Impact of the Craniovertebral Angle on the Cervicogenic Dizziness and the Risk of Falling in Patients With Cervical Radiculopathy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Cairo University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Cervicogenic dizziness.
Study Overview
Brief Summary
-The goal of this observational study is to learn about the impact of the changes in cranio-vertebral angle on the cervicogenic dizziness and the risk of falling in the patients with cervical radiculopathy .The main question it aims to answer is: Is there an impact of the changes in cranio-vertebral angle on the cervicogenic dizziness and the risk of falling in the patients with cervical radiculopathy ? The participants will be undergone measuring the cranio-vertebral angle ,assessment of cervical proprioception and other tasks and questions through 3scales .
Researchers will compare between study group and control group to see if there isimpact of the changes in cranio-vertebral angle on the cervicogenic dizziness and the risk of falling in the patients with cervical radiculopathy .
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 35 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The Patients will include if they have the following:
- •Fifty patients with chronic cervical radiculopathy(degenerative type) from both sex will participate in the study (twenty five with forward head posture (FHP) , and twenty five without forward head posture (FHP) ).
- •The duration of the disease (cervical radiculopathy)is more than 6 months.
- •The age ranged from 35 to 50 years old.
- •Mild to moderate neck pain on visual analogue scale .
- •Pain and dizziness lasting for 3-6 months.
- •subjective dizziness experienced in conjunction with cervical pain, movement, stiffness, or particular postures.
Exclusion Criteria
- •The Patients will exclude if they exhibit any of the following:
- •Cervical myelopathy.
- •Cervical myelo-radiculopathy.
- •Acute cervical radiculopathy.
- •Diabetic neuropathy.
- •Previous cervical surgery.
- •Cervical trauma.
- •Deformities in the cervical spine .
- •Rheumatoid arthritis.
- •Any tumours and infection involving the cervical spine .
- •Patients with a history of neuromuscular disorders.
- •precise diagnosis of either central dizziness (due to cerebrovascular disorders related to the vertebrobasilar circulation, migraine, multiple sclerosis, tumours of the posterior fossa, neurodegenerative disorders, some drugs, and psychiatric disorders) or peripheral dizziness( due to a problem in the part of the inner ear that controls balance. These areas are called the vestibular labyrinth, or semicircular canals. The problem may also involve the vestibular nerve. This is the nerve between the inner ear and the brain stem).
Outcomes
Primary Outcomes
Cervicogenic dizziness.
Time Frame: 10 minutes
Cervicogenic dizziness via score of Dizziness Handicap Inventory Questionnaire(DHI).
The fear of falling.
Time Frame: 10 minutes
The fear of falling assessed by Fall Efficacy Scale-International(FES-I).
Craniovertebral angle (CVA)
Time Frame: 20 minutes
Taking photos from lateral view then craniovertebral angle measured by Kinovea software program.
The risk of falling.
Time Frame: 20 minutes
The risk of falling assessed by Berg Balance Scale(BBS) .
Cervical joint position error .
Time Frame: 40 minutes
Cervical joint position error via the CROM device,through the neutral head repositioning test (NHR) and the target head repositioning test (THR).
Secondary Outcomes
No secondary outcomes reported
Investigators
Sara Abdelrahman Elsayed Hassan Aboud
Teaching assistant of physical therapy for neuromuscular disorders and its surgeries
Cairo University