Identification of the Seventh Cervical Vertebra by Palpation With Neck Rotation and Side Bending in Patients With Neck Pain

NCT ID: NCT07018219

Last Updated: 2025-06-12

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 25 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-03
• Study Completion Date: 2025-07-20

Brief Summary

detect accuracy of that procedure in identification the seventh cervical vertebra, we aimed to determine accuracy of identification of the seventh cervical vertebra by palpation with neck rotation and side bending in patients with neck pain.

Detailed Description

The ability to identify the correct vertebral level through examination is an important skill for clinicians in many different specialities (1,2). Two methods for identifying seventh cervical vertebra are commonly used; the conventional palpation method, which identifies the most prominent cervical spinous process as the seventh cervical (C7) spinous process and flexion-extension method which identifies the lowest freely moving spinous process as C6 and the following stationary cervical spinous process as C7. One study found the accuracy of the conventional palpation method is 37.5% while the accuracy of the flexion-extension is 77.1%. Another method is done by detecting the most prominent three vertebrae at cervicothoracic junction then three palpating fingers will be placed paravertebrally to the left of the cervicothoracic region against the left side of the assumed C7 and Tl spinous processes. When rotation or lateral flexion is facilitated, C7 is expected to move significantly further than the more slowly reacting Tl spinous process.

Conditions

Identification of the Seventh Cervical Vertebra by Palpation

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: DIAGNOSTIC
• Blinding Strategy: NONE

Study Groups

one expermental group:

The researcher will detect the seventh cervical vertebrae by palpation with neck Rotation and side bending in patients with neck pain , then patients will be refereed to perform X ray which is the gold standard for detecting C7

Group Type: EXPERIMENTAL

X ray device

Intervention Type: DEVICE

X ray macjine : shimadzo corporation ( japan)

Interventions

X ray device

X ray macjine : shimadzo corporation ( japan)

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• neck pain, age (18- 60) male and female

Exclusion Criteria

• with suspected ankylosing spondylitis, previous surgery on the cervical spine or congenital malformation of the cervical region.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Eslam Elsayed Ali Shohda

OTHER_GOV

Sponsor Role: lead

Responsible Party

Eslam Elsayed Ali Shohda

Physical therapy teaching fellow

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Al ahrar teaching hospital

Zagazig, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Eslam Elsayed Shohda, phd, pt

Role: CONTACT

dreslamelsayed@hotmail.com

002-01009482231

Facility Contacts

Al ahrar teaching hospital, phd,pt

Role: primary

dreslamelsayed@hotmail.com

Other Identifiers

HAH00059

Identifier Type: -

Identifier Source: org_study_id