Investigation of the Effectivenes of Digital Based Exercises in Patients With Neck Pain

NCT ID: NCT04834895

Last Updated: 2021-04-08

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-02-01
• Study Completion Date: 2021-07-30

Brief Summary

In study, the researchers examine the effectiveness of digital-based exercises in patients with chronic neck pain.The planned study has 2 main objectives:

• Increase exercise adherence with mhealth apps.
• To reduce pain and disability of patients with chronic neck pain.

Detailed Description

Neck pain is one of the most common musculoskeletal diseases after low back pain in the community. The incidence of neck pain was reported as %37,2. Neck pain can be caused by trauma, poor posture, degenerative diseases, tumors, muscle stress, wiplash injuries, cervical myelopathy, cervical ligamentous instability, fracture, vascular insufficiency or systemic diseases. Neck pain is classified as acute (less than six weeks), subacute (six to twelve weeks) or chronic (lasting more than twelve weeks). While neck pain is treated in physiotherapy clinics, it is also supported by home exercises during and after treatment.

It is emphasized that home exercise programs for neck pain are effective, but exercise adherence is an important factor. Nowadays, with the rapid development of mobile healthcare applications, digital based exercise applications have started to be used in physiotherapy and rehabilitation. Although it has been shown to be useful in studies examining the effectiveness of mHealth applications for different musculoskeletal problems, these studies are quite limited. Several studies have identified the beneficial effects of digital-based exercises, but no clear evidence of superiority over written or oral home exercise programs. In 2019, a mobile exercise application (Neck Exercise) for neck pain patients was developed as a thesis study at Marmara University Health Sciences Institute. The availability of this mobile application is shown on healthy people. However, its efficacy has not been studied in patients with chronic neck pain. This mobile app includes for the neck spinal stabilization , posture, breathing exercises and exercises for scapula circumference. Each exercise is explained with video. In addition, this application gives reminder signals at user-defined time intervals. Participants with chronic neck pain aged between 18-65 years will be included in the study and randomly divided into two groups. One group will be given home exercises via brochure to the other group via mobile application. Participants will be asked to do home exercises 3 days a week for 6 weeks. Pain, disability and exercise adherence of the participants will be evaluated. The Nordic Musculoskeletal Questionnaire, VAS, neck disability index and exercise adherence scale will be used in the evaluation. Our thesis will be the first study examining the effect of a mobile application developed for neck pain on adherence to home exercises. As a result of study, the researchers aim to save paper by prescribing home exercise programs via mobile application and to promote a platform where users can better understand the exercises.

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

mhealth exercise group

home exercise program is given to patients via mobile application

Group Type: ACTIVE_COMPARATOR

mhealth exercise group

Intervention Type: OTHER

Participants were asked to perform 18 exercises specially prepared for neck pain in the M.ü Neck Exercises application according to the number of repetitions specified in the application.Participants will be asked to do home exercises 3 days a week for 6 weeks

brochure exercise group

home exercise program is given to patients via brochure

Group Type: EXPERIMENTAL

brochure exercise group

Intervention Type: OTHER

Participants were asked to perform 18 exercises specially prepared for neck pain in the brochure according to the number of repetitions specified in the application.Participants will be asked to do home exercises 3 days a week for 6 weeks

Interventions

mhealth exercise group

Participants were asked to perform 18 exercises specially prepared for neck pain in the M.ü Neck Exercises application according to the number of repetitions specified in the application.Participants will be asked to do home exercises 3 days a week for 6 weeks

Intervention Type: OTHER

brochure exercise group

Participants were asked to perform 18 exercises specially prepared for neck pain in the brochure according to the number of repetitions specified in the application.Participants will be asked to do home exercises 3 days a week for 6 weeks

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Neck pain that has been going on for at least 3 months
• Participant can use smart phone,
• No problem affecting reading and answering survey questions

Exclusion Criteria

• Presence of visual and auditory problems that may prevent the use of the smartphone application
• Torticollis
• Vertigo
• Pregnancy
• Additional diseases such as vertebrobasilar insufficiency, heart failure, chronic heart disease and hypertension
• Dementia
• Inflammatory rheumatic disease
• Psychosis and neurological disease diagnosis
• Receiving another treatment or having surgery in 3 months
• Exposure to any neck trauma in the past 6 months
• A past or ongoing cancer history

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Marmara University

OTHER

Sponsor Role: lead

Responsible Party

Eda Tonga

Doctor of Philosopy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Marmara University

Istanbul, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Eda TONGA

Role: CONTACT

eda.tonga@marmara.edu.tr

90 216 330 20 70

Facility Contacts

Eda TONGA

Role: primary

eda.tonga@marmara.edu.tr

Other Identifiers

09.2019.1056

Identifier Type: -

Identifier Source: org_study_id