Efficacy of Exercise, Manual Therapy and Tele-rehabilitation-Assisted Treatment on Degenerative Cervical Diseases

Hasan Kalyoncu University

Status: Completed

Conditions: Cervical Spine Disease; Neck Pain

Treatments: Other: Tele-rehabilitation Assisted Program; Other: Manual Therapy Combined with Home Exercise Program; Other: Home Exercise Program

Study type: Interventional

Funder types: Other

Identifiers

NCT05098860

KAUMS

Details and patient eligibility

About

The study aims to compare the effectiveness of soft tissue, joint mobilization, and tele-rehabilitation within the scope of Manual Therapy to the exercise program.

Full description

60 subjects with cervical degenerative disease will be included in the study after a voluntary consent form is filled out. Subjects will randomly be divided into 3 groups according to the order.

Group 1:Home Exercise Program: After a general education is given to the patients, an exercise program will be taught. Patients will be asked to do home exercises for 30-45 minutes once a day, 5 days a week for 8 weeks, and fill in follow-up charts. In addition, reminder messages will be sent to these patients once a week by the physiotherapist.

Group 2: Manual Therapy Group: After a general education is given to the patients, the same exercise program will be taught. Soft tissue and joint mobilizations will be applied to the patients in this group within the scope of Manual Therapy (MT). Mobilizations of the cervical vertebrae, scapula, and thoracic vertebrae will be included. MT will be applied to the patients 2 days a week for 8 weeks.

Group 3: Tele-Rehabilitation Group: After general education, treatment will be given in the zoom environment. During the 8 weeks, regularly planned exercises will be done via Zoom for 30-45 minutes 2 days a week, accompanied by a physiotherapist. Patients will apply active cervical and thoracic region mobilizations called self-mobilization. Patients will be taught active mobilization applications with the help of a towel for the cervical region, mobilization of the thoracic region with a foam roller. Patients will apply those self-mobilization at home in front of the physiotherapist in a visual environment. Patients in this group will regularly do the same home exercises on the other days without tele-rehabilitation.

Measurement and evaluation will be done four times, as pre-treatment, post-treatment (8th week), first follow-up (12 weeks), second follow-up (6th month).

Enrollment: 60 patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Between the ages of 40-65
• Patients diagnosed with cervical degenerative disease
• Patients with neck pain who have had pain for at least three months
• Patients who can participate in the treatment program by following WhatsApp messages with tele-rehabilitation.

Exclusion criteria

• Patients with an indication for surgery for the cervical region and or a previous history of cervical surgery,
• Currently receiving treatment from another region,
• Having severe neurological loss,
• Having a primary or spinal metastatic malignancy,
• Having a vascular problem in the upper extremity,
• To be diagnosed with advanced osteoporosis,
• Being pregnant,
• Diagnosis of Diabetes Mellitus,
• Having an Inflammatory Disease (such as rheumatoid arthritis),
• Having a history of trauma,
• Those who have received physical therapy and rehabilitation for the cervical region in the last 6 months will not be included.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

Home Exercise Program

Active Comparator group

Description:

The home exercise program includes a general educational training program. The program includes active stretching, strengthening, and stabilization exercises of neck muscles, head and neck posture exercises as well as relaxation and diaphragmatic breathing exercises. Patients will be asked to do home exercises for 30-45 minutes once a day, 5 days a week for 8 weeks.

Treatment:

Other: Home Exercise Program

Manual Therapy Combined with Home Exercise Program

Active Comparator group

Description:

Manual Therapy includes soft tissue and joint mobilizations of the cervical vertebrae, scapula and thoracic vertebrae. MT will be applied to the patients 2 days a week for 8 weeks. The home exercise program includes active stretching, strengthening, and stabilization exercises of neck muscles, head and neck posture exercises as well as relaxation and diaphragmatic breathing exercises.

Treatment:

Other: Manual Therapy Combined with Home Exercise Program

Tele-rehabilitation Assisted Program

Active Comparator group

Description:

Tele-rehabilitation assisted program will be given in the on-line environment. During 8 weeks, regularly planned exercises will be done via online applications for 30-45 minutes 2 days a week, accompanied by a physiotherapist. These patients will apply active cervical and thoracic region mobilizations called self-mobilization. Patients will be taught active mobilization applications with the help of a towel for the cervical region, with the assistance of a foam-roller for active mobilization of the thoracic region.

Treatment:

Other: Tele-rehabilitation Assisted Program