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Published on: August 15, 2019
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Telerehabilitation for neck pain
Junior V Fandim1, Lisandra Almeida de Oliveira1,2, Tiê P Yamato1,3
1Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
The Cochrane Database of Systematic Reviews
|August 12, 2025
Summary
Telerehabilitation for non-specific neck pain shows uncertain effectiveness. While some interventions may improve function and reduce anxiety, the overall evidence is inconclusive, requiring further research to determine benefits and harms.
Area of Science:
- Rehabilitation Medicine
- Digital Health
- Musculoskeletal Disorders
Background:
- Neck pain is a leading cause of disability worldwide.
- Telerehabilitation is increasingly utilized for managing non-specific neck pain.
- Evidence on telerehabilitation's effectiveness for neck pain remains uncertain.
Purpose of the Study:
- To evaluate the benefits and harms of telerehabilitation for non-specific neck pain.
- To compare telerehabilitation against no treatment, usual care, or other interventions.
- To assess outcomes in acute, subacute, and chronic non-specific neck pain populations.
Main Methods:
- Systematic review and meta-analysis of 13 randomized controlled trials (1042 participants).
- Interventions categorized as psychological/educational, exercise/physical activity, or multicomponent telerehabilitation.
- Primary outcomes included pain intensity, function, quality of life, anxiety, and depression.
Main Results:
- Moderate-certainty evidence suggests psychological/educational telerehabilitation may improve function and slightly reduce anxiety.
- Low-certainty evidence indicates exercise-based telerehabilitation might reduce pain intensity.
- Evidence for other outcomes and intervention types is of very low to low certainty, with significant uncertainty.
Conclusions:
- The current evidence on telerehabilitation for non-specific neck pain is inconclusive due to very low certainty.
- The effectiveness of telerehabilitation interventions for improving pain and function in neck pain patients remains uncertain.
- Further high-quality research is needed to clarify the role of telerehabilitation in managing non-specific neck pain.
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