Feasibility and Impact of a Tele-rehabilitation Program in Patients With Chronic and Non-specific Neck Pain

University of Jaén

Status: Completed

Conditions: Chronic Non-specific Neck Pain

Treatments: Other: MANUAL THERAPY; Other: THERAPEUTIC EXERCISE

Study type: Interventional

Funder types: Other

Identifiers

NCT04841642

CEIM/HU/2020/50

Details and patient eligibility

About

Chronic neck pain has a high prevalence in developed countries, being one of the main causes of years lived with disability and deterioration of the quality of life. Telerehabilitation is presented as a resource capable of favoring, with its development and implementation, the transition to a universal and quality health service. The main objective of the study is to assess the change in disability produced by a telerehabilitation program (applied in the intervention group) in patients with chronic and nonspecific neck pain compared to the recommendation of home exercises (control group).

The study that will be carried out will be a controlled and randomized clinical trial (ECCA), single-blind, longitudinal and prospective with two groups (intervention group and control group). The main study variables that are intended to be analyzed pre and post intervention are disability, quality of life, pain, adherence, and depression and anxiety.

The study will take place between June 2020 and May 2021 in specialized physiotherapy clinics.

Enrollment: 46 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• People between 18 and 65 years of age
• Neck pain of more than 3 months of evolution
• Access and knowledge in the use of the internet
• Complete the informed consent

Exclusion criteria

• Previous trauma to the cervical region (such as whiplash)
• Neck surgery
• Osteoporosis
• Arthritis
• Cervical radiculopathy associated with externalized cervical hernia
• Vertigo or vertebrobasilar insufficiency
• Cancer
• Vertebral fracture
• Fibromyalgia
• Cognitive impairment
• Psychiatric disorders.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Manual therapy and a telerehabilitation program

Experimental group

Description:

In the experimental group, an intervention based on manual therapy and a telerehabilitation program based on exercises will be carried out. The investigators will apply manual therapy for ten minutes a week based on cervical mobilizations and suboccipital inhibitions. The access to telerehabilitation will be through a web page, through which patients could see explanatory videos of the exercises as many times as they need.

Treatment:

Other: MANUAL THERAPY

Other: THERAPEUTIC EXERCISE

Manual therapy and recommendations for home exercises

Active Comparator group

Description:

In the control group, the same manual therapy intervention and recommendations for home exercises will be applied. This exercises recommendations will be based on a simulation of the exercise in the same session of the manual therapy of each week.

Treatment:

Other: MANUAL THERAPY

Other: THERAPEUTIC EXERCISE