Comparison of the effect of computer game and conventional proprioceptive training in neck region on pain, disability and balance in patients with cervical radicular pai

Not Applicable

Conditions: Cervical Radiculopathy.
Cervical disc disorder with radiculopathy

Registration Number: IRCT20181209041897N1

Lead Sponsor: Shiraz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 45

Inclusion Criteria

40-60 years old
pain history more than 3 month
The average of the highest and lowest pain in the past day was at least 30 to a maximum of 60 out of 100 mm according to Visual Analoge Scale in neck or upper limb with numbness or tingling or weakness in one or two hands
refered by specialist with cervical radiculoathy diagnosis
3 out of 4 tests become positive: spurling test, distraction test, upper limb tension test 1. cervical rotation less than 60 degree
have moderate disability according to neck disability index between 15 to 25 out of 50 score
have at least 4.5 degree head reposistioning error in 4 directions( Flextion, Extension, Rotation to right and left)

Exclusion Criteria

Positive Vertebral Artery test
Steroidal injection in recent two past weeks
history of neck or thorasic surgery
myelopathy
Upper motor neuron lesion sign & symptom for example: stroke ,Multiple sclerosis and amyotrophic lateral sclerosis
medical red flags like: tumor, fracture, Rheumatoid arthritis and Long-term use of steroid medications
People with thorasic outlet syndrome, tennis elbow and carpal tunnel syndrome
Taking effective balance medication over the past 72 hours
Vestibular problems
People who Regularly used analgesic and anti-inflammatory drugs due to neck problem.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain. Timepoint: Before intervention, 48 hr after intervention & a month later. Method of measurement: Visual Analoge Scale.;Disability. Timepoint: Before intervention, 48 hr after intervention & a month later. Method of measurement: Neck Disability Index questionnaire.;Head Reposition Error. Timepoint: Before intervention, 48 hr after intervention & a month later. Method of measurement: Laser pointer & Graded page.

Secondary Outcome Measures

Name	Time	Method
Balance. Timepoint: Before intervention, 48 hours after intervention & a month later. Method of measurement: Modified Star Excursion Balance test.;Kinsiophobia. Timepoint: Before intervention, 48 hours after intervention & a month later. Method of measurement: Tampa Scale of Kinsiophobia questionnaire.;Neuromuscular control of head and neck movements. Timepoint: Before intervention, 48 hours after intervention & a month later. Method of measurement: Time of movement duty.