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Telerehabilitation for neck pain

Fandim JV, Almeida de Oliveira L, Yamato TP, Kamper SJ, Costa LO, Maher CG, Saragiotto BT

The Cochrane database of systematic reviews, 2025

1,042 participants · 4 citations

Abstract

Background: Neck pain is a very common condition, ranked fourth in terms of years lived with disability worldwide. Telerehabilitation has been growing in popularity with advances in technologies and telecommunication. Despite the potential benefits and the increased number of trials, there is uncertainty about the effectiveness of telerehabilitation in people with non-specific neck pain.

Objectives: To evaluate the benefits and harms of telerehabilitation to improve pain and function compared to no treatment, waiting list, usual care, or any other active intervention in people with acute, subacute, and chronic non-specific neck pain.

Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, five other databases, and two trial registers to 11 April 2024 without language or publication status restrictions. We screened reference lists of relevant potential studies.

Selection criteria: We included randomised controlled trials of telerehabilitation in adults with non-specific neck pain. We classified telerehabilitation interventions into three categories: 1. telehealth delivery of psychological or education interventions; 2. telehealth delivery of exercise or physical activity interventions; and 3. telehealth delivery of multicomponent interventions. We included trials comparing telerehabilitation with minimal intervention, matched non-telehealth treatment, and unmatched treatment controls. The primary outcomes were pain intensity,…

How strong is the evidence?

Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 1,042 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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