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Chronic Non-specific Neck PainTR Neck painNCT07302958

Telerehabilitation, Face-to-Face Exercises, and a Mixed Model in Chronic Non-Specific Neck Pain

A study testing Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation), In-Person Supervised Neck Exercises (Face-to-Face) and Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model) in people with Chronic Non-specific Neck Pain, run by Cairo University at 2 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to compare the effectiveness of different physical therapy delivery models in treating chronic non-specific neck pain in adults aged 20-40 years with a history of neck pain for three months or longer. Read more about this study

Who is it for?
Ages 20 to 45 years
Conditions the study is for
Chronic Non-specific Neck Pain
What is being tested?
Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation), In-Person Supervised Neck Exercises (Face-to-Face) and Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
2 sitesin 2 countries
Study dates
27 Feb 2026to 31 Mar 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients will be included in the study if they fulfil the following criteria:
  • Adults (20-40 years) with chronic non-specific neck pain (≥3 months' duration).
  • Participants with stable internet, and experienced in using either computer, laptop, tablet, or smartphone.

Who cannot join

  • Patients will be excluded if they had:
  • Neck pain due to specific pathologies (e.g., fractures, infections, or malignancies) and severe neurological deficits.
  • History of neck surgery.
  • Participants with cognitive impairments or language barriers that would prevent them from following the interventions.

Trial locations and contacts

2 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Amr Ahmad Fallatah, Doctoral contact

00966505536390

aam_fallatah@hotmail.com

2 sites in 2 countries

Egypt1 site, 1 recruiting
  • Faculty of Physical Therapy, Cairo University

    Cairo

    Amr Ahmad Fallatah, Doctoral Student, 00966505536390, aam_fallatah@hotmail.com

    Mona Mohamed Ibrahim, Assistant Professor

    Recruiting

Other trials in Egypt

Saudi Arabia1 site, 1 recruiting
  • Makkah Health Cluster

    Mecca

    Amr Fallatah Fallatah, Doctoral Student, +966505536390, Amrf@moh.gov.sa

    Amr Fallatah, Doctoral Student

    Recruiting

Other trials in Saudi Arabia

About this study

The goal of this clinical trial is to compare the effectiveness of different physical therapy delivery models in treating chronic non-specific neck pain in adults aged 20-40 years with a history of neck pain for three months or longer.

The main questions it aims to answer are:

Read more
  • Which approach (tele-rehabilitation, face-to-face exercises, or a mixed model) is most effective at reducing neck pain intensity and functional disability?
  • Are there significant differences between the three models in improving cervical range of motion, kinesiophobia (fear of movement), patient satisfaction, and adherence to the exercise program?

Researchers will compare three groups to see if the delivery model affects outcomes:

  1. A tele-rehabilitation group receiving real-time, video-guided exercise sessions.
  2. A face-to-face group receiving traditional, in-person supervised exercise sessions.
  3. A mixed-model group receiving a combination of both tele-rehabilitation and face-to-face sessions.

Participants will:

  • Be randomly assigned to one of the three groups.
  • Engage in a structured exercise program for 45-60 minutes per session, three times a week for six weeks.
  • Follow a phased exercise protocol that begins with mobility and pain reduction, progresses to strengthening, and finishes with endurance and functional training.
  • Complete assessments for pain, disability, range of motion, and other outcomes at the beginning and end of the 6-week intervention, with a final follow-up at 3 months.
Being tested
Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation), In-Person Supervised Neck Exercises (Face-to-Face), Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model)
Keywords
Telerehabilitation, Chronic Non specific Neck pain, Face to face physiotherapy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)Other

    Intervention 1: Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)

    How the Intervention is Administered:

    Delivery Method: Real-time video conferencing App

    Frequency: 3 sessions per week

    Duration: 6 weeks (18 total sessions)

    Session Length: 45-60 minutes per session

    Supervision: Live physiotherapist supervision with real-time feedback and exercise modification

    Setting: Participant's home or preferred location with stable internet connection

    Materials Provided:

    Illustrated exercise guide (provided digitally and in print)

