Internet-Based Telerehabilitation Versus in-Person Therapeutic Exercises in Young Adult Females With Chronic Neck Pain and Forward Head Posture: Randomized Controlled Trial.

The study only included young adult females, so results may not apply to males or older adults. Participant blinding was not possible, and while assessors were blinded, the nature of the intervention (video vs. in-person) was obvious to participants. Exercises requiring a lying position were excluded from the protocol to facilitate remote observation, which limits the generalizability of the exercise selection. Muscle strength was not measured, so it is unclear if improvements were due to strength gains or other factors. The study did not measure patient satisfaction or cost-effectiveness, which are important for long-term implementation.

The authors declared no conflicts of interest. The study was funded by the Walailak University Fund.

Do not assume that all types of physical therapy exercises can be delivered remotely. This study specifically excluded lying-down exercises because the therapist could not observe the patient effectively via video. If your patient requires supine positioning for their exercise program, this evidence does not support remote delivery.