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This parallel-group randomized controlled trial enrolled 68 adults with nonspecific neck pain, allocating participants to TM video visits or conventional clinic follow-up for 3 months. Primary outcomes were pain (VAS) and disability (NDI), assessed over baseline, day 15, month 1, and month 3. 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Both groups achieved clinically important VAS reductions and improved NDI similarly, with no overall significant group-by-time effect.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},455267,1790794624,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":41,"preview_page_count":4},3985747859343,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Turkish Journal of Medical Sciences  \n\n| Volume 55  Number 6 | Article 3 |\n| --- | --- |\n| 12-12-2025\u003Cbr>Telemedicine versus conventional care for nonspecific neck pain: a randomized controlled study\u003Cbr>SELKİN YILMAZ MULUK SEVTAP BADIL GÜLOĞLU BEGÜM ÜNLÜTAŞKIRAN\u003Cbr>Follow this and additional works at: [https://journals.tubitak.gov.tr/medical](https://journals.tubitak.gov.tr/medical)\u003Cbr> Part of the Medical Sciences Commons |  |\n\nRecommended Citation  \nYILMAZ MULUK, S, BADIL GÜLOĞLU, S, & ÜNLÜTAŞKIRAN, B (2025) . Telemedicine versus conventional care for nonspecific neck pain: a randomized controlled study. Turkish Journal of Medical Sciences 55  \n(6): 1362-1371 . [https://doi.org/10.55730/1300-0144.6094](https://doi.org/10.55730/1300-0144.6094)  \nThis work is licensed under a Creative Commons Attribution 4.0 International License.  \nThis Research Article is brought to you for free and open access by TÜBİTAK Academic Journals. It has been accepted for inclusion in Turkish Journal of Medical Sciences by an authorized editor of TÜBİTAK Academic Journals. For more information, please contact [academic.publications@tubitak.gov.tr](academic.publications@tubitak.gov.tr)  \n\n| \u003Cbr>| Turkish Journal of Medical Sciences [http://journals.tubitak.gov.tr/medical/](http://journals.tubitak.gov.tr/medical/)\u003Cbr>\u003Cbr>Research Article | Turk J Med Sci\u003Cbr>(2025) 55: 1362-1371 © TÜBİTAK\u003Cbr>doi:10.55730/1300-0144.6094 |\n| --- | --- | --- |\n\nTelemedicine versus conventional care for nonspecific neck pain: a randomized  \ncontrolled study  \nSelkin YILMAZ MULUK1,*􀁋, Sevtap BADIL GÜLOĞLU2􀁋, Begüm ÜNLÜTAŞKIRAN2􀁋  \n1  \nDepartment of Physical Medicine and Rehabilitation, Ministry of Health Antalya City Hospital, Antalya, Turkiye 2  \nDepartment of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkiye  \nReceived: 29.07.2025  Accepted/Published Online: 25.09.2025  Final Version: 12.12.2025  \nBackground/aim: Telemedicine (TM) can overcome travel barriers in nonspecific neck pain (NNP), yet a comprehensive, physiatristsupervised TM model has not been directly compared to standard in-clinic care. The aim of this study was to determine whether a video-based exercise and remote follow-up program is as effective as conventional follow-up in reducing pain and disability in NNP. Materials and methods: This parallel-group randomized controlled trial (registered in ClinicalTrials.gov) included 68 adults (mean age = 40.52 years) with NNP who were randomly allocated 1:1 to the TM group (TG, n = 34) or control group (CG, n = 34) . Both received identical exercises via prerecorded video (TG) or printed brochure (CG) to be performed for 3 months. TG visits were via video call; CG visits were in the clinic. Primary outcomes were pain measured by the visual analog scale (VAS) at baseline, day 15, month 1, and 3, and disability measured by the neck disability index (NDI) at baseline and month 3. Secondary outcomes were exercise adherence, patient satisfaction, and travel/time burden. Analyses followed the intention-to-treat principle using linear mixed models.  \nResults: Both groups achieved clinically important VAS reductions (TG: 6.56 to 3.02, CG: 6.44 to 2.96) . The only between-group difference appeared at day 15, favoring CG (p = 0.038) and the group × time interaction was nonsignificant overall (p = 0.111) . NDI improved similarly in both groups (p = 0.473). Adherence in TG and CG (67.90% and 71.21%, respectively) and satisfaction (4.25 and 4.42, respectively) were comparable. TG participants avoided a mean of 38.88 km/175.74 min of travel across 3 virtual visits.  \nConclusion: A structured TM program with remote physiatrist follow-up matches conventional outpatient care in managing NNP. Larger, long-term studies should define optimal support and assess cost effectiveness across diverse populations.  \nKey words: Telemedicine, neck pain, physical and rehabilitation medicine, exercise therapy, pain measurement  \n1. Introduction  \nNeck","cbCaidqDRurz2Yfg","https://ap.wps.com/l/cbCaidqDRurz2Yfg","pdf",701061,12,"English","# Abstract\n# Background/aim\n# Materials and methods\n# Results\n# Conclusion\n# Key words\n# Introduction","[{\"question\":\"What was the main objective of the study?\",\"answer\":\"To determine whether a video-based exercise and remote follow-up program is as effective as conventional in-clinic follow-up in reducing pain and disability in nonspecific neck pain.\"},{\"question\":\"How were participants assigned and what did each group receive?\",\"answer\":\"In this parallel-group randomized controlled trial, 68 adults were allocated 1:1 to the telemedicine (TM) group or the control group. Both groups received identical 3-month exercises, delivered as video for the TM group and as printed brochures with clinic visits for the control group.\"},{\"question\":\"What were the primary outcomes and what did the results show?\",\"answer\":\"Primary outcomes were pain measured by the visual analog scale (VAS) and disability measured by the neck disability index (NDI). Both groups achieved clinically important VAS reductions and improved NDI similarly, with no overall significant group-by-time effect.\"}]","Telemedicine versus conventional care for nonspecific neck pain - a randomized controlled study | PDF",1790742504]