Guerra-Arencibia Laura, Santana-Déniz Cristina, Pecos-Martín Daniel, Fernández-Carnero Samuel, de Miguel-Hernando Nerea, Achalandabaso-Ochoa Alexander, Rodríguez-Almagro Daniel
Department of Nursing and Physiotherapy, University of Alcalá, 28801 Alcalá de Henares, Spain.
Department of Surgery, Ophthalmology, Otorhinolaryngology and Physical Therapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain.
Sensors (Basel). 2024 Dec 18;24(24):8069. doi: 10.3390/s24248069.
Non-specific chronic neck pain is a prevalent musculoskeletal disorder with a significant impact on individuals' quality of life. The lack of consensus on effective therapeutic management complicates the establishment of standardized treatment protocols. Home exercise programs have yielded positive results. This study aimed to assess the effectiveness of a telerehabilitation program distributed through videoconferencing for patients with non-specific chronic neck pain compared to a home-based exercise program.
A randomized controlled trial was conducted involving 36 participants who were divided into two groups: the experimental group (n = 18) received manual therapy combined with telerehabilitation, while the home-based group (n = 18) received the same manual therapy treatment along with recommendations for home exercises. Key outcome measures, including neck-related disability, kynesiophobia, anxiety and depression, pain intensity, pressure pain threshold, quality of life, and adherence to self-treatment, were evaluated at baseline and post-treatment.
No statistically significant differences were observed between groups. However, both groups demonstrated improvements in all study variables except for the mental component of quality of life immediately post-treatment.
After eight weeks of manual therapy and exercise, both the telerehabilitation and home-based exercise programs resulted in significant improvements in disability, pain, and kynesiophobia, indicating that telerehabilitation is as effective as home-based exercise.
非特异性慢性颈部疼痛是一种常见的肌肉骨骼疾病，对个人生活质量有重大影响。在有效治疗管理方面缺乏共识使得标准化治疗方案的制定变得复杂。家庭锻炼计划已取得积极成果。本研究旨在评估通过视频会议分发的远程康复计划对非特异性慢性颈部疼痛患者的有效性，并与家庭锻炼计划进行比较。
进行了一项随机对照试验，纳入36名参与者，分为两组：实验组（n = 18）接受手法治疗联合远程康复，而家庭锻炼组（n = 18）接受相同的手法治疗以及家庭锻炼建议。在基线和治疗后评估关键结局指标，包括颈部相关残疾、运动恐惧、焦虑和抑郁、疼痛强度、压痛阈值、生活质量以及自我治疗依从性。
两组之间未观察到统计学上的显著差异。然而，除了治疗后立即的生活质量心理成分外，两组在所有研究变量上均有改善。
经过八周的手法治疗和锻炼，远程康复计划和家庭锻炼计划在残疾、疼痛和运动恐惧方面均有显著改善，表明远程康复与家庭锻炼同样有效。
