Efficacy of Exercise, Manual Therapy and Tele-rehabilitation-Assisted Treatment on Degenerative Cervical Diseases
Condition: Cervical Spine Disease; Neck Pain
MeSH terms: Spinal Diseases; Uterine Cervical Diseases; Neck Pain
Study type: Interventional

Summary: 
      The study aims to compare the effectiveness of soft tissue, joint mobilization, and
      tele-rehabilitation within the scope of Manual Therapy to the exercise program.
    

Detailed description: 
      60 subjects with cervical degenerative disease will be included in the study after a
      voluntary consent form is filled out. Subjects will randomly be divided into 3 groups
      according to the order.

      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).
    

Intervention name(s): Home Exercise Program; Manual Therapy Combined with Home Exercise Program; Tele-rehabilitation Assisted Program
Intervention type(s): Other; Other; Other
Intervention description(s): Educational training program includes active stretching, strengthening, and stabilization exercises of head and neck muscles as well as relaxation and breathing exercises.; Manual Therapy program includes soft tissue and joint mobilizations of the cervical vertebrae, scapula and thoracic vertebrae.; Tele-rehabilitation assisted program will be given in the on-line environment. Patients will apply active cervical and thoracic region mobilizations called self-mobilization.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: Pain; Anxiety; Quality of Life; Neck disability