Long-term impact of self-mobilization via telerehabilitation vs. manual therapy and home exercise on pain and function in cervical degenerative disease

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dc.contributor.authorAygul, Gokhan
dc.contributor.authorTuncer, Aysenur
dc.contributor.authorOzaltin, Gulfem Ezgi
dc.contributor.authorCelik, Erman Berk
dc.contributor.authorAygul, Bedriye Ilkay
dc.date.accessioned2026-04-04T13:33:34Z
dc.date.available2026-04-04T13:33:34Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractPurpose: Cervical Degenerative Disease (CDD) commonly leads to neck pain, functional impairment, and reduced quality of life. This study aimed to compare the long-term effects of home exercise, manual therapy, and telerehabilitation-assisted treatment on pain, functionality, and patient satisfaction in individuals with CDD. Patients and methods: Sixty-six patients diagnosed with CDD were randomly assigned to three groups: home exercise (n = 23), manual therapy (n = 22), and telerehabilitation (n = 21). All groups participated in an 8-week exercise program, with the manual therapy and telerehabilitation groups receiving additional sessions twice a week. Pain was measured using the Visual Analogue Scale (VAS), pain threshold with an algometer, neck function with the Neck Disability Index and range of motion (ROM), and patient satisfaction with the Patient Satisfaction Questionnaire-18. Results: All groups significantly improved pain, function, and ROM over time (p < 0.05). But there were no significant differences between groups at the 6-month follow-up. Manual therapy and telerehabilitation significantly enhanced patient satisfaction, particularly in communication and technical quality (p < 0.05). Conclusion: Home exercise, manual therapy, and telerehabilitation improve long-term outcomes in CDD. Manual therapy and telerehabilitation provide greater patient satisfaction, making them viable options for long-term management. Telerehabilitation can be used as an alternative when necessary.
dc.identifier.doi10.1080/09638288.2025.2486467
dc.identifier.endpage5766
dc.identifier.issn0963-8288
dc.identifier.issn1464-5165
dc.identifier.issue22
dc.identifier.orcid0000-0003-4075-204X
dc.identifier.orcid0000-0002-5660-1134
dc.identifier.orcid0000-0001-6115-4669
dc.identifier.orcid0000-0003-1591-4844
dc.identifier.pmid40186881
dc.identifier.scopus2-s2.0-105002647853
dc.identifier.scopusqualityQ1
dc.identifier.startpage5759
dc.identifier.urihttps://doi.org/10.1080/09638288.2025.2486467
dc.identifier.urihttps://hdl.handle.net/11616/109257
dc.identifier.volume47
dc.identifier.wosWOS:001462422500001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Ltd
dc.relation.ispartofDisability and Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectNeck pain
dc.subjectmanual therapy
dc.subjectself-mobilization
dc.subjecttelerehabilitation
dc.subjectexercise
dc.titleLong-term impact of self-mobilization via telerehabilitation vs. manual therapy and home exercise on pain and function in cervical degenerative disease
dc.typeArticle

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