    Access to video conferences for sessions

    Optional: Resistance bands for home use

  • In-Person Supervised Neck Exercises (Face-to-Face)Other

    How the Intervention is Administered:

    Delivery Method: In-person supervised sessions at clinical facility

    Frequency: 3 sessions per week

    Duration: 6 weeks (18 total sessions)

    Session Length: 45-60 minutes per session

    Supervision: Direct physiotherapist supervision with hands-on guidance and real-time feedback

    Setting: Clinical rehabilitation facility

  • Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model)Other

    How the Intervention is Administered:

    Delivery Method: Alternating weekly blocks of tele-rehabilitation (video conferencing and face-to-face sessions

    Frequency: 3 sessions per week (alternating delivery)

    Duration: 6 weeks (18 total sessions: 9 tele-rehabilitation + 9 face-to-face)

    Session Length: 45-60 minutes per session

    Supervision: Live physiotherapist supervision for both modalities

    Setting: Mixed (participant's home for tele-rehabilitation weeks; clinical facility for face-to-face weeks)

    Weekly Schedule:

    • Weeks 1, 3, 5: Three face-to-face sessions per week at clinical facility
    • Weeks 2, 4, 6: Three tele-rehabilitation sessions per week via Microsoft Teams

    Materials Provided:

    • Illustrated exercise guide (provided in both digital and print formats)
    • Access to video conferencing App for tele-rehabilitation sessions
    • Access to clinical facility equipment during face-to-face weeks
    • Optional: Resistance bands for home use during tele-rehabilitation week
Study groups in NCT07302958
Study groupRoleWhat they receive
Real-time Video-Guided Neck Exercises (Tele-rehabilitation)ExperimentalParticipants in this arm receive real-time, synchronous tele-rehabilitation sessions delivered via Microsoft Teams video conferencing platform. A licensed physiotherapist provides live supervision, real-time feedback, and technique correction throughout each session. This arm tests the effectiveness of remote delivery of structured neck exercises with synchronous clinician guidance.
Receives: Other: Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation)
In-Person Supervised Neck Exercises (Face-to-Face)ExperimentalParticipants in this arm receive traditional, in-person supervised exercise sessions at a clinical facility. A licensed physiotherapist provides hands-on guidance, manual corrections, and real-time feedback during each session. This arm serves as the standard care comparison and tests the effectiveness of conventional face-to-face delivery.
Receives: Other: In-Person Supervised Neck Exercises (Face-to-Face)
Hybrid Tele-rehabilitation and In-Person Exercises (Mixed Model)ExperimentalParticipants in this arm receive a novel 50/50 hybrid intervention combining equal proportions of tele-rehabilitation and face-to-face sessions delivered in alternating weekly blocks. Weeks with odd numbers (1, 3, 5) consist of three in-person face-to-face sessions, while weeks with even numbers (2, 4, 6) consist of three tele-rehabilitation sessions. This arm tests whether a hybrid approach optimizes accessibility, adherence, and clinical outcomes by combining the convenience of remote delivery with the benefits of in-person supervision.
Receives: Other: Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Functional Disability

    The Neck Disability Index is the most widely used and validated instrument for assessing the impact of neck pain on patients' functional activities and disability. The NDI-AR consists of 10 items covering functional domains: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (complete disability), with a maximum total score of 50.

    Measured: • Baseline (Week 0, before intervention begins) • Within 1 week post-treatment (Week 6, immediately after final intervention session) • 3 months post-treatment (Month 3, 12 weeks after completion of intervention)

  2. Neck Pain Intensity

    The Visual Analogue scale is a self-reported, unidimensional measure of pain intensity. Participants mark their current pain level on a 10-centimeter line, where 0 represents "no pain" and 10 represents "worst pain imaginable.

    Measured: • Baseline (Week 0, before intervention begins) • Within 1 week post-treatment (Week 6, immediately after final intervention session) • 3 months post-treatment (Month 3, 12 weeks after completion of intervention

  3. Range of motion

    The CROM device is a non-invasive, objective measurement tool designed specifically for assessing cervical spine mobility. The device measures cervical motion in six planes: flexion, extension, right lateral flexion, left lateral flexion, right rotation, and left rotation. Measurements are recorded in degrees.

