Comparing Tele-rehabilitation, Face-to-Face, and Hybrid Exercise Treatments for Adults with Chronic Neck Pain

What this Trial Is About

Researchers are comparing three different physical therapy delivery methods to treat adults aged 20 to 40 years with chronic non-specific neck pain lasting three months or longer. The study aims to find out which approachtele-rehabilitation, face-to-face exercises, or a mixed modelis most effective at reducing neck pain and improving function. It also examines differences in neck movement, fear of movement, patient satisfaction, and adherence to exercise programs. Participants are randomly assigned to one of three groups real-time video-guided tele-rehabilitation sessions conducted at home with live physiotherapist supervision traditional in-person supervised sessions at a clinical facility or a hybrid model alternating weekly between in-person and tele-rehabilitation sessions. Each participant completes a structured exercise program that lasts 45-60 minutes per session, three times a week, for six weeks. The exercises progress through phases focusing on mobility, pain reduction, strengthening, and endurance. During the study, participants undergo assessments at the start, immediately after the 6-week intervention, and again at 3 months post-treatment. These assessments measure neck pain intensity, functional disability, cervical range of motion, fear of movement, patient satisfaction, and adherence to the exercise program. The study tracks progress continuously throughout the 6-week period, aiming to understand how different delivery methods affect recovery and long-term outcomes.

Telerehabilitation, Face-to-Face Exercises, and a Mixed Model in Chronic Non-Specific Neck Pain