Telerehabilitation, Face-to-Face Exercises, and a Mixed Model in Chronic Non-Specific Neck Pain
NCT ID: NCT07302958
Last Updated: 2025-12-24
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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NOT_YET_RECRUITING
NA
68 participants
INTERVENTIONAL
2026-01-01
2026-12-31
Brief Summary
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The main questions it aims to answer are:
* Which approach (tele-rehabilitation, face-to-face exercises, or a mixed model) is most effective at reducing neck pain intensity and functional disability?
* Are there significant differences between the three models in improving cervical range of motion, kinesiophobia (fear of movement), patient satisfaction, and adherence to the exercise program?
Researchers will compare three groups to see if the delivery model affects outcomes:
1. A tele-rehabilitation group receiving real-time, video-guided exercise sessions.
2. A face-to-face group receiving traditional, in-person supervised exercise sessions.
3. A mixed-model group receiving a combination of both tele-rehabilitation and face-to-face sessions.
Participants will:
* Be randomly assigned to one of the three groups.
* Engage in a structured exercise program for 45-60 minutes per session, three times a week for six weeks.
* Follow a phased exercise protocol that begins with mobility and pain reduction, progresses to strengthening, and finishes with endurance and functional training.
* Complete assessments for pain, disability, range of motion, and other outcomes at the beginning and end of the 6-week intervention, with a final follow-up at 3 months.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Real-time Video-Guided Neck Exercises (Tele-rehabilitation)
Participants in this arm receive real-time, synchronous tele-rehabilitation sessions delivered via Microsoft Teams video conferencing platform. A licensed physiotherapist provides live supervision, real-time feedback, and technique correction throughout each session. This arm tests the effectiveness of remote delivery of structured neck exercises with synchronous clinician guidance.
Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)
Intervention 1: Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)
How the Intervention is Administered:
Delivery Method: Real-time video conferencing App
Frequency: 3 sessions per week
Duration: 6 weeks (18 total sessions)
Session Length: 45-60 minutes per session
Supervision: Live physiotherapist supervision with real-time feedback and exercise modification
Setting: Participant's home or preferred location with stable internet connection
Materials Provided:
Illustrated exercise guide (provided digitally and in print)
Access to video conferences for sessions
Optional: Resistance bands for home use
In-Person Supervised Neck Exercises (Face-to-Face)
Participants in this arm receive traditional, in-person supervised exercise sessions at a clinical facility. A licensed physiotherapist provides hands-on guidance, manual corrections, and real-time feedback during each session. This arm serves as the standard care comparison and tests the effectiveness of conventional face-to-face delivery.
In-Person Supervised Neck Exercises (Face-to-Face)
How the Intervention is Administered:
Delivery Method: In-person supervised sessions at clinical facility
Frequency: 3 sessions per week
Duration: 6 weeks (18 total sessions)
Session Length: 45-60 minutes per session
Supervision: Direct physiotherapist supervision with hands-on guidance and real-time feedback
Setting: Clinical rehabilitation facility
Hybrid Tele-rehabilitation and In-Person Exercises (Mixed Model)
Participants in this arm receive a novel 50/50 hybrid intervention combining equal proportions of tele-rehabilitation and face-to-face sessions delivered in alternating weekly blocks. Weeks with odd numbers (1, 3, 5) consist of three in-person face-to-face sessions, while weeks with even numbers (2, 4, 6) consist of three tele-rehabilitation sessions. This arm tests whether a hybrid approach optimizes accessibility, adherence, and clinical outcomes by combining the convenience of remote delivery with the benefits of in-person supervision.
Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model)
How the Intervention is Administered:
Delivery Method: Alternating weekly blocks of tele-rehabilitation (video conferencing and face-to-face sessions
Frequency: 3 sessions per week (alternating delivery)
Duration: 6 weeks (18 total sessions: 9 tele-rehabilitation + 9 face-to-face)
Session Length: 45-60 minutes per session
Supervision: Live physiotherapist supervision for both modalities
Setting: Mixed (participant's home for tele-rehabilitation weeks; clinical facility for face-to-face weeks)
Weekly Schedule:
• Weeks 1, 3, 5: Three face-to-face sessions per week at clinical facility
• Weeks 2, 4, 6: Three tele-rehabilitation sessions per week via Microsoft Teams
Materials Provided:
• Illustrated exercise guide (provided in both digital and print formats)
• Access to video conferencing App for tele-rehabilitation sessions
• Access to clinical facility equipment during face-to-face weeks
• Optional: Resistance bands for home use during tele-rehabilitation week
Interventions
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Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)
Intervention 1: Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)
How the Intervention is Administered:
Delivery Method: Real-time video conferencing App
Frequency: 3 sessions per week
Duration: 6 weeks (18 total sessions)
Session Length: 45-60 minutes per session
Supervision: Live physiotherapist supervision with real-time feedback and exercise modification
Setting: Participant's home or preferred location with stable internet connection
Materials Provided:
Illustrated exercise guide (provided digitally and in print)
Access to video conferences for sessions
Optional: Resistance bands for home use
In-Person Supervised Neck Exercises (Face-to-Face)
How the Intervention is Administered:
Delivery Method: In-person supervised sessions at clinical facility
Frequency: 3 sessions per week
Duration: 6 weeks (18 total sessions)
Session Length: 45-60 minutes per session
Supervision: Direct physiotherapist supervision with hands-on guidance and real-time feedback
Setting: Clinical rehabilitation facility
Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model)
How the Intervention is Administered:
Delivery Method: Alternating weekly blocks of tele-rehabilitation (video conferencing and face-to-face sessions
Frequency: 3 sessions per week (alternating delivery)
Duration: 6 weeks (18 total sessions: 9 tele-rehabilitation + 9 face-to-face)
Session Length: 45-60 minutes per session
Supervision: Live physiotherapist supervision for both modalities
Setting: Mixed (participant's home for tele-rehabilitation weeks; clinical facility for face-to-face weeks)
Weekly Schedule:
• Weeks 1, 3, 5: Three face-to-face sessions per week at clinical facility
• Weeks 2, 4, 6: Three tele-rehabilitation sessions per week via Microsoft Teams
Materials Provided:
• Illustrated exercise guide (provided in both digital and print formats)
• Access to video conferencing App for tele-rehabilitation sessions
• Access to clinical facility equipment during face-to-face weeks
• Optional: Resistance bands for home use during tele-rehabilitation week
Eligibility Criteria
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Inclusion Criteria
* Adults (20-40 years) with chronic non-specific neck pain (≥3 months' duration).
* Participants with stable internet, and experienced in using either computer, laptop, tablet, or smartphone.
Exclusion Criteria
1. Neck pain due to specific pathologies (e.g., fractures, infections, or malignancies) and severe neurological deficits.
2. History of neck surgery.
3. Participants with cognitive impairments or language barriers that would prevent them from following the interventions.
20 Years
45 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Amr Ahmad Fallatah
Dr. Amr
Principal Investigators
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Mona Mohamed Ibrahim, Assistant Professor
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Moaaz Ragab Riyad, Lecturer of Physical therapy
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Locations
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Faculty of Physical Therapy, Cairo University
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Amr Ahmad Fallatah, Doctoral
Role: primary
References
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Bennell KL, Nelligan R, Dobson F, Rini C, Keefe F, Kasza J, French S, Bryant C, Dalwood A, Abbott JH, Hinman RS. Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial. Ann Intern Med. 2017 Apr 4;166(7):453-462. doi: 10.7326/M16-1714. Epub 2017 Feb 21.
Barbosa JC, Comachio J, Marques AP, Saragiotto BT, Magalhaes MO. Effect of a telerehabilitation exercise program versus a digital booklet with self-care for patients with chronic non-specific neck pain: a protocol of a randomized controlled trial assessor-blinded, 3 months follow-up. Trials. 2023 Sep 28;24(1):616. doi: 10.1186/s13063-023-07651-z.
Audette I, Dumas JP, Cote JN, De Serres SJ. Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther. 2010 May;40(5):318-23. doi: 10.2519/jospt.2010.3180.
Neves Antonio GL, Almeida MQ, Avila MA, de Noronha MA, Approbato Selistre LF. Efficacy of telerehabilitation exercise in patients with chronic neck pain: a protocol for a non-inferiority randomized controlled trial. Pain Manag. 2023 Sep;13(9):497-507. doi: 10.2217/pmt-2023-0070. Epub 2023 Oct 18.
Other Identifiers
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TR,Face to Face, mix model NP
Identifier Type: -
Identifier Source: org_study_id