POS0028 THE EFFECTS OF TELEREHABILITATION WITH REMOTELY SPINAL STABILIZATION EXERCISES ON CLINICAL VARIABLES, FUNCTIONAL ACTIVITIES, EXERCISE ADHERENCE AND MUSCLE ARCHITECTURE OF NECK MUSCLES IN INDIVIDUALS WITH CHRONIC NECK PAIN

Background Doing a job with functional activity may aggravate chronic neck pain(CNP). Thickness, PCSA of the muscles can be improved exercise. During Covid-19 pandemic, people has caused an increase in home workload, frequency performing activities related to performance increased. The distance between physiotherapists and patient should at least 2 meters clinics due risk transmission. As result, importance telerehabilitation Objectives Our aim is investigate effect remotely spinal stabilization exercises(SSE) on clinical variables, activities, exercise adherence muscle architecture patients CNP. Methods demographic characteristics were recorded. Pain intensity Visual Analog Scale (VAS), disability level Neck Disability Index (NDI), awareness Fremantle Awareness Questionnaire (FreNAQ), capacity levels function evaluation test, difficulty VAS assessed. Muscle thickness M. Sternocleideomastoideus, Upper Trapezius, Longus Colli, Cervical Multifidus was evaluated resting 3.5-10 MHz ultrasound. Exercise Adherence Rating program satisfaction evaluated. group (TG) used exercises videos video conferences, control (CG) did SSE clinic. To study effects interventions, outcome measures compared time-by-group interaction effects, one within-groups factor (time) between-groups (group) by repeated-measures two-way ANOVA. Mann Whitney-U test performed compare two groups for non-parametric data. Results Twenty-eight randomly allocated TG CG. VAS, NDI, FreNAQ, levels, showed similar changes over time both groups. no significant (p>0.05); (p<0.001). There difference terms architecture. (p>0.05). Both adapted well highly satisfied (p<0.05). Conclusion decreased; increased after 8 weeks SSE. It determined that beneficial as face-to-face References [1]Kashfi P, Karimi N, Peolsson A, Rahnama L. deep muscle-specific training versus general thickness, pain non-specific pain:protocol randomized trial (RCT).BMC Musculoskelet Disord. 2019;20(1):540. doi:10.1186/s12891-019-2880-x. [2]Amiri-Arimi S, Mohseni Bandpei MA, Rezasoltani Javanshir K, Biglarian A. Measurement Colli Dimensions Patients With Radiculopathy Healthy Controls Using Ultrasonography:A Reliability Study. PM R. 2019;11(3):236-242. doi:10.1016/j.pmrj.2018.07.014. [3]Lee, 2020. “COVID-19 Advancement Digital Physical Therapist Practice Telehealth”.Physical Therapy. pzaa079, doi:10.1093/ptj/pzaa079. Disclosure Interests None declared