Efficacy of Exercise, Manual Therapy and Tele-rehabilitation-Assisted Treatment on Degenerative Cervical Diseases
NCT ID: NCT05098860
Last Updated: 2023-08-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2021-10-29
2023-04-15
Brief Summary
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Detailed Description
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Group 1:Home Exercise Program: After a general education is given to the patients, an exercise program will be taught. Patients will be asked to do home exercises for 30-45 minutes once a day, 5 days a week for 8 weeks, and fill in follow-up charts. In addition, reminder messages will be sent to these patients once a week by the physiotherapist.
Group 2: Manual Therapy Group: After a general education is given to the patients, the same exercise program will be taught. Soft tissue and joint mobilizations will be applied to the patients in this group within the scope of Manual Therapy (MT). Mobilizations of the cervical vertebrae, scapula, and thoracic vertebrae will be included. MT will be applied to the patients 2 days a week for 8 weeks.
Group 3: Tele-Rehabilitation Group: After general education, treatment will be given in the zoom environment. During the 8 weeks, regularly planned exercises will be done via Zoom for 30-45 minutes 2 days a week, accompanied by a physiotherapist. Patients will apply active cervical and thoracic region mobilizations called self-mobilization. Patients will be taught active mobilization applications with the help of a towel for the cervical region, mobilization of the thoracic region with a foam roller. Patients will apply those self-mobilization at home in front of the physiotherapist in a visual environment. Patients in this group will regularly do the same home exercises on the other days without tele-rehabilitation.
Measurement and evaluation will be done four times, as pre-treatment, post-treatment (8th week), first follow-up (12 weeks), second follow-up (6th month).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Home Exercise Program
The home exercise program includes a general educational training program. The program includes active stretching, strengthening, and stabilization exercises of neck muscles, head and neck posture exercises as well as relaxation and diaphragmatic breathing exercises.
Patients will be asked to do home exercises for 30-45 minutes once a day, 5 days a week for 8 weeks.
Home Exercise Program
Educational training program includes active stretching, strengthening, and stabilization exercises of head and neck muscles as well as relaxation and breathing exercises.
Manual Therapy Combined with Home Exercise Program
Manual Therapy includes soft tissue and joint mobilizations of the cervical vertebrae, scapula and thoracic vertebrae. MT will be applied to the patients 2 days a week for 8 weeks.
The home exercise program includes active stretching, strengthening, and stabilization exercises of neck muscles, head and neck posture exercises as well as relaxation and diaphragmatic breathing exercises.
Manual Therapy Combined with Home Exercise Program
Manual Therapy program includes soft tissue and joint mobilizations of the cervical vertebrae, scapula and thoracic vertebrae.
Tele-rehabilitation Assisted Program
Tele-rehabilitation assisted program will be given in the on-line environment. During 8 weeks, regularly planned exercises will be done via online applications for 30-45 minutes 2 days a week, accompanied by a physiotherapist. These patients will apply active cervical and thoracic region mobilizations called self-mobilization. Patients will be taught active mobilization applications with the help of a towel for the cervical region, with the assistance of a foam-roller for active mobilization of the thoracic region.
Tele-rehabilitation Assisted Program
Tele-rehabilitation assisted program will be given in the on-line environment. Patients will apply active cervical and thoracic region mobilizations called self-mobilization.
Interventions
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Home Exercise Program
Educational training program includes active stretching, strengthening, and stabilization exercises of head and neck muscles as well as relaxation and breathing exercises.
Manual Therapy Combined with Home Exercise Program
Manual Therapy program includes soft tissue and joint mobilizations of the cervical vertebrae, scapula and thoracic vertebrae.
Tele-rehabilitation Assisted Program
Tele-rehabilitation assisted program will be given in the on-line environment. Patients will apply active cervical and thoracic region mobilizations called self-mobilization.
Eligibility Criteria
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Inclusion Criteria
* Patients diagnosed with cervical degenerative disease
* Patients with neck pain who have had pain for at least three months
* Patients who can participate in the treatment program by following WhatsApp messages with tele-rehabilitation.
Exclusion Criteria
* Currently receiving treatment from another region,
* Having severe neurological loss,
* Having a primary or spinal metastatic malignancy,
* Having a vascular problem in the upper extremity,
* To be diagnosed with advanced osteoporosis,
* Being pregnant,
* Diagnosis of Diabetes Mellitus,
* Having an Inflammatory Disease (such as rheumatoid arthritis),
* Having a history of trauma,
* Those who have received physical therapy and rehabilitation for the cervical region in the last 6 months will not be included.
40 Years
65 Years
ALL
No
Sponsors
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Hasan Kalyoncu University
OTHER
Responsible Party
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Gokhan Aygul
PT,MSc
Principal Investigators
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Aysenur Tuncer, PhD
Role: STUDY_DIRECTOR
Hasan Kalyoncu University
Locations
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Malatya Education and Research Hospital
Malatya, , Turkey (Türkiye)
Countries
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Other Identifiers
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KAUMS
Identifier Type: -
Identifier Source: org_study_id
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