Telerehabilitation with Web-Based Exercises for Individuals with Postural Problems: Digital Touch to Posture Disorders—A Randomized Controlled Study

Background: Postural problems such as head forward posture, thoracic hyperkyphosis and lumbal hyperlordosis, when seen together, further complicate postural control, increasing the importance of comprehensive approaches in treatment. This study aims to examine the effect of 6 weeks telerehabilitation with web-based exercises and compare the home based exercises in individuals with postural problems. Trial Design: A Randomized Controlled Study. Methods: 34 volunteers with postural deformity among young adults were randomly divided into telerehabilitation (n=17) and control (n=1) groups. Craniovertebral, thoracic kyphosis, and lumbal lordosis angles of all individuals were evaluated with a smartphone application (Clinometer+ Bubble), hamstring, and pectoral muscle shortness with a goniometer, and trunk muscle endurance with endurance tests created by McGill and Sorenson. Whilst the tele-rehabilitation group was provided with a videobased exercise programme, the control group was advised to follow the same exercise programme at home. Exercises were performed 3 days a week for 6 weeks, 1 hour session. Participants in the telerehabilitation group were followed up with synconised video conference. Results: A significant difference was observed in the telerehabilitation group in muscle shortness and the endurance tests (p<0.05). Only a significant difference in left (p=0.03) and right (p=0.04) muscle shortness was observed in the home exercise group. Significant differences were observed in Craniovertebral and lumbal lordosis angles between groups (p<0.05), with the telerehabilitation group showing better outcomes. When examined kyphosis angle, muscle shortness, and endurance tests between groups were found to be similar (p>0.05). Conclusions: Six weeks of telerehabilitation can improve muscle shortness and trunk endurance in young adults with postural deformities. Both the exercise program using telerehabilitation and the home exercise program were beneficial for individuals with postural problems, with more favorable effects observed in the telerehabilitation group.