About this trial
Proprioceptive deficits in degenerative cervical myelopathy (DCM) is a progressive neurological deficits in somatosensory and motor function which affects the body balance and motor control. DCM usually presents with body incoordination, hand clumsiness and gait disturbance associated with proprioceptive dysfunction that hinders the physical performance and functions. In this study, a non-invasive assessment protocol on proprioception will be developed for detecting subtle proprioceptive deficits at the early stage of disease through simple Physical Performance Tests for population older than 45. By adopting the physical performance tests as the diagnostic predictors of DCM, we aim to avoid the development of devastating consequences and disabilities.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Chinese
Aged 50 or above
With radiological evidence of degenerative cervical myelopathy, both symptomatic and asymptomatic
Nurick grade less than 3
Disqualifiers
Non-Chinese ethnicity
Aged under 50
without any radiological proof of cervical myelopathy
Active problems of tuberculosis spine, lumbar spinal diseases, and other problems causing pain or deformities over the limbs that may affect their balance and movement
Trial population
Radiologically confirmed with Degenerative Cervical Myelopathy
Trial design
Case-control
Prospective
Treatments tested in this trial
Proprioceptive Functional Analysis System
Other interventionProprioceptive testing and Physical Performance Tests
Treatment groups
Trial outcomes
Primary outcomes
Modified Japanese Orthopaedics Association Scoring System for Cervical Myelopathy (mJOA)
mJOA is a self-reported functional questionnaire on disease severity through assessing 4 domains: 1. Upper Limb Function 2. Lower Limb Function 3. Sensory Function 4. Bladder Function mJOA has a total score of 17 and it categories DCM patient into different severity as below: 1. Mild \>= 15 2. Moderate = 12-14 3. Severe \< 12
Secondary outcomes
Proprioceptive Deficits - Speed Test
Proprioceptive deficits hinder the limb coordination, especially the fine finger dexterity, reciprocal walking and stepping. Thus, incoordination over the lower and upper limbs will then be resulted and which alters the speed and integrity of the performance in the Physical Performance Tests validated for DCM. In the physical performance tests, it has divided into 2 separate sections, the "Speed Test" will be recorded for in terms of the "Time required to complete" the standardized test process in seconds
Proprioceptive Deficits - Time Limited Test
Time Limited Test of physical performance test will be assessed and data will be recorded in terms of "Total number of repetitions completed" within strictly fixed time frame
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