    Measured: • Baseline (Week 0, before intervention begins) • Within 1 week post-treatment (Week 6, immediately after final intervention session) • 3 months post-treatment (Month 3, 12 weeks after completion of intervention.

Secondary outcomes (3)
  1. Kinesiophobia

    The Tampa Scale of Kinesiophobia is a 17-item self-report questionnaire designed to assess the fear of [re]injury associated with physical movement. Respondents rate each item on a 4-point Likert scale ranging from 1 ("strongly disagree") to 4 ("strongly agree"). The total score ranges from 17 to 68, with higher scores indicating greater fear of movement and [re]injury

    Measured: • Baseline (Week 0, before intervention begins) • Within 1 week post-treatment (Week 6, immediately after final intervention session) • 3 months post-treatment (Month 3, 12 weeks after completion of intervention)

  2. Patient Satisfaction

    The Patient Satisfaction Questionnaire (PSQ-18) is a validated short-form instrument originally developed by the RAND Corporation to measure patient satisfaction with medical care. The PSQ-18 is an 18-item version that retains the essential psychometric qualities of the full-length PSQ-III while providing a practical and comprehensive assessment.

    Measured: • Baseline (Week 0, before intervention begins) • Within 1 week post-treatment (Week 6, immediately after final intervention session)

  3. Adherence to Treatment

    Adherence to treatment is assessed through systematic attendance tracking and session completion records. An attendance sheet is used to register participant attendance at each session with the date and session number. Adherence is calculated as the percentage of completed sessions relative to the total number of prescribed sessions (18 sessions over 6 weeks).

    Measured: • Throughout the 6-week intervention period (Weeks 1-6, continuous tracking at each session) • Final adherence rate calculated within 1 week post-treatment (Week 6, at completion of intervention)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Dec 2025
  2. Study start27 Feb 2026
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07302958
Sponsor's protocol ID
TR,Face to Face, mix model NP
Acronym
TR Neck pain
Status last verified
Oct 2026
First submitted
8 Dec 2025
Last updated
7 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bennell KL, Nelligan R, Dobson F, Rini C, Keefe F, Kasza J, French S, Bryant C, Dalwood A, Abbott JH, Hinman RS. Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial. Ann Intern Med. 2017 Apr 4;166(7):453-462. doi: 10.7326/M16-1714. Epub 2017 Feb 21.

    PubMed 28241215
  • Barbosa JC, Comachio J, Marques AP, Saragiotto BT, Magalhaes MO. Effect of a telerehabilitation exercise program versus a digital booklet with self-care for patients with chronic non-specific neck pain: a protocol of a randomized controlled trial assessor-blinded, 3 months follow-up. Trials. 2023 Sep 28;24(1):616. doi: 10.1186/s13063-023-07651-z.

    PubMed 37770963
  • Audette I, Dumas JP, Cote JN, De Serres SJ. Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther. 2010 May;40(5):318-23. doi: 10.2519/jospt.2010.3180.

    PubMed 20436238
  • Antonio, G. L., Almeida, M. Q., Vera, M. A., de Noronha, M. A., & Selistre, L. F. (2024). Efficacy of telerehabilitation exercise in patients with chronic neck pain: A protocol for a randomized controlled trial. Brazilian Journal of Physical Therapy, 28, 100748. DOI: 10.1016/j.bjpt.2024.100748

Questions about this trial

What is this clinical trial studying?

A study testing Real-Time Video-Guided Neck Exercises (Tele-Rehabilitation), In-Person Supervised Neck Exercises (Face-to-Face) and Hybrid Tele-Rehabilitation and In-Person Exercises (Mixed Model) in people with Chronic Non-specific Neck Pain, run by Cairo University at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Egypt, Saudi Arabia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Amr Ahmad Fallatah, Doctoral (00966505536390, aam_fallatah@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Functional Disability (time frame: • Baseline (Week 0, before intervention begins) • Within 1 week post-treatment (Week 6, immediately after final intervention session) • 3 months post-treatment (Month 3, 12 weeks after completion of intervention)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07302958, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Oct 2026.

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