Effect of Lumbar Core Stabilization Exercises on Craniovertebral Angle and Functional Outcome in Patients With Cervical Radiculopathy
概览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Craniovertebral Angle
概览
简要总结
The goal of this clinical trial is to evaluate the effect of core stabilization exercise on functional outcome and craniovertebral angle which is the angle of forward head , in adults with cervical radiculopathy. The main questions it aims to answer are:
- Is there a significant effect of core stabilization exercises (CSEs) on craniovertebral angle (CVA) in patients with cervical radiculopathy?
- Is there a significant effect of core stabilization exercises (CSEs) on functional outcome in patients with cervical radiculopathy? Researchers will compare effect of adding core stabilization exercises to conventional physical therapy program (TENS, hot pack, US, manual therapy and strengthening exercises) Vs conventional physical therapy program alone to see if there is a beneficial effect of adding core stabilization exercises to physical therapy program Participants in study group will perform core stabilization exercises in addition to conventional PT program while participants in control group will receive conventional PT program
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 35 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with Posterolateral cervical disc proplapse at level of C5-C6 and C6-C7 levels
- •Neck Disability Index (NDI) score exceeding 20%.
- •Neck pain of mild to moderate intensity (VAS ≥ 3).
- •Their symptoms lasting for a duration exceeding six weeks
- •Three out of four elements are positive in the following tests: spurling test, distraction test, upper limb tension test, shoulder abduction test.
- •Body mass index should not exceed 30 kg/m².
- •Patients complaining from neck pain and unilateral radicular pain, parathesia, motor manifestations or hyporeflexia
- •Their age will range from 35 to 50 years.
- •Their craniovertebral angle is less than 49 degrees.
- •Their mean of cervical joint position error is larger than 4.5 degrees.
排除标准
- •Cervical mylopathy or spinal tumors
- •History of cervical spine surgeries
- •Cervical fractures
- •Vertebrobasilar insufficiency (VBI)
- •Bone Infection
研究组 & 干预措施
control group
干预措施: conventional physical therapy program (Other)
study group
干预措施: Core stabilization exercises (Other)
study group
干预措施: conventional physical therapy program (Other)
结局指标
主要结局
Craniovertebral Angle
时间窗: from enrollment to the end of treatment at 4 weeks
Craniovertebral angle ( CVA ) will be measured through lateral photography of patients. Before capturing the picture, Plastic markers will be placed on C7 vertebra and on tragus of ear. Then the picture will be uploaded to kinovea software to measure CVA by measuring the angle between a line connecting two plastic markers and the horizontal. Values more than 49 degrees are considered abnormal indicating forward head posture while values lower than 49 degrees indicate normal head position
Arabic Version of Neck Disability Index (NDI)
时间窗: from enrollment to the end of treatment at 4 weeks
Functional outcome will be assessed though Arabic Version of Neck Disability Index (NDI) which is a 10-item self-reported questionnaire. It measures the influence of neck pain on functioning and disability. The patient will be informed that this questionnaire had been designed to give us how your pain had affected your ability to function in daily life. Personal care, lifting, reading, work, driving, sleeping, recreational activities, pain intensity, concentration, and headache are examples of these questions. Each question is assessed on a six-point scale ranging from 0 (no disability) to 5 (major disability). The score will be calculated by adding the scores of each item together. The overall score is out of 50. The results can be expressed as a percentage by multiplying the score by two. The higher NDI score, the greater patient's perceived disability due to neck pain. The Arabic version of NDI is a strong valid method for assessing self-rated disability in patients with neck pain
次要结局
- Neck Pain(from enrollment to the end of treatment at 4 weeks)
- Cervical Proprioception(from enrollment to the end of treatment at 4 weeks)
研究者
Omar Gamal Abdelbasset
Demonstrator
Cairo University