[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100645161":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":24,"centralContacts":28,"locations":34,"responsibleParty":48,"collaborators":24,"id":52,"slug":53,"hasResults":54,"nctId":55,"briefTitle":56,"officialTitle":56,"acronym":24,"eligibilityCriteria":57,"healthyVolunteers":54,"sex":58,"minAge":59,"maxAge":60,"enrollmentInfo":61,"targetDuration":24,"studyType":64,"phases":65,"briefSummary":67,"conditions":68,"keywords":70,"overallStatus":76,"whyStopped":24,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":81,"completionDateStruct":82,"leadSponsor":84,"locationsCount":85},{"fullName":5,"class":6},"Lahore University of Biological and Applied Sciences","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Group A: Clinical Based Rehabilitation","EXPERIMENTAL","Participants in Group A will receive clinical-based rehabilitation through in-person physiotherapy sessions in an outpatient setting. Treatment will be delivered three times per week for 6 weeks, with each session lasting approximately 30-40 minutes. All interventions will be provided under the direct supervision of a qualified physiotherapist, ensuring proper monitoring, guidance, and correction of patient performance during therapy sessions. Participants will also receive standardized instructions for home-based continuation of care on non-supervised days to support consistency of rehabilitation. The focus of this arm is to evaluate the effectiveness of traditional face-to-face physiotherapy care in improving pain, functional disability, and exercise-related outcomes in patients with Grade-II cervical spondylosis.",[13],"Other: Group A: Clinical Based Rehabilitation",{"label":15,"type":16,"description":17,"interventionNames":18},"Group B: Synchronized Telerehabilitation","ACTIVE_COMPARATOR","Participants in Group B will receive synchronized telerehabilitation delivered through real-time video conferencing. Sessions will be conducted three times per week for 6 weeks, with each session lasting approximately 30-40 minutes. Rehabilitation will be supervised live by a qualified physiotherapist who will provide instruction, monitoring, and feedback during each session to ensure correct performance and safety. This remote delivery model will replicate the structure of clinical-based rehabilitation while eliminating the need for in-person visits. Participants will also be given standardized guidance for continuing home-based activities on non-session days. This arm aims to evaluate the effectiveness of synchronized telehealth-based physiotherapy in improving pain, functional disability, and exercise adherence in patients with Grade-II cervical spondylosis.",[19],"Other: Group B: Synchronized Telerehabilitation",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"The first intervention is clinical-based rehabilitation, delivered through in-person physiotherapy sessions in an outpatient clinical setting. Participants will receive supervised treatment three times per week for 6 weeks, with each session lasting approximately 30-40 minutes. All sessions will be conducted by a qualified physiotherapist who will provide direct monitoring, guidance, and correction to ensure proper execution of therapy. This conventional rehabilitation approach emphasizes face-to-face interaction, allowing individualized attention and real-time clinical decision-making. Participants will also be advised to continue prescribed home-based activities on non-session days to maintain consistency and support recovery outcomes.",[9],null,{"type":6,"name":15,"description":26,"armGroupLabels":27,"otherNames":24},"The second intervention is synchronized telerehabilitation, delivered through real-time video conferencing sessions. Participants will receive supervised physiotherapy remotely three times per week for 6 weeks, with each session lasting approximately 30-40 minutes. A qualified physiotherapist will provide live instruction, monitoring, and feedback to ensure correct performance and safety during exercises. This approach replicates the structure of clinical-based rehabilitation while eliminating the need for in-person visits. Participants will also be given standardized home-based activity instructions for non-session days to maintain continuity of care. The intervention aims to evaluate the effectiveness of remote, technology-based rehabilitation in improving clinical outcomes in patients with Grade-II cervical spondylosis.",[15],[29],{"name":30,"role":31,"phone":32,"phoneExt":24,"email":33},"Shoaib Waqas","CONTACT","+923024552109","shoaibwaqas@gmail.com",[35],{"facility":36,"status":24,"city":37,"state":38,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":24},"University of Biological and Applied Sciences","Lahore","Punjab Province","54000","Pakistan","PK",{"type":43,"coordinates":44},"Point",[45,46],74.35071,31.558,{"lat":46,"lon":45},{"type":49,"investigatorFullName":50,"investigatorTitle":51,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"PRINCIPAL_INVESTIGATOR","Dr. Khizra Hamid","Senior Lecturer","100645161","effects-of-clinical-based-versus-synchronized-telerehabilitation-on-pain-exercise-adherence-and-functional-disability-among-patients-with-grade-ii-cervical-spondylosis-100645161",false,"NCT07679373","Effects of Clinical Based Versus Synchronized Telerehabilitation on Pain, Exercise Adherence, and Functional Disability Among Patients With Grade-II Cervical Spondylosis.","Inclusion Criteria:\n\n* Middle age adults (45-64) years\n* Both gender ( male and female )\n* Clinical daignosis of cervical spondylosis grade 2\n* Mild to moderate pain on NPRS\n* Sub acute stage ( 2-6 weeks) of grade 2 cervical spondylosis\n* Able to follow instructions and give informed consent (cognitively able) Neurologically stable\n\nExclusion Criteria:\n\n* Prior cervical spine surgery within the last 1 months or cervical instability.\n* Inflammtory or systemic rheumatologic disease affecting the cervical spine (e.g., active rheumatoid arthritis ) or infection, tumor, fracture.\n* Severe cardiopulmonary or other medical comorbidity that contraindicates exercise (unstable angina, uncontriolled hypertension, recent MI)\n* Severe hearing or visual impairment\n* No smoking and daibetic history","ALL","45 Years","64 Years",{"count":62,"type":63},52,"ESTIMATED","INTERVENTIONAL",[66],"NA","This randomized controlled trial aims to compare the effects of clinical-based rehabilitation and synchronized telerehabilitation on pain, exercise adherence, and functional disability in patients with Grade-II cervical spondylosis. A total of 52 participants will be randomly allocated into two parallel groups. Both groups will receive a standardized 6-week rehabilitation program, including cervical mobility exercises, strengthening, isometric exercises, stretching, and Mulligan self-mobilization techniques. The clinical group will receive in-person physiotherapy, while the telerehabilitation group will undergo real-time supervised sessions via video conferencing. Outcome measures will include pain (Numeric Pain Rating Scale), functional disability (Neck Disability Index), and exercise adherence (Exercise Adherence Rating Scale), assessed at baseline and post-intervention. The study aims to determine whether synchronized telerehabilitation is as effective as clinical-based rehabilitation and may provide a more accessible alternative for delivering physiotherapy care.",[69],"Grade-II Cervical Spondylosis",[71,72,73,74,75],"Telerehabilitation","Pain","Excercise Adherence","Functional Disability","Cervical Spondylosis","NOT_YET_RECRUITING","2026-06-25",{"date":79,"type":80},"2026-07-01","ACTUAL",{"date":79,"type":63},{"date":83,"type":63},"2026-11-30",{"name":5,"class":6},1]