Postural Based Telerehabilitation in Mechanic Neck Pain

Effects Of An Postural Based Telerehabilitation On Posture, Energy Consumption, and Performance In Mechanic Neck Pain

It has been reported that staying in the same posture for a long time causes musculoskeletal system problems, and the use of mobile phones and other electronic devices continuously, especially in the internet age, causes postural problems in many people. Physiotherapy applications including strengthening, stretching, yoga, pain-oriented applications, and behavioral treatments are performed for an ideal posture to regulate postural problems. When the literature is examined, it has been seen that the studies carried out after the Covid 19 pandemic have developed especially in the direction of telerehabilitation, but there is a need for studies showing the effect of exercise applications developed for individuals with mechanical neck pain. This study was conducted to investigate the effect of 12-week telerehabilitation on posture, energy consumption, and performance in individuals with mechanical neck pain.

Study Overview

• Status: Completed
• Conditions: Neck Pain; Postural; Defect; Telerehabilitation
• Intervention / Treatment: Behavioral: Telerehabilitation exercises and postural skills

Detailed Description

This cross-sectional study was conducted at the Faculty of Physiotherapy and Rehabilitation, University of Health Sciences. All evaluations were performed in the university physiotherapy laboratories. All of the participants were informed about the study and provided written informed consent. This study was performed in accordance with the 1964 Helsinki declaration, its later amendments.110 people over the age of 18 were included in the study. Posture-oriented exercises were applied online 3 times a week for 12 weeks. Postural measurements, performance, and energy consumption levels were determined for each participant before and after the intervention. Craniovertebral angle and shoulder angle were measured with a smartphone application and muscle shortness was measured with clinical tests among postural measurements. Performance measurement was evaluated with the 6-minute walking test, and energy consumption was evaluated with the Physiological Cost Index. Individuals diagnosed with mechanical neck pain who applied to the university's wellness center for exercise between September 2021 and December 2021 were determined by physiotherapists who are experts in their fields. A cross-sectional selection of 110 individuals met the inclusion criteria. This study was conducted with assessments made before and after posture-based telerehabilitation.

• Study Type: Interventional
• Enrollment (Actual): 107
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey, 06018
    • Tezel Yıldırım Şahan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 60 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Inclusion criteria were being aged 18 years or over,
• Volunteering to take part in the study,
• Being a student of online education,
• without a history of any neurological or orthopedic problem,
• with resting neck pain (as measured by the Visual Analogue Scale) lasting ≤30 days and that is aggravated by movement without extending distal to the shoulders.

Exclusion Criteria:

• The exclusion criteria were neck pain that included inflammatory rheumatological diseases, malignancy, or structural deformity, previous surgery related to the cervical spine,
• Severe referred pain (greater than 7 on a 0-to-10 Visual Analogue Scale-VAS).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Telerehabilitation exercises; Exercises about postural structures on the cervical and thoracal region. Bilateral pectoral stretching, chin tack exercises, cervical isotonic exercises, stretching of the upper trapezius and longus Colli, scapular region strengthening, shoulder capsular stretching, Wand exercises for 12 weeks and 3 times a week.	Behavioral: Telerehabilitation exercises and postural skills; 12 week based postural exercises and skills were applied to participants. The exercises were done 3 times a week. The exercises about cervical and thoracal region strengthening and stretching of muscles and structures.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postural Assessments	Eye angle, craniovertebral angle,shoulder angle	5 minute

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Performance	6 minute walk test	10 minute

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Energy Consumption	Physiologic Cost Index	15 minute

Collaborators and Investigators

• Sponsor: Hacettepe University
• Investigators: Study Director: Tezel Y Şahan, pHD, University of Health science

Publications and helpful links

General Publications

• Arshadi R, Ghasemi GA, Samadi H. Effects of an 8-week selective corrective exercises program on electromyography activity of scapular and neck muscles in persons with upper crossed syndrome: Randomized controlled trial. Phys Ther Sport. 2019 May;37:113-119. doi: 10.1016/j.ptsp.2019.03.008. Epub 2019 Mar 21.
• Joshi S, Balthillaya G, Neelapala YVR. Thoracic Posture and Mobility in Mechanical Neck Pain Population: A Review of the Literature. Asian Spine J. 2019 Jun 3;13(5):849-860. doi: 10.31616/asj.2018.0302. Print 2019 Oct.
• Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, Cote P, Haldeman S, Ammendolia C, Carragee E, Hurwitz E, Nordin M, Peloso P. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S46-60. doi: 10.1016/j.jmpt.2008.11.010.
• Lohman EB, Pacheco GR, Gharibvand L, Daher N, Devore K, Bains G, AlAmeri M, Berk LS. The immediate effects of cervical spine manipulation on pain and biochemical markers in females with acute non-specific mechanical neck pain: a randomized clinical trial. J Man Manip Ther. 2019 Sep;27(4):186-196. doi: 10.1080/10669817.2018.1553696. Epub 2018 Dec 11.
• de Araujo Cazotti L, Jones A, Roger-Silva D, Ribeiro LHC, Natour J. Effectiveness of the Pilates Method in the Treatment of Chronic Mechanical Neck Pain: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2018 Sep;99(9):1740-1746. doi: 10.1016/j.apmr.2018.04.018. Epub 2018 May 9.

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 5, 2021
• Primary Completion (ACTUAL): November 10, 2021
• Study Completion (ACTUAL): February 20, 2022

Study Registration Dates

• First Submitted: March 8, 2022
• First Submitted That Met QC Criteria: March 15, 2022
• First Posted (ACTUAL): March 24, 2022

Study Record Updates

• Last Update Posted (ACTUAL): June 21, 2022
• Last Update Submitted That Met QC Criteria: June 15, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: neck pain; posture; telerahabilitation
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: 2022-80

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No