Neck PainNCT05293847
Postural Based Telerehabilitation in Mechanic Neck Pain
A study testing Telerehabilitation exercises and postural skills in people with Neck Pain and Telerehabilitation, run by Hacettepe University at 1 site in Turkey (Türkiye).
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Neck Pain, Telerehabilitation, Postural; Defect
- What is being tested?
- Telerehabilitation exercises and postural skills
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 107 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 5 Sep 2021to 20 Feb 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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.
Who cannot join
- 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).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: 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.
Read the 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.
- Conditions
- Neck Pain, Telerehabilitation, Postural; Defect
- Being tested
- Telerehabilitation exercises and postural skills
- Keywords
- neck pain, telerahabilitation, posture
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Telerehabilitation exercises and postural skillsBehavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| Telerehabilitation exercises | Experimental | 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. Receives: Behavioral: Telerehabilitation exercises and postural skills |
What is being measured
The primary outcome is the main question the study is designed to answer.
Postural Assessments
Eye angle, craniovertebral angle,shoulder angle
Measured: 5 minute
Secondary outcomes (1)
Performance
6 minute walk test
Measured: 10 minute
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2022
- Study start5 Sep 2021
- Primary completion10 Nov 2021
- Study completion20 Feb 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Neck PainStudies of the same condition, open and under way.
- More trials run by Hacettepe UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Pre and post-intervention evaluations were compared in this study.
- Masking
- None (open label)
- Enrolment
- 107 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hacettepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Tezel Yıldırım Şahan, Hacettepe University
- Investigators
- Tezel Y Şahan, pHD, Study director, University of Health science
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05293847
- Sponsor's protocol ID
- 2022-80
- Status last verified
- Jun 2022
- First submitted
- 8 Mar 2022
- Last updated
- 21 Jun 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
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.
PubMed 30928841Joshi 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.
PubMed 31154701Hogg-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.
PubMed 19251074Lohman 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.
PubMed 30935335de 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.
PubMed 29752907
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects Of An Postural Based Telerehabilitation On Posture, Energy Consumption, and Performance In Mechanic Neck Pain
- ClinicalTrials.gov ID
- NCT05293847
- Acronym / sponsor ID
- 2022-80
- Conditions
- Neck Pain, Telerehabilitation, Postural; Defect
- Keywords
- neck pain, telerahabilitation, posture
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 107 participants (actual)
- Lead sponsor
- Hacettepe UniversityUniversity, hospital or other
- Study start
- 5 Sep 2021 (actual)
- Primary completion
- 10 Nov 2021 (actual)
- Study completion
- 20 Feb 2022 (actual)
- First posted
- 24 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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 design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Pre and post-intervention evaluations were compared in this study.
| Arm | Type | Receives |
|---|---|---|
| Telerehabilitation exercises | Experimental | Behavioral: Telerehabilitation exercises and postural skillsExercises 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. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (2 listed)
- 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).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Telerehabilitation exercises and postural skills12 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. | Behavioural | Telerehabilitation exercises |
Primary outcome
Postural Assessments
Time frame: 5 minute
Eye angle, craniovertebral angle,shoulder angle
1 secondary outcome
Performance
Time frame: 10 minute
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2022.
- Background: PubMed 30928841Arshadi 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.
- Background: PubMed 31154701Joshi 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.
- Background: PubMed 19251074Hogg-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.
- Background: PubMed 30935335Lohman 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.
- Background: PubMed 29752907de 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tezel Y Şahan, pHD study director
University of Health science
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Telerehabilitation exercises and postural skills in people with Neck Pain and Telerehabilitation, run by Hacettepe University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Postural Assessments (time frame: 5 minute). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05293847, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jun 2022.