Physiotherapy and Rehabilitation Department, Medipol University, Health Sciences Institute, Istanbul, Turkey.
Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Istanbul Medipol University, Istanbul, Turkey.
J Telemed Telecare. 2024 Jun;30(5):823-833. doi: 10.1177/1357633X221095782. Epub 2022 May 16.
The aim of this research was to investigate the effects of telerehabilitation-based remote supervised or unsupervised structured exercise therapy on pain, disability, and quality of life related to chronic nonspecific neck pain.
The study was designed as a single-blinded randomized controlled trial. Sixty-six eligible chronic nonspecific neck pain patients were randomized across three groups: remote supervised group (RSG, n = 22), unsupervised group (UG, n = 22), and waitlist control group (CG, n = 22). Progressive structured exercise therapy program was delivered weekly to patients in remote supervised group and unsupervised group to perform four days a week for four weeks. Remote supervised group was supervised by videoconference and text message. Pain, disability, and quality of life of participants were assessed at baseline, week 2, and post-therapy.
Post-therapy pain and disability total change scores were -3.64 (95% CI -4.85 to -2.42) and -7.27 (95% CI -11.05 to -3.50) for remote supervised group compared with a change of -2.44 (95% CI -3.46 to -1.43) and -5.77 (95% CI -8.54 to -3.01) for unsupervised group, respectively. Post-therapy, quality of life improvements were greater for remote supervised group than unsupervised group overall (general health; remote supervised group: 19.01 (95% CI 6.86 to 31.16), unsupervised group: 12.50 (95% CI 4.79 to 20.21), and physical health; remote supervised group: 18.35 (95% CI 10.35 to 26.35), unsupervised group: 7.31 (95% CI 0.01 to 14.60)). Significant improvements in psychological health and environment-telerehabilitation for remote supervised group were not seen for unsupervised group and outcomes differences did not reach significance for control group ( > 0.05) post-therapy, except environment-telerehabilitation.
Structured exercise therapy can improve chronic nonspecific neck pain outcomes when remotely supervised or unsupervised. Structured exercise therapy content and frequent communication are important for remote chronic nonspecific neck pain management.
本研究旨在探讨基于远程监督或非监督结构化运动疗法对慢性非特异性颈痛相关疼痛、残疾和生活质量的影响。
本研究设计为单盲随机对照试验。66 名符合条件的慢性非特异性颈痛患者随机分为三组：远程监督组（RSG，n=22）、非监督组（UG，n=22）和候补对照组（CG，n=22）。每周向远程监督组和非监督组的患者提供渐进式结构化运动治疗方案，每周 4 天，持续 4 周。远程监督组通过视频会议和短信进行监督。在基线、第 2 周和治疗后评估参与者的疼痛、残疾和生活质量。
与非监督组相比，远程监督组治疗后的疼痛和残疾总变化评分分别为-3.64（95%置信区间-4.85 至-2.42）和-7.27（95%置信区间-11.05 至-3.50），而非监督组分别为-2.44（95%置信区间-3.46 至-1.43）和-5.77（95%置信区间-8.54 至-3.01）。治疗后，远程监督组的生活质量总体改善优于非监督组（一般健康：远程监督组：19.01（95%置信区间 6.86 至 31.16），非监督组：12.50（95%置信区间 4.79 至 20.21），身体健康：远程监督组：18.35（95%置信区间 10.35 至 26.35），非监督组：7.31（95%置信区间 0.01 至 14.60））。远程监督组的心理健康和环境远程康复方面有显著改善，但非监督组未见改善，对照组（ > 0.05）在治疗后除环境远程康复外，其他方面的差异均无统计学意义。
结构化运动疗法可改善慢性非特异性颈痛的结局，无论远程监督或非监督。结构化运动疗法的内容和频繁的沟通对于远程慢性非特异性颈痛管理很重要。
