Evidence map›Paper›PMID 40775626›Full record

Trial reportBMC musculoskeletal disorders2025

Effects of combined supervised and telerehabilitation exercise programs on pain and disability in dentists with chronic neck pain: a randomized controlled trial.

Emrullah Alkan, Nihal Gelecek, İlke Kara Oz, Aliye Akcalı

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emrullah AlkanFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Mardin Artuklu University, Mardin, Türkiye. ealkan92@gmail.com.
Nihal GelecekFaculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Türkiye.
İlke Kara OzInstitute of Health Sciences, Dokuz Eylul University, Izmir, Türkiye.
Aliye AkcalıDepartment of Periodontology, Faculty of Dentistry, Dokuz Eylul University, Izmir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was conducted to determine the effects of combined exercises applied with supervised and telerehabilitation methods on pain intensity, pain pressure threshold, muscular endurance, grip strength, neck and upper extremity disabilities in dentists with chronic neck pain (CNP).

methodsFifty-five dentists with CNP were included in the study and randomly divided into three groups as supervised group (n = 19), telerehabilitation group (n = 19) and control group (n = 17). The participants had a mean age of 35.20 ± 4.16 years, with ages ranging from 30 to 44 years and of the participants, 43 were female (78%) and 12 were male (22%). Combined exercises consisting of resistance, stretching and postural alignment exercises were applied with supervised and telerehabilitation methods three days a week for 12 weeks. The control group received a non-resistance exercise sheet matching the other protocols. Initially, all patients were assessed for pain intensity (VAS), pain pressure threshold, grip strength (hand, lateral and pinch grip), muscular endurance (deep neck flexors, scapular, static and dynamic core), neck and upper extremity disability. The assessments were repeated after 12 weeks of training.

resultsThe telerehabilitation group demonstrated positive changes in pain intensity, pain pressure threshold, and neck disability that were statistically significant (p < 0.05). Supervised group has improved all assessments except dynamic core endurance and grip strength (p < 0.05). There was also a decrease in pain intensity and neck disability index in the control group (p < 0.05). When the changes resulting from exercise training were compared between the groups, it was seen that the changes in the supervised group were superior (p < 0.05).

conclusionsThe results showed that combined exercises applied under supervision were more effective than telerehabilitation or home exercises in dentists with CNP, and telerehabilitation was more effective than home program. Although the telerehabilitation method is not as effective as supervised exercise training, it can be an alternative method to reduce pain and disability for dentists who cannot participate in a regular exercise program due to their working conditions. Long-term follow-up studies are needed to determine how long the effect of exercise training applied with telerehabilitation continues in dentists with CNP.

Indexed as

Chronic PainDentistsExercise TherapyNeck PainTelerehabilitationAdultDisability EvaluationFemaleHand StrengthHumansMalePain MeasurementPain ThresholdTreatment OutcomeDentistsDisabilityGripMuscular enduranceNeck pain

Identifiers

PMID40775626
PMCPMC12329938

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.