Investigation of the effectiveness of interactive Telerehabilitation and Transcutaneous Electrical Nerve Stimulation on pain, functionality, disability and quality of life in patients with nonspecific chronic neck pain
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Investigation of the effectiveness of interactive Telerehabilitation and Transcutaneous Electrical Nerve Stimulation on pain, functionality, disability and quality of life in patients with nonspecific chronic neck pain
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Abstract Purpose: Despite the widespread use of Transcutaneous Electrical Nerve Stimulation (TENS) in the treatment of chronic nonspecific neck pain (CNNP), there are few studies on Telerehabilitation (TR), and no studies comparing their effectiveness compared to each other in this field. Our study was planned to investigate and compare the effectiveness of TENS, which is an easily implementation electrotherapy method, and TR, which is an online rehabilitation tool. Methods: Forty-eight patients with CNBP were randomized to TENS, TR, or control groups. Visual Analogue Scale, Bournemouth neck questionnaire, Neck Disability Index, Copenhagen Neck Functional Disability Scale, and quality of life World Health Organization Quality of Life Module data were evaluated before and after 4 weeks of treatment. Results: In our study, pain intensity and neck disability levels decreased in the TR and TENS groups compared to the control group (p<0.05). Functional status and quality of life improved significantly after the interventions (p<0.05). In the control group, all evaluations were similar before and after treatment (p>0.05). In the TR group, all assessment measures decreased significantly after treatment compared to pretreatment (p<0.05). Conclusion: In our study, it was determined that the TENS group was the most effective in reducing pain intensity and the TR group was more effective in improving functional status and quality of life.