Cervical Spondylosis
Conditions
Keywords
Cervical spondylosis, Evoked myogenic potentials, Vestibular rehabilitation
Brief summary
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
Interventions
Exercises 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
TENS and Hot packs application
Sponsors
Study design
Eligibility
Inclusion criteria
* 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.
Exclusion criteria
* 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).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome | base line and after 2 months | Vestibular evoked myogenic potentials will