Telerehabilitation in patients with neck sprain at the first level of care




Luis A. Muñoz-Sánchez, Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud, Universidad Nacional Autónoma de México, Ciudad de México, México
M. Carmen Aguirre-García, Coordinación Clínica de Educación e Investigación en Salud, Unidad de Medicina Familiar No. 33, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México, México
Juan Figueroa-García, Consulta Externa, Hospital General de Zona No. 26, IMSS, Ciudad de México, México
David Rojano-Mejía, Coordinación de Investigación en Salud, IMSS, Ciudad de México, México


Objective: To evaluate the effect of the neck specific exercise (NSE) program through telerehabilitation on the functional recovery of adults with grade I and II acute cervical sprain at the first level of care. Methods: Quasi-experimental before-and-after study in a family medicine unit. Subjects with grade I and II cervical sprain were included, and a specific telerehabilitation program for the neck was applied. The effect of the program on functionality and pain was determined by means of the neck disability index and the visual analog scale. Program participants completed a 6-week intervention that included five weekly sessions, performing baseline measurements, at 2 and 6 weeks. Results: The EEC program using telerehabilitation after 6 weeks demonstrated a statistically significant decrease compared to baseline measurement in functional recovery (11 points) and pain (6.5 points). Conclusions: The findings suggest that the application of the EEC program through telerehabilitation is effective in both improving functional recovery and reducing pain in patients with grade I and II acute cervical sprain at the first level of care.



Keywords: Neck specific exercise. Telerehabilitation. Cervical sprain. Physiotherapy.