Effects of Neck Proprioception Impairment on Balance in Cervical Spondylosis Patients
- Conditions
- Postural Stability
- Registration Number
- NCT07230938
- Lead Sponsor
- Delta University for Science and Technology
- Brief Summary
This observational cross-sectional study aims to investigate the impact of cervical proprioception deficits on postural stability in patients with cervical spondylosis. Using pedobarographic analysis, the study will assess static balance parameters in affected individuals. The main question it aims to answer is: Does Cervical proprioception deficits affect postural stability in patients with cervical spondylosis measured by pedobarographic parameters?
- Detailed Description
This cross-sectional observational study intends to investigate the association between cervical proprioception and postural stability in people with cervical spondylosis. Cervical proprioception promotes posture regulation by providing sensory feedback to the central nervous system. Alterations in cervical joint position sensation caused by degenerative alterations can have a negative impact on balance.
Eighty participants with clinically diagnosed cervical spondylosis will be recruited. Each participant will undergo a single evaluation session that includes cervical joint position error testing and postural stability assessment using pedobarographic analysis. Data will be collected on center of pressure sway, weight distribution, and balance parameters under various conditions.
so this study findings can help physical therapists, rehabilitation experts, and clinicians design protocols to improve proprioceptive input and postural control in people with cervical spondylosis. Furthermore, early diagnosis of proprioceptive deficits by pedobarography may enable preventive actions and lower the incidence of falls and related morbidity in this population.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 82
- Eighty-two patients with cervical spondylosis, the patient will be diagnosed and referred by physician.
- Mild to moderate cervical disability according to neck disability index( MacDermid et al., 2009).
- Age ranges from 25 to 45 years.
- Body mass index from 18.5 - 24.9.
- The patients will be excluded if they have one of the following:
- visual or vestibular sensory disorders or cerebellar disease.
- Cervical myelopathy.
- Patients with previous cervical surgery.
- inflammatory diseases involving cervical spine such as rheumatoid arthritis or ankylosing spondylitis.
- History of cervical trauma including whiplash associated disorders (WAD).
- History of cervical tumors.
- History of ankle instability.
- No previous foot and ankle surgery.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Postural stability measured using a foot pressure platform Single assessment at baseline (Day 1) Postural stability will be assessed by measuring postural sway using a force platform (stabilometer) under two conditions (eyes open and eyes closed). The primary variable will be the ellipse surface area (mm²) representing the center of pressure sway.
- Secondary Outcome Measures
Name Time Method Cervical joint position error (JPE) measured using overhead laser pointer Single assessment at baseline (Day 1) Cervical proprioception will be measured using a laser pointer repositioning test. Participants will perform active neck movements and attempt to return to the neutral position with eyes closed. The average deviation (in degrees) from the starting point over three trials will be recorded. Errors greater than 4.5° will indicate proprioceptive impairment