Investigation of Somatosensory Perception, Pain, Kinesiophobia, and Upper Extremity Functional Skills in Cervical Disc Herniation: A Case-Control Study
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Inonu University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Upper extremity functionality
Overview
Brief Summary
The aim of the study was to evaluate the levels of somatosensory perception, pain threshold and kinesiophobia in individuals with SDH, to examine their relationship with upper extremity functional skills and to compare them with healthy individuals.
Detailed Description
Cervical disc herniation (SDH) occurs when nerve roots and/or spinal cord are compressed due to degeneration or displacement of the cervical intervertebral disc and can present with pain, sensory loss, muscle weakness, and functional limitations. Because the C5-T1 nerve roots provide motor and sensory innervation from the shoulder to the hand, SDH can cause not only pain but also impairments in somatosensory perception, tactile sensations, and proprioceptive awareness. Nerve root compression disrupts the integrity of sensory functions such as touch, vibration, and two-point discrimination, negatively impacting upper extremity abilities. Furthermore, pain and central sensitization processes lower the pain threshold, further limiting motor performance and activities of daily living. Therefore, the combined evaluation of somatosensory perception, pain, and functional abilities in individuals with SDH is crucial for a holistic understanding of the clinical picture.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Upper extremity functionality
Time Frame: 24-48 hours
Upper extremity functionality will be assessed using the Disabilities of the Arm, Shoulder, and Hand questionnaire and Purdue Pegboard Manual Dexterity Test.The total score ranges from 0 to 100, with higher scores indicating a higher level of upper extremity disability.
Pain Threshold and Tolerance Assessment
Time Frame: 24-48 hours
Participants' pain threshold and tolerance to pressure are assessed using a digital algometer (JTech Medical Industries, ZEVEX Company).
Pain Assessment evaluates
Time Frame: 24-48 hours
Pain Assessment evaluates the intensity of pain felt by patients in centimeters (cm) during different activities and time periods (rest, activity and night).
Somatosensory Perception Tests
Time Frame: 24-48 hours
Secondary Outcomes
No secondary outcomes reported
Investigators
Dilan Demirtaş Karaoba
assistant professor
Inonu University