远程康复锻炼计划对慢性非特异性颈部疼痛患者残疾和疼痛的有效性：随机对照试验，评估者设盲

Effectiveness of Telerehabilitation Exercise Programme on Disability and Pain in Patients With Chronic Non-Specific Neck Pain: Randomised Controlled Trial Assessor-Blinded.

作者信息

Barbosa Juliene Corrêa, da Luz Bruna Vale, da Silva Breno Felipe Portal, Marques Amelia Pasqual, Saragiotto Bruno Tirotti, Comachio Josielli, Magalhaes Mauricio Oliveira

机构信息

Master's Program in Human Movement Sciences, Federal University of Pará, Belém-Pará, Brazil.

Faculty of Physiotherapy and Occupational Therapy, Federal University of Pará, Belém-Pará, Brazil.

出版信息

Musculoskeletal Care. 2025 Jun;23(2):e70119. doi: 10.1002/msc.70119.

DOI:10.1002/msc.70119

PMID:40374317

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12081207/

Abstract

INTRODUCTION

Chronic neck pain is an important public health problem. Telerehabilitation has emerged as an important tool for individuals with musculoskeletal conditions.

OBJECTIVES

The study aims to identify the effectiveness of a telerehabilitation exercise programme compared with a digital self-care booklet on non-specific neck pain.

METHODS

A randomised controlled trial assessor-blinded, 3 months follow-up. 70 patients were randomised into two groups of 35. The telerehabilitation group received 6 weeks of individualised training through vídeo calls and an online booklet. The control group received an online booklet. The primary outcome was functional disability. Secondary outcomes included pain intensity, global perceived effect, self-efficacy, quality of life, and kinesiophobia. All outcomes were assessed at baseline, 6 weeks, and a 3-month follow-up.

RESULTS

There was a significant difference between groups for functional disability (Mean 10.3, CI 95% 4.8-15.7), pain intensity (Mean 2.8, CI 95% 1.4-4.1), global perceived effect (Mean -2.3, CI 95% -3.7 to -0.9), and self-efficacy (Mean -24.7, CI 95% -41.0 to -8.4) at the 6-week. At the 3-month follow-up, statistically significant differences were observed for perceived overall effect (Mean -2.0, CI 95% -3.4 to -0.6) and self-efficacy (Mean -26.3, CI 95% -42.8 to -9.8).

CONCLUSIONS

Telerehabilitation is effective in improving disability and pain intensity compared with self-care booklets only in individuals with non-specific chronic neck pain.

TRIAL REGISTRATION

This trial is registered at https://ensaiosclinicos.gov.br/rg/RBR-10h7khvk under the registration number RBR10h7khvk at 09/16/2022.

摘要

引言

慢性颈痛是一个重要的公共卫生问题。远程康复已成为患有肌肉骨骼疾病患者的一项重要工具。

目的

本研究旨在确定与数字自我护理手册相比，远程康复锻炼计划对非特异性颈痛的有效性。

方法

一项随机对照试验，评估者设盲，随访3个月。70名患者被随机分为两组，每组35人。远程康复组通过视频通话和在线手册接受为期6周的个性化训练。对照组接受一本在线手册。主要结局是功能障碍。次要结局包括疼痛强度、总体感知效果、自我效能感、生活质量和运动恐惧。所有结局均在基线、6周和3个月随访时进行评估。

结果

在6周时，两组在功能障碍（均值10.3，95%置信区间4.8 - 15.7）、疼痛强度（均值2.8，95%置信区间1.4 - 4.1）、总体感知效果（均值 -2.3，95%置信区间 -3.7至 -0.9）和自我效能感（均值 -24.7，95%置信区间 -41.0至 -8.4）方面存在显著差异。在3个月随访时，在总体感知效果（均值 -2.0，95%置信区间 -3.4至 -0.6）和自我效能感（均值 -26.3，95%置信区间 -42.8至 -9.8）方面观察到统计学上的显著差异。