This study aimed to evaluate the effectiveness, safety, and implementation outcomes of a WeChat mini program-supported tele-neck rehabilitation exercises for improving early postoperative neck recovery after thyroidectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
200
WeChat mini program-supported neck exercise management includes daily exercise reminders, exercise check-ins, symptom reporting, automated abnormal symptom prompts, and standardized remote feedback from the research team.
This intervention consists of standard clinical postoperative care and discharge education, encompassing wound management, follow-up appointments, and generic neck activity guidelines. Prior to discharge or upon clinical stability, participants undergo a one-time, face-to-face training session with research staff featuring practical exercise demonstrations and behavioral precautions, and are provided with identical instructional video materials for home reference.
Shanghai Sixth People's Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGNeck Pain and Disability Scale (NPDS) Score
The NPDS is used to evaluate post-surgical neck pain and its multi-dimensional impact on daily living, emotions, work, and social activities. The total score ranges from 0 to 100, with higher scores representing more severe neck pain and structural functional impairment.
Time frame: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
Neck Movement Pain Score
Assessment of localized pain severity provoked during active cervical movements, including neck flexion, extension, left/right lateral flexion, and left/right rotation. Each of the six movements is scored categorically as 0 (painless), 1 (mild pain), or 2 (severe pain), yielding a cumulative score range of 0 to 12. Higher total scores indicate more pronounced motion-induced cervical pain.
Time frame: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
Health-related quality of life
Health-related quality of life will be assessed using the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L). The descriptive system assesses five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, with five response levels for each dimension.
Time frame: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal
Incidence of Surgical Complications and Intervention-Related Adverse Events
Safety endpoints mapping the frequency and severity of post-surgical complications (e.g., wound bleeding/hematoma, incision dehiscence, surgical site infection) or any adverse events deemed by the investigator to be potentially related to the physical exercise regimen (e.g., severe motion-induced pain exacerbation, acute dizziness).
Time frame: Up to 3 month post-operation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Cervical Range of Motion (ROM)
Objective clinical measurement of neck mobility, quantifying the exact degrees of cervical movement achieved during forward flexion, backward extension, left/right lateral flexion, and left/right rotation, assessed by a blinded investigator.
Time frame: Preoperative baseline; the day of drainage removal; and 7, 14, and 30 days after drainage removal