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NCT Number: NCT07260955

Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain.

The purpose of this study is to evaluate the clinical results in pain intensity, neck disability, range of motion, endurance deep cervical muscles, forward head position and kinesiophobia through thoracic spine mobility, deep neck muscles and thoracic strength training and pain education protocol versus a thoracic spine mobility, thoracic strength training and pain education protocol in patients with chronic non-specific neck pain.

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Key information

Conditions

Chronic Neck Pain Non-specific Neck Pain

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Universitat Internacional de Cataluña

Sant Cugat del Vallès, Spain

Location contact

Universitat Internacional de Cataluña

CONTACT

[email protected]

935042000

About this study

The cervical spine is the most mobile region of the spine and must be strong enough to support the weight of the skull and thoracic spine is the most stiff region. In addition, patients often catastrophize their pain, it has a major impact on quality of life. Strength deficits of the deep cervical muscles are related to different clinical conditions, such as non-specific neck pain. Training and education protocols can help to improve pain, function, posture and cross-sectional area. However, there are no multimodal protocols in subjects with chronic non-specific neck pain including deep neck extensor and flexor muscles, thoracic spine mobility and pain education.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Non-specific neck pain for at least the last 12 weeks.
  • Pain intensity equal to or greater than 4 on the visual analog scale (VAS).
  • Mild-moderate disability in the Neck Disability Index.
  • Not reaching phase 2 in Craniocervical flexion test.
  • Availability and skill to do video calls.
  • Understanding Spanish.

Exclusion criteria

  • Other type of neck pain.
  • Previous neck surgery.
  • Diagnosed metabolic diseases.
  • Red flags (infection, tumors, rheumatic arthritis, or cardiovascular disease).
  • History of cardio-respiratory disease that contraindicates high-intensity exercise.
  • Fibromyalgia
  • Pregnancy
  • Physiotherapeuthic treatment continued in the last 3 month.

Treatment and study plan

Thoracic exercise program and education

Other

Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.

Thoracic and neck specific exercise program and education

Other

Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.

Primary outcomes

  1. Pain intensity

    Time frame: Baseline, 6 weeks, 1 month follow-up

    Measured by Visual Analogue Scale.

  2. Neck Disability

    Time frame: Baseline, 6 weeks, 1 month follow-up

    Measured by the Spanish version of Neck Disability Index Questionnaire.

Secondary outcomes

  1. Activation of deep neck flexors muscles.

    Time frame: Baseline, 6 weeks, 1 month follow-up

    Measured by Cranio-cervical flexion test

  2. Forward head posture

    Time frame: Baseline, 6 weeks, 1 month follow-up

    Measured by craniovertebral angle.

  3. Cervical range of motion

    Time frame: Baseline, 6 weeks, 1 month follow-up

    Measured by CROM(Cervical Range-of-Motion Instrument). Cervical flexion, extension, right/left side bending and right/left rotation.

  4. Kinesiophobia

    Time frame: Baseline, 6 weeks, 1 month follow-up

    Measured with Spanish version of Tampa Scale

  5. Global Rating of Change

    Time frame: 1 month follow-up

    Measured by Global Rating of Change Scale

Study contacts

Contact information is provided by the study sponsor or research team.

Daniel Pantaleon-Hernandez

CONTACT

[email protected]

+34 669322784

Sponsors and collaborators

Lead sponsor

Universitat Internacional de Catalunya

Other

Registry information

Official study title

Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain: Randomized Clinical Trial.

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Dec 3, 2025
Registry last updated
Dec 3, 2025

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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