Does the Degree of Cervical Stenosis Affect Proprioception?
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIzmir Democracy University
About this trial
Neck pain is a common health problem that negatively affects the quality of life of individuals of different age groups and most people experience this problem at some point in their lives. With age, changes occur in the neuromuscular functions of the cervical region that are considered normal. These changes lead to many problems such as postural disorder, decreased stabilization, loss of normal joint motion, balance disorders and decreased cervical joint position sense. When the literature was examined, the situation was observed that cervical proprioception, which is defined as joint position sense, has not been sufficiently investigated. In particular, researchers have not found any literature on how proprioceptive sensation varies according to the degree of cervical stenosis. Therefore, this study will provide a direction for the treatment of cervical region problems. The data will be discussed with appropriate statistical methods and treatment recommendations will be presented according to the results obtained.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Individuals aged 18 and over
Previously performed cervical MRI
Cases whose stenosis classification can be clearly determined on MRI
Disqualifiers
Individuals who did not agree to participate in the study
Individuals undergoing cervical surgery
Those with pain that restricts cervical movement
Those diagnosed with vertigo
Trial design
Design model
Parallel
Treatments tested in this trial
Pain
Other interventionThe relationship between the degree of stenosis and pain in patients with lumbar spinal stenosis will be evaluated with a visual analogue scale.
Normal Range of Motion
Other interventionCROM will be used for normal range of motion (ROM) of the cervical region. Measurements will be made separately for flexion, extension, right rotation, left rotation, right and left lateral flexion.
Proprioceptive Sense
Other interventionCROM will be used for cervical proprioception. Measurements will be made separately for flexion, extension, right rotation, left rotation, right and left lateral flexion.
Treatment groups
108 Participants
are divided into 4 treatment groupsGroup A: cervical stenosis degree 0Other 3 interventions
Group B: cervical stenosis degree 1Other 3 interventions
Group C: cervical stenosis degree 2Other 3 interventions
Group D: cervical stenosis degree 3Other 3 interventions
Trial outcomes
Primary outcomes
1
Visual analog scale (VAS)
Visual analog scale (VAS) will be used for pain assessment. The VAS is a one-dimensional measure of pain intensity and is frequently used in adult populations. The pain definitions used for the two endpoints on a 10 cm line are 0 for 'no pain' and 10 for 'extreme pain. Pain will be evaluated in 3 different ways: pain at the time, pain at rest and pain during activity. While assessing pain, the type and location of pain will also be questioned verbally and noted.
Time frame
through study completion, an average of 1 year2
Assessment of Normal Joint Motion
Normal range of motion (ROM) of the cervical region will be assessed with the Pa Crom Basic - Cervical Range Of Motion (CROM). CROM is an instrument that reliably measures cervical range of motion. The instrument is fixed to the patient's head with velcro. Patients sit in a chair and their feet are flat on the floor. The CROM dial is set to position 0 in the plane to be measured. Patients are shown how to perform the movement and are asked to actively perform this movement. Measurements are made separately for flexion, extension, right rotation, left rotation and right-left lateral flexion movements. Each movement is performed three times and passive range of motion is evaluated. The average of the test values is recorded.
Time frame
through study completion, an average of 1 year3
Assessment of cervical proprioception
Cervical proprioception will be assessed with the CROM instrument. To test neck proprioception, the ability to reposition the head will be examined. It is assessed in two ways: 1. Repositioning to a neutral head position (Joint Position Error - EPH) 2. Repositioning the head to a predetermined reference point (Head Repositioning Accuracy - HRPA). For CBPD, the patient is asked to reposition the head to a predetermined target position; 2-2.5 degrees deviation is normal, 3-4 degrees deviation is impaired. The patient sits upright in a chair, the CROM device is fixed to the head with velcro. In EPH, the head is held in normal position with an eye patch and deviations in CROM are recorded. In BYPD, the head is positioned in the determined position with the eye patch closed and the amount of deviation is averaged. Measurements are made in flexion, extension, right and left rotation and lateral flexion.
Time frame
through study completion, an average of 1 yearLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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