This study will Investigate the effect of vestibular rehabilitation on:
Primary outcomes: Vestibular evoked myogenic potentials, Balance,and Cervical proprioception.
Secondary outcomes: Functional disability and pain intensity level
Adult patients (40-to-60 years old) diagnosed as cervical spondylosis with vestibular dysfunction manifestation (Shi et al., 2024).
Normal BMI 20-to-25 kg/m².
All patients have chronic neck pain lasting for more than 3 months (Sadeghi et al., 2022).
The area of chronic neck pain will defined to the cervical region, possibly with referred pain into the occipit, nuchal muscles, and shoulders.
Signs of serious pathology (e.g., rheumatoid diseases, ankylosing spondylitis, tumor),
History of cervical spine surgery,
History of trauma or fractures in cervical spine, and
Signs of vascular syndrome such as vertebrobasilar insufficiency and no usage of non steroidal anti-inflammatory drugs two weeks before treatment (Sadeghi et al., 2022).
Parallel
Vestibular rehabilitation program
Other interventionExercises for enhancing gaze stability, Exercises for enhancing eye movements, Exercises for enhancing postural stability, Exercises for decreasing vertigo, and Exercises for improving activities of daily living
traditional physiotherapy
Other interventionTENS and Hot packs application
Primary outcome
Vestibular evoked myogenic potentials will be assessed using Electromyography device to measure Cervical and Ocular vestibular evoked myogenic potentials.
Primary outcomev
Balance will be assessed using HUMAC balance system.
Primary outcome
Cervical proprioception will be assessed using SenMoCOR Laser Head Light.
Secondary outcome
Functional disability will be assessed using Copenhagen Neck Functional Disability Scale Arabic Version.
Secondary outcome
Pain intensity level will be assessed using visual analogue scale.
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