Effects of The Postural Based Telerehabilitation on Pain, Posture, Enegry Consumption and Performance in Mechanic Neck Pain: A Crossectional Study-12-Week Trial

Abstract

Telerehabilitation can be proposed to individuals with mechanic neck pain to improve functional abilities and limit the risk of early degeneration of the musculoskeletal system due to postural problems. This study was conducted to investigate the effect of 12-week telerehabilitation on pain, posture, performance, and energy consumption in individuals with mechanical neck pain.A telerehabilitation program was applied to 78(23.79 ± 8.95)individuals with mechanic neck pain. A synchronized posture-based exercise program was performed 3 times a week for 12 weeks. Pain, postural measurements, performance, and energy consumption levels were determined for each participant before and after telerehabilitation program. Craniovertebral, shoulder, and eye angle were measured with a smartphone application. Clinical tests were used to measure muscle shortness. Performance measurement was evaluated with the 6-minute walk test. The Physiological Cost Index was used for energy consumption assessment.Craniovertebral angle were increased (p=0.001),eye angles were improved after 12-week telerehabilitation (p=0.002). Shortenedpostural muscles were assessed as in normal length after telerehabilitation (p<0.001). There was a significant increase in performance after telerehabilitation (p=0.001). No significant changes in energy consumption of individuals were found after telerehabilitation (p=0.384).This study showed positive effects of telerehabilitation in individuals with mechanic neck pain on pain, posture, and performance. Telerehabilitation can be suggested as an effective modality to decrease pain, improve posture, and performance in individuals with mechanic neck pain.