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Completed

NCT Number: NCT07571967

AI-Assisted Camera-Based Progressive Muscle Relaxation for Office Workers

This randomized controlled trial evaluates the effectiveness of an AI-assisted, camera-based progressive muscle relaxation application in office workers aged 20 to 40 years. Participants are randomly allocated to an intervention group or a control group. The intervention group completes a 4-week progressive muscle relaxation program using the PhysioTR Academic application, which provides camera-based real-time movement analysis and exercise guidance. The control group continues their usual daily routine and completes baseline and post-intervention assessments only. Outcomes include pain/tension intensity, musculoskeletal symptoms, perceived stress, neck disability, work productivity, functionality, and AI-based adherence metrics.

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Key information

Age range

20 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Medipol University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation

Istanbul, Beykoz, 34810, Turkey (Türkiye)

About this study

This study is a single-center, randomized, controlled, open-label trial conducted in office workers aged 20 to 40 years. Participants are automatically randomized into either an intervention group or a control group.

The intervention group uses the PhysioTR Academic application for a 4-week progressive muscle relaxation program. The program includes 3 sessions per week, 12 sessions in total. Each session includes four exercise components: face and jaw, neck and shoulders, hands and arms, and back and chest. Each exercise includes a contraction and relaxation phase. The application uses the participant's device camera for real-time movement analysis and provides written and/or audio guidance.

The control group continues their usual daily routine and does not receive an exercise intervention during the study period. The control group completes only baseline and post-intervention assessments.

Assessments are performed at baseline and Week 4. Outcome measures include the Visual Analog Scale, Nordic Musculoskeletal Questionnaire, Perceived Stress Scale, Neck Disability Index, Work Productivity Scale, numeric functionality score, and AI-based adherence and landmark coverage metrics in the intervention group.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged between 20 and 40 years
  • Actively working in a desk-based or office-based job
  • Having access to a camera-enabled device such as a smartphone or computer
  • Voluntary participation with informed consent
  • Able to read and write Turkish
  • Having a valid e-mail address

Exclusion criteria

  • Previous surgery involving the neck or spine
  • Cervical vertebral fracture or instability
  • History of neurological disease such as multiple sclerosis or Parkinson's disease
  • Vestibular system disorder
  • Systemic inflammatory disease such as rheumatoid arthritis or ankylosing spondylitis
  • History of malignancy
  • Pregnancy
  • Having received physiotherapy for the neck or back region within the last 6 months

Treatment and study plan

AI-Assisted Camera-Based Progressive Muscle Relaxation Program

Behavioral

A camera-based progressive muscle relaxation program delivered through the PhysioTR Academic web application. The intervention includes 4 weeks of training, 3 sessions per week, for a total of 12 sessions. The application provides written and/or audio instructions and uses camera-based real-time movement analysis to support exercise performance and adherence monitoring.

Primary outcomes

  1. Change in Pain/Tension Intensity Assessed by Visual Analog Scale

    Time frame: Baseline and Week 4

    Pain/tension intensity is assessed using a 0-10 Visual Analog Scale. Higher scores indicate greater pain/tension intensity. Change is calculated from baseline to Week 4.

Secondary outcomes

  1. Change in Musculoskeletal Symptoms Assessed by the Nordic Musculoskeletal Questionnaire

    Time frame: Baseline and Week 4

    Musculoskeletal symptoms are assessed using the Nordic Musculoskeletal Questionnaire across body regions. The outcome is summarized as the presence of symptoms by region and/or the number of symptomatic body regions. Higher values indicate more widespread musculoskeletal symptoms.

  2. Change in Perceived Stress Scale Score

    Time frame: Baseline and Week 4

    Perceived stress is assessed using the Turkish version of the Perceived Stress Scale. Higher scores indicate greater perceived stress.

  3. Change in Neck Disability Index Score

    Time frame: Baseline and Week 4

    Neck-related disability is assessed using the Neck Disability Index. Higher scores indicate greater neck-related disability.

  4. Change in Work Productivity Scale Score

    Time frame: Baseline and Week 4

    Work productivity is assessed using a 5-item Likert-type Work Productivity Scale. Total scores range from 5 to 25, with higher scores indicating higher work productivity.

  5. Change in Numeric Functionality Score

    Time frame: Baseline and Week 4

    General functionality is assessed using a numeric rating scale from 0 to 10, where 0 indicates very poor functionality and 10 indicates excellent functionality. Higher scores indicate better functionality.

  6. AI-Based Exercise Adherence Score

    Time frame: During each of the 12 sessions over the 4-week intervention period

    In the intervention group, the application automatically calculates an AI-based adherence score as the percentage of predefined exercise criteria met during each session. Scores range from 0 to 100%, with higher scores indicating better adherence to the required exercise form.

  7. AI-Based Landmark Coverage Ratio

    Time frame: During each of the 12 sessions over the 4-week intervention period

    In the intervention group, the application calculates a landmark coverage ratio as the percentage of required body landmarks detected by the camera during each exercise. Scores range from 0 to 100%, with higher scores indicating better camera-based landmark detection.

Other outcomes

  1. Immediate Change in Session-Level Pain/Tension Intensity

    Time frame: Immediately before and after each session during the 4-week intervention period

    In the intervention group, pain/tension intensity is recorded immediately before and after each progressive muscle relaxation session using a 0-10 Visual Analog Scale. The immediate session-level change is calculated as post-session score minus pre-session score.

Sponsors and collaborators

Lead sponsor

Istanbul Medipol University Hospital

Other

Registry information

Official study title

Effectiveness of an AI-Assisted Camera-Based Progressive Muscle Relaxation Application in Office Workers: A Randomized Controlled Trial

Acronym: AI-PMR

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 7, 2026
Registry last updated
May 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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