Post-Surgical Physiotherapy Management Following Anterior Cervical Spine Intervention for Cervical Disc Disorders: A Prospective Randomized Investigation Comparing Digitally Delivered Neck-Specific Exercise Programs with Conventional Prescribed Physical activity

Abstract

This prospective, single-blind randomized controlled trial evaluated a digitally delivered neck-specific exercise (NSE) program versus conventional physical activity (CPPA) following anterior cervical spine surgery. One hundred twenty patients were randomized to 12 weeks of digital NSE (n=60) or standard CPPA (n=60). The primary outcome was Neck Disability Index (NDI) at 6 months. At follow-up, the digital NSE group demonstrated significantly greater reduction in neck disability versus CPPA (mean difference -7.8 points, 95% CI [-10.9, -4.7], p<0.001), exceeding the minimal clinically important difference. Superior outcomes were also observed for pain, range of motion, and muscle endurance (p<0.05), with significantly higher adherence in the digital group (82.4% vs. 61.3%, p<0.001). No between-group differences emerged for adverse events. Digitally delivered NSE is a safe, effective rehabilitation strategy that improves functional recovery and adherence after cervical spine intervention, supporting integration of digital therapeutics into post-surgical care.