Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain.

November 21, 2025 updated by: Daniel Pantaleón Hernández, Universitat Internacional de Catalunya

Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain: Randomized Clinical Trial.

The purpose of this study is to evaluate the clinical results in pain intensity, neck disability, range of motion, endurance deep cervical muscles, forward head position and kinesiophobia through thoracic spine mobility, deep neck muscles and thoracic strength training and pain education protocol versus a thoracic spine mobility, thoracic strength training and pain education protocol in patients with chronic non-specific neck pain.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Not yet recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

The cervical spine is the most mobile region of the spine and must be strong enough to support the weight of the skull and thoracic spine is the most stiff region. In addition, patients often catastrophize their pain, it has a major impact on quality of life. Strength deficits of the deep cervical muscles are related to different clinical conditions, such as non-specific neck pain. Training and education protocols can help to improve pain, function, posture and cross-sectional area. However, there are no multimodal protocols in subjects with chronic non-specific neck pain including deep neck extensor and flexor muscles, thoracic spine mobility and pain education.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Estimated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
54

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Study Locations

  • Spain
      • Sant Cugat del Vallès, Spain
        • Universitat Internacional de Cataluña
        • Contact:
          • Universitat Internacional de Cataluña
          • Phone Number: 935042000
          • Email: nnogales@uic.es

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Non-specific neck pain for at least the last 12 weeks.
  • Pain intensity equal to or greater than 4 on the visual analog scale (VAS).
  • Mild-moderate disability in the Neck Disability Index.
  • Not reaching phase 2 in Craniocervical flexion test.
  • Availability and skill to do video calls.
  • Understanding Spanish.

Exclusion Criteria:

  • Other type of neck pain.
  • Previous neck surgery.
  • Diagnosed metabolic diseases.
  • Red flags (infection, tumors, rheumatic arthritis, or cardiovascular disease).
  • History of cardio-respiratory disease that contraindicates high-intensity exercise.
  • Fibromyalgia
  • Pregnancy
  • Physiotherapeuthic treatment continued in the last 3 month.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Experimental group
Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.
Other: Thoracic and neck specific exercise program and education
Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.
Active Comparator: Control group
Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.
Other: Thoracic exercise program and education
Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Pain intensity
Time Frame: Baseline, 6 weeks, 1 month follow-up
Measured by Visual Analogue Scale.
Baseline, 6 weeks, 1 month follow-up
Neck Disability
Time Frame: Baseline, 6 weeks, 1 month follow-up
Measured by the Spanish version of Neck Disability Index Questionnaire.
Baseline, 6 weeks, 1 month follow-up

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Activation of deep neck flexors muscles.
Time Frame: Baseline, 6 weeks, 1 month follow-up
Measured by Cranio-cervical flexion test
Baseline, 6 weeks, 1 month follow-up
Forward head posture
Time Frame: Baseline, 6 weeks, 1 month follow-up
Measured by craniovertebral angle.
Baseline, 6 weeks, 1 month follow-up
Cervical range of motion
Time Frame: Baseline, 6 weeks, 1 month follow-up
Measured by CROM(Cervical Range-of-Motion Instrument). Cervical flexion, extension, right/left side bending and right/left rotation.
Baseline, 6 weeks, 1 month follow-up
Kinesiophobia
Time Frame: Baseline, 6 weeks, 1 month follow-up
Measured with Spanish version of Tampa Scale
Baseline, 6 weeks, 1 month follow-up
Global Rating of Change
Time Frame: 1 month follow-up
Measured by Global Rating of Change Scale
1 month follow-up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Universitat Internacional de Catalunya

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: Daniel Pantaleon-Hernandez, Universitat Internacional de Cataluña

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
December 1, 2025

Primary Completion (Estimated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
May 1, 2026

Study Completion (Estimated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
June 1, 2026

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
November 21, 2025

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 21, 2025

First Posted (Estimated)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
December 3, 2025

Study Record Updates

Last Update Posted (Estimated)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
December 3, 2025

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 21, 2025

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
November 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • FIS-2024-009

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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