Effectiveness of WeChat-Supported Neck Rehabilitation Exercises on Early Recovery After Thyroidectomy
Effectiveness of WeChat-Supported Neck Rehabilitation Exercises on Early Recovery After Thyroidectomy: A Randomized Controlled Trial
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Ling Zhan, Dr
- Numero di telefono: +8615821120972
- Email: rebecca0428zhan@163.com
Luoghi di studio
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Cina, 200233
- Reclutamento
- Shanghai Sixth People's Hospital
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Contatto:
- Ling Zhan, Doctor
- Numero di telefono: 08615821120972
- Email: rebecca0428zhan@163.com
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Undergoing thyroid surgery
- Postoperative condition stable, with the attending physician assessing the patient as fit for neck movement
- Willing to participate in the study, complete scheduled follow-ups, and sign a written informed consent form
Exclusion Criteria:
- History of prior thyroid or neck surgery
- History of cervical spondylosis, cervical spine surgery, neck trauma, or other conditions affecting neck mobility
- Postoperative complications rendering the patient unsuitable for neck movement training, such as confirmed recurrent laryngeal nerve injury, chyle leak, or complications requiring reoperation or prolonged drainage, or incision infection
- Persistent postoperative dizziness or other conditions unsuitable for exercise
- Unable to use WeChat and lacking assistance from family members
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: WeChat-supported tele-rehabilitation group
Participants in the WeChat-supported tele-rehabilitation group received WeChat mini program-supported postoperative neck exercise management.
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WeChat mini program-supported neck exercise management includes daily exercise reminders, exercise check-ins, symptom reporting, automated abnormal symptom prompts, and standardized remote feedback from the research team.
This intervention consists of standard clinical postoperative care and discharge education, encompassing wound management, follow-up appointments, and generic neck activity guidelines.
Prior to discharge or upon clinical stability, participants undergo a one-time, face-to-face training session with research staff featuring practical exercise demonstrations and behavioral precautions, and are provided with identical instructional video materials for home reference.
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Comparatore attivo: Routine care group
Participants in the routine care group did not receive WeChat mini program-supported postoperative neck exercise management.
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This intervention consists of standard clinical postoperative care and discharge education, encompassing wound management, follow-up appointments, and generic neck activity guidelines.
Prior to discharge or upon clinical stability, participants undergo a one-time, face-to-face training session with research staff featuring practical exercise demonstrations and behavioral precautions, and are provided with identical instructional video materials for home reference.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Neck Pain and Disability Scale (NPDS) Score
Lasso di tempo: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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The NPDS is used to evaluate post-surgical neck pain and its multi-dimensional impact on daily living, emotions, work, and social activities.
The total score ranges from 0 to 100, with higher scores representing more severe neck pain and structural functional impairment.
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Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Neck Movement Pain Score
Lasso di tempo: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Assessment of localized pain severity provoked during active cervical movements, including neck flexion, extension, left/right lateral flexion, and left/right rotation.
Each of the six movements is scored categorically as 0 (painless), 1 (mild pain), or 2 (severe pain), yielding a cumulative score range of 0 to 12. Higher total scores indicate more pronounced motion-induced cervical pain.
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Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Health-related quality of life
Lasso di tempo: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Health-related quality of life will be assessed using the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L).
The descriptive system assesses five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, with five response levels for each dimension.
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Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Incidence of Surgical Complications and Intervention-Related Adverse Events
Lasso di tempo: Up to 3 month post-operation
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Safety endpoints mapping the frequency and severity of post-surgical complications (e.g., wound bleeding/hematoma, incision dehiscence, surgical site infection) or any adverse events deemed by the investigator to be potentially related to the physical exercise regimen (e.g., severe motion-induced pain exacerbation, acute dizziness).
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Up to 3 month post-operation
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Cervical Range of Motion (ROM)
Lasso di tempo: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Objective clinical measurement of neck mobility, quantifying the exact degrees of cervical movement achieved during forward flexion, backward extension, left/right lateral flexion, and left/right rotation, assessed by a blinded investigator.
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Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
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Altre misure di risultato
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Rehabilitation adherence
Lasso di tempo: Up to 1 month post-operation
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Adherence will be calculated as the number of completed prescribed rehabilitation sessions divided by the number of prescribed sessions during the corresponding assessment period, multiplied by 100%.
Higher percentages indicate better adherence.
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Up to 1 month post-operation
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Acceptability of postoperative rehabilitation
Lasso di tempo: 30 days after drainage removal
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Acceptability of the postoperative rehabilitation program will be assessed using study-specific items addressing clarity of the rehabilitation guidance, usefulness of the educational materials, suitability, perceived safety, burden, confidence in recovery, overall satisfaction, and willingness to recommend the rehabilitation approach.
Each item is rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).
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30 days after drainage removal
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Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Dolore
- Manifestazioni neurologiche
- Malattie del sistema endocrino
- Complicanze postoperatorie
- Processi patologici
- Neoplasie per sede
- Neoplasie
- Neoplasie delle ghiandole endocrine
- Neoplasie della testa e del collo
- Condizioni patologiche, segni e sintomi
- Segni e sintomi
- Malattie della tiroide
- Dolore, Postoperatorio
- Neoplasie tiroidee
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- 2026-KY-277(K)
Piano per i dati dei singoli partecipanti (IPD)
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