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This study aimed to evaluate the effectiveness, safety, and implementation outcomes of a WeChat mini program-supported tele-neck rehabilitation exercises for improving early postoperative neck recovery after thyroidectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WeChat-supported tele-rehabilitation group | Experimental | Participants in the WeChat-supported tele-rehabilitation group received WeChat mini program-supported postoperative neck exercise management. |
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| Routine care group | Active Comparator | Participants in the routine care group did not receive WeChat mini program-supported postoperative neck exercise management. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WeChat-supported Neck Rehabilitation Exercise | Behavioral | WeChat mini program-supported neck exercise management includes daily exercise reminders, exercise check-ins, symptom reporting, automated abnormal symptom prompts, and standardized remote feedback from the research team. |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Pain and Disability Scale (NPDS) Score | The NPDS is used to evaluate post-surgical neck pain and its multi-dimensional impact on daily living, emotions, work, and social activities. The total score ranges from 0 to 100, with higher scores representing more severe neck pain and structural functional impairment. | Postoperative day 3, week 1, week 2, and month 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Movement Pain Score | Assessment of localized pain severity provoked during active cervical movements, including neck flexion, extension, left/right lateral flexion, and left/right rotation. Each of the six movements is scored categorically as 0 (painless), 1 (mild pain), or 2 (severe pain), yielding a cumulative score range of 0 to 12. Higher total scores indicate more pronounced motion-induced cervical pain. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ling Zhan, Dr | Contact | +8615821120972 | rebecca0428zhan@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Sixth People's Hospital | Recruiting | Shanghai | Shanghai Municipality | 200233 | China |
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| Standardized Postoperative Care and Video Education | Behavioral | This intervention consists of standard clinical postoperative care and discharge education, encompassing wound management, follow-up appointments, and generic neck activity guidelines. Prior to discharge or upon clinical stability, participants undergo a one-time, face-to-face training session with research staff featuring practical exercise demonstrations and behavioral precautions, and are provided with identical instructional video materials for home reference. |
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| Postoperative day 3, week 1, week 2, and month 1 |
| Digital Health App Adherence and Feasibility Metrics | Quantitative measures tracking patient engagement with the digital platform, defined by the digital questionnaire completion rates, loss to follow-up rates, cumulative exercise mini-program check-in days, and consecutive check-in days. | Up to 1 month post-operation |
| Incidence of Surgical Complications and Intervention-Related Adverse Events | Safety endpoints mapping the frequency and severity of post-surgical complications (e.g., wound bleeding/hematoma, incision dehiscence, surgical site infection) or any adverse events deemed by the investigator to be potentially related to the physical exercise regimen (e.g., severe motion-induced pain exacerbation, acute dizziness). | Up to 1 month post-operation |
| Cervical Range of Motion (ROM) | Objective clinical measurement of neck mobility, quantifying the exact degrees of cervical movement achieved during forward flexion, backward extension, left/right lateral flexion, and left/right rotation, assessed by a blinded investigator. | Postoperative week 1 and month 1 |
| ID | Term |
|---|---|
| D013959 | Thyroid Diseases |
| D013964 | Thyroid Neoplasms |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D004700 | Endocrine System Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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