Effects of Neck Proprioception Impairment on Balance in Cervical Spondylosis Patients

NCT ID: NCT07230938

Last Updated: 2025-11-17

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 82 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-11-15
• Study Completion Date: 2025-12-30

Brief Summary

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?

Detailed Description

This cross-sectional observational study intends to investigate the association between cervical proprioception and postural stability in people with cervical spondylosis. Cervical proprioception promotes posture regulation by providing sensory feedback to the central nervous system. Alterations in cervical joint position sensation caused by degenerative alterations can have a negative impact on balance.

Eighty participants with clinically diagnosed cervical spondylosis will be recruited. Each participant will undergo a single evaluation session that includes cervical joint position error testing and postural stability assessment using pedobarographic analysis. Data will be collected on center of pressure sway, weight distribution, and balance parameters under various conditions.

so this study findings can help physical therapists, rehabilitation experts, and clinicians design protocols to improve proprioceptive input and postural control in people with cervical spondylosis. Furthermore, early diagnosis of proprioceptive deficits by pedobarography may enable preventive actions and lower the incidence of falls and related morbidity in this population.

Conditions

Postural Stability

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Interventions

Pedobarography system (foot pressure plateform)

Pedobarography 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

Intervention Type: DEVICE

overhead laser pointer

laser pointer for Cervical proprioception device will be used to assess cervical proprioception by preforming Cervical joint position error (JPE) test

Intervention Type: DEVICE

Other Intervention Names

FREEMED baropodometric platform and FREESTEP software -v.2.01.054

Eligibility Criteria

Inclusion Criteria

• 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.

Exclusion Criteria

• The patients will be excluded if they have one of the following:
• 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.
• History of cervical trauma including whiplash associated disorders (WAD).
• History of cervical tumors.
• History of ankle instability.
• No previous foot and ankle surgery.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Delta University for Science and Technology

OTHER

Sponsor Role: lead

Responsible Party

Aisha Mourad

principal investigator, MSc candidate

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

AISHA MOURAD MOHAMMED, Bachelor of physical therapy

Role: CONTACT

Aisha.Mourad@deltauniv.edu.eg

+20 1064046189

Other Identifiers

F.P.T250794

Identifier Type: -

Identifier Source: org_study_id