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In this study, women with chronic neck pain residing in Afyonkarahisar, Turkey, will participate in an exercise-based intervention. Both the control and experimental groups will engage in conventional exercise programs; however, the experimental group will also receive an additional technology-assisted exercise program. It is anticipated that these interventions will positively impact participants' daily living activities and functional abilities. The study aims to assess whether the inclusion of technology-supported exercises leads to superior outcomes compared to conventional exercises alone. The findings are expected to provide valuable evidence on the effectiveness of integrating technology-assisted exercise programs into physiotherapy and rehabilitation practices for women with chronic neck pain.
Considering the complex nature of chronic pain, it is believed that integrating exercise approaches with technology may enhance the effectiveness of exercise programs, increase participation and its sustainability, support the continuity of overall health and functional outcomes, and have positive effects on behavior change. The light-based exercise set for measuring reaction time is frequently preferred in clinical settings. The device uses small, illuminated pods controlled by an application, providing visual cues that promote both physical and cognitive activity. The individual aims to deactivate the lit pods as quickly as possible. Due to its interactive and enjoyable nature, it is commonly used across a wide range of populations-from pediatric to geriatric-especially among athletes. Technology-focused approaches, compared to traditional exercise practices, are believed to positively influence patients' active participation in the treatment process through a more innovative and engaging experience.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | The treatment process for the control group consisted of hot therapy and TENS application before the exercises, followed by an exercise program including neck range of motion exercises, neck strengthening exercises, stretching exercises, scapular retraction, etc. | |
| Experimental Group | Experimental | The program will be implemented over four weeks, three days a week, with a duration of 40-45 minutes per day. In addition to conventional treatment, an exercise program prepared with a light reaction time measurement and exercise set will be implemented. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental Group | Other | Participants in the experimental group will participate in a conventional exercise program similar to the control group, but with the addition of a technology-assisted exercise program. The intervention group will receive training with a reaction time measurement set using lights and an exercise set. The reaction time measurement and exercise set will be used, where light pods are placed in different positions, such as on a table, mirror, and floor, and patients will be instructed to extinguish the lit light as quickly as possible. The difficulty level of the sessions will be progressively increased by adjusting factors such as the duration of light activation, colors, the number of illuminated pods, their placement locations, and the distance between them. |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Rating Scale (NRS) | Patients will be asked to mark the number between 0 and 10 that best corresponds to the intensity of their pain. | From enrollment to the end of treatment at 4 weeks |
| G-Walk Wireless Movement Analysis System | G-Walk is a wireless system used to assess gait, balance, and functional mobility through motion sensors placed on the lower back. While wearing the G-Walk device, the participant walks at a normal pace between two markers placed 10 meters apart. Furthermore, static balance will be assessed by having the participant maintain a one-legged stance for 30 seconds. | From enrollment to the end of treatment at 4 weeks |
| Modified Four Square Step Test | The Modified Four Square Step Test (mFSST) is used to assess dynamic balance and the ability to step in multiple directions. During the test procedure, four strips, each measuring 90 cm in length, are arranged on the floor to form a square, with each quadrant labeled from 1 to 4. The participant is instructed to step through each quadrant first in a clockwise direction and then in a counterclockwise direction, ensuring continuous forward gaze and avoiding contact with the strips throughout the test. | From enrollment to the end of treatment at 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| FATMA EKEN | Afyonkarahisar Sağlık Bİlimleri Üniversitesi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Afyonkarahisar Health Sciences University | Merkez | Afyonkarahisar | 03030 | Turkey (Türkiye) |
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