About this trial
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?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial population
Eighty-two patients with cervical spondylosis will represent the sample of this study. They will be selected from the outpatient clinic of Faculty of Physical Therapy, Delta University. All the patients will sign a consent form before starting the study
Trial design
Cohort
Prospective
Treatments tested in this trial
Pedobarography system (foot pressure plateform)
DevicePedobarography system (foot pressure plateform) for Postural Stability assessment will be used to assess Postural stability. the pedobarographic analysis will be delivered using the FreeMed Professional platform (Sensor Medica, Rome, Italy). It evaluates the distribution of foot pressure on the ground.Three components make up the platform: a central mat with resistance sensors and two passive mats at either end that form a walking path. The platform is connected to a computer, to which all data is displayed and processed using FreeStep software
overhead laser pointer
Devicelaser pointer for Cervical proprioception device will be used to assess cervical proprioception by preforming Cervical joint position error (JPE) test
Treatment groups
Trial outcomes
Primary outcomes
Postural stability measured using a foot pressure platform
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 outcomes
Cervical joint position error (JPE) measured using overhead laser pointer
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
Locations
Sponsors and contacts
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