Combination of Kinesio Tape and Poprioceptive Neck Exercises on Proprioception in Patients With Cervical Radiculopathy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 主要终点
- Cervical proprioception
研究概览
简要总结
This study is conducted to investigate:
- The efficiency of combination of KT and proprioceptive exercises on neck proprioception in patients with CR.
- The efficiency of combination of KT and proprioceptive exercises on neck pain, neck function and neuropathic pain in patients with CR.
详细描述
Cervical radiculopathy is a common neck disorder that reduces function, productivity, and quality of life. Cervical radiculopathy impacts cervical nerves roots, with the highest prevalence of C6 and C7 nerve roots. The incidence of cervical radiculopathy affects roughly 107.3 out of 100,000 males and 63.5 out of 100, 000 females. This incidence in the fifth decade of life increases up to 203 per 100 000. The etiology of cervical radiculopathy is commonly attributed to mechanical compression or chemical irritation of the cervical nerve roots. The most contributing factor is probably related to disc herniation. Other problems that decrease the intervertebral foramen include trauma, infection, and tumors .
Inflammation or impingement of these nerve roots trigger pain receptors located in soft tissues and joints of the cervical spine, resulting in sensory changes such as tingling and motor loss in dermatomal and myotomal distribution depending on affected nerve root. Patients often complain of combination of neck pain and radiating pain in the arm. The impairments in cervical proprioceptive inputs have been attributed to neck pain and altered input from cervical afferents, particularly muscle spindle, Muscle spindles are accepted as being the primary cervical receptors responsible for position sense and are coupled to supplementary afferent input from the cutaneous and joint receptors.
Conservative treatment approaches described to date have included pharmacology, advice to remain active, manual therapy, exercise, acupuncture, traction, collars, epidural injection in addition to kinesio tape (KT). Manual therapy can include muscle energy techniques, high velocity manipulation or low velocity mobilization of the cervical and/or thoracic spine, soft-tissue mobilization, and neural mobilization techniques.
Previously, in different musculoskeletal problems, KT combined with conventional rehabilitation has been shown to produce greater improvements in pain, range of motion, and functional outcomes compared to the rehabilitation program alone in cervical spondylosis and low back pain. It was reported that in comparison to sham application, 2 weeks of kinesio tape (KT) application practiced in addition to a home exercise program was effective on pain and tenderness in individuals with cervical myofascial pain. Additionally, KT was effective on cervical proprioception 24 hours after its application in chronic neck pain patients. KT is believed to stimulate cutaneous and muscle mechanoreceptors, which enhances sensorimotor control and proprioceptive feedback, thereby assisting in movement coordination and reducing discomfort in ankle proprioception and different musculoskeletal conditions.
To date, there is only one study that specifically investigated the effect of KT on patient with CR. KT taping method along with manual therapy treatment, cervical stabilization exercises was effective in treating patients with cervical radiculopathy.
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
- Double (Participant, Outcomes Assessor)
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
- •Age from 35-50years (Rafiq et al. 2022).
- •BMI from 18 to 29.9 kg /m2 (Morsi et al.,
- •Current continuous or intermittent pain that has persisted for more than 3 months (Persson et al., 1997, Purves et al., 1998).
- •Paresthesia or numbness along the course of the nerve (Young et al., 2009).
- •Positive response for the 4 Wainner RS et al., test's item cluster:
- •Ipsilateral cervical Spurling.
- •Upper Limb Tension Tests (ULTTs).
- •Neck Distraction.
- •Spurling tests range (ROM) less than 60° (Wainner et al., 2003).
- •Unilateral affection in the upper limb.
排除标准
- •History of surgical procedures for pathologies giving rise to neck pain or CTS (Wainner et al., 2003).
- •Clinical signs or symptoms of medical "red flags" or serious pathology (infection, cancer, and cardiac involvement) (George et al., 2015).
- •Any systematic disease such as rheumatism and tuberculosis, cervical myelopathy, or multiple sclerosis (Joghataei et al., 2004).
- •Systemic disease is known to cause generalized peripheral neuropathy as diabetes millitus (Wainner et al., 2003).
- •Upper Motor neuron disease such as stroke and amyotrophic lateral sclerosis (ALS) (Joghataei et al., 2004).
- •Complete loss of sensation along the involved nerve root (Moustafa & Diab, 2014).
- •Primary report of bilateral radiating arm pain (Wainner et al., 2003)
- •Pregnant woman (Moustafa & Diab, 2014).
结局指标
主要结局
Cervical proprioception
时间窗: Baseline and 4 weeks
The most common method used for assessment of cervical proprioception is Joint Position Error test, the active movement angle reproduction test, which requires the subject to relocate a neutral head position or a target head position selected by the investigator (Loudon et al., 1997; Hillier et al., 2015). In head position sense measurement studies, the variable measured is the difference between the reference point position entrenched initially (either a neutral or target position) and the position produced by the subject when attempting to match the target position , This difference is called JPE and has angular units of degrees (°) (Hillier et al., 2015). JPE test demonstrates good intra- and inter-rater reliability and acceptable validity for evaluating cervical proprioception (Revel et al., 1991; Kristjansson et al., 2003). JPE test will be measured by Laser Pointer Device.
次要结局
- Cervical pain(at baseline and after 4 weeks)
- Function(at baseline and after 4 weeks.)
- Cervical pain(at baseline and after 4 weeks)
- Function(at baseline and after 4 weeks.)
- Radicular pain(at baseline and after 4 weeks.)
研究者
Fadia Ahmed Fawzy
Principal investigator
Cairo University