fernández-Carnero
Nerea de Miguel-Hernando
Alexander Achalandabaso-Ochoa
Daniel Rodríguez-Almagro
author_sort Laura Guerra-Arencibia
collection DOAJ
description Background: Non-specific chronic neck pain is a prevalent musculoskeletal disorder with a significant impact on individuals’ quality of life. The lack of consensus on effective therapeutic management complicates the establishment of standardized treatment protocols. Home exercise programs have yielded positive results. This study aimed to assess the effectiveness of a telerehabilitation program distributed through videoconferencing for patients with non-specific chronic neck pain compared to a home-based exercise program. Methods: A randomized controlled trial was conducted involving 36 participants who were divided into two groups: the experimental group (n = 18) received manual therapy combined with telerehabilitation, while the home-based group (n = 18) received the same manual therapy treatment along with recommendations for home exercises. Key outcome measures, including neck-related disability, kynesiophobia, anxiety and depression, pain intensity, pressure pain threshold, quality of life, and adherence to self-treatment, were evaluated at baseline and post-treatment. Results: No statistically significant differences were observed between groups. However, both groups demonstrated improvements in all study variables except for the mental component of quality of life immediately post-treatment. Conclusions: After eight weeks of manual therapy and exercise, both the telerehabilitation and home-based exercise programs resulted in significant improvements in disability, pain, and kynesiophobia, indicating that telerehabilitation is as effective as home-based exercise.
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spelling doaj-art-049fbba221fb4f6f8feb856cf0a1e94c2024-12-27T14:52:53ZengMDPI AGSensors1424-82202024-12-012424806910.3390/s24248069Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical TrialLaura Guerra-Arencibia0Cristina Santana-Déniz1Daniel Pecos-Martín2Samuel Fernández-Carnero3Nerea de Miguel-Hernando4Alexander Achalandabaso-Ochoa5Daniel Rodríguez-Almagro6Department of Nursing and Physiotherapy, University of Alcalá, 28801 Alcalá de Henares, SpainDepartment of Nursing and Physiotherapy, University of Alcalá, 28801 Alcalá de Henares, SpainDepartment of Nursing and Physiotherapy, University of Alcalá, 28801 Alcalá de Henares, SpainDepartment of Nursing and Physiotherapy, University of Alcalá, 28801 Alcalá de Henares, SpainDepartment of Nursing and Physiotherapy, University of Alcalá, 28801 Alcalá de Henares, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaén, 23071 Jaén, SpainDepartment of Nursing, Physiotherapy and Medicine, University of Almería, La Cañada de San Urbano, 04120 Almería, SpainBackground: Non-specific chronic neck pain is a prevalent musculoskeletal disorder with a significant impact on individuals’ quality of life. The lack of consensus on effective therapeutic management complicates the establishment of standardized treatment protocols. Home exercise programs have yielded positive results. This study aimed to assess the effectiveness of a telerehabilitation program distributed through videoconferencing for patients with non-specific chronic neck pain compared to a home-based exercise program. Methods: A randomized controlled trial was conducted involving 36 participants who were divided into two groups: the experimental group (n = 18) received manual therapy combined with telerehabilitation, while the home-based group (n = 18) received the same manual therapy treatment along with recommendations for home exercises. Key outcome measures, including neck-related disability, kynesiophobia, anxiety and depression, pain intensity, pressure pain threshold, quality of life, and adherence to self-treatment, were evaluated at baseline and post-treatment. Results: No statistically significant differences were observed between groups. However, both groups demonstrated improvements in all study variables except for the mental component of quality of life immediately post-treatment. Conclusions: After eight weeks of manual therapy and exercise, both the telerehabilitation and home-based exercise programs resulted in significant improvements in disability, pain, and kynesiophobia, indicating that telerehabilitation is as effective as home-based exercise.https://www.mdpi.com/1424-8220/24/24/8069neck painchronic painnon-specific chronic neck paintelerehabilitationdisabilityexercise
spellingShingle Laura Guerra-Arencibia
Cristina Santana-Déniz
Daniel Pecos-Martín
Samuel Fernández-Carnero
Nerea de Miguel-Hernando
Alexander Achalandabaso-Ochoa
Daniel Rodríguez-Almagro
Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial
Sensors
neck pain
chronic pain
non-specific chronic neck pain
telerehabilitation
disability
exercise
title Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial
title_full Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial
title_fullStr Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial
title_full_unstemmed Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial
title_short Effectiveness of a Telerehabilitation-Based Exercise Program in Patients with Chronic Neck Pain—A Randomized Clinical Trial
title_sort effectiveness of a telerehabilitation based exercise program in patients with chronic neck pain a randomized clinical trial
topic neck pain
chronic pain
non-specific chronic neck pain
telerehabilitation
disability
exercise
url https://www.mdpi.com/1424-8220/24/24/8069
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