Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Yozgat Bozok University, Yozgat, Turkiye.
Spine Health Unit, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkiye.
Turk J Med Sci. 2024 Jul 12;54(4):811-821. doi: 10.55730/1300-0144.5853. eCollection 2024.
BACKGROUND/AIM: Strengthening the muscles of the lumbar region in individuals with neck pain may be protective against future back problems. In addition, telerehabilitation applications, which gained momentum in the literature and clinical practice during the COVID-19 pandemic, are among the applications preferred by patients thanks to their various advantages. This study aimed to compare the effects of telerehabilitation and spinal stabilization exercises applied with face-to-face approaches on the thickness of the transversus abdominis (M.TrA) and lumbar multifidus (M.LM) muscles in patients with nonspecific neck pain.
The primary outcomes were the thickness of the M.TrA and M.LM. Neck pain intensity and neck disability were secondary outcomes. Muscle thickness was evaluated with an ultrasound device, neck pain intensity was assessed with a visual analog scale, and disability was assessed with the Neck Disability Index. Patients were randomly assigned to the telerehabilitation group (TRG) (n = 13) or the control group (CG) (n = 13). While the TRG did the exercises with live videos and video recordings, the CG did exercises face-to-face in the clinic. Both groups performed the same exercises for 45 minutes per session 3 days a week for 8 weeks.
At the end of the treatment, the thicknesses of the M.TrA and M.LM were increased and neck pain intensity and neck disability were decreased in both groups (p < 0.05). The groups were similar in terms of these variables (p > 0.05).
Telerehabilitation and face-to-face spinal stabilization exercises are both beneficial for spinal muscle architecture and clinical variables as a preventive measure against future lower back problems in individuals with neck pain.
背景/目的：强化颈部疼痛患者的腰部肌肉可能有助于预防未来的背部问题。此外，远程康复应用程序在 COVID-19 大流行期间在文献和临床实践中得到了广泛应用，由于其各种优势，是患者首选的应用程序之一。本研究旨在比较远程康复和面对面应用脊柱稳定练习对非特异性颈部疼痛患者横突间肌（M.TrA）和腰椎多裂肌（M.LM）肌肉厚度的影响。
主要结果是 M.TrA 和 M.LM 的厚度。颈痛强度和颈部残疾是次要结果。使用超声设备评估肌肉厚度，使用视觉模拟量表评估颈痛强度，使用颈部残疾指数评估残疾。患者被随机分配到远程康复组（TRG）（n = 13）或对照组（CG）（n = 13）。TRG 通过实时视频和视频记录进行锻炼，CG 在诊所面对面进行锻炼。两组均进行相同的锻炼，每次 45 分钟，每周 3 天，共 8 周。
治疗结束时，两组 M.TrA 和 M.LM 的厚度均增加，颈痛强度和颈部残疾均降低（p < 0.05）。两组在这些变量方面相似（p > 0.05）。
远程康复和面对面脊柱稳定练习均有益于脊柱肌肉结构和临床变量，可作为预防颈部疼痛患者未来下背部问题的措施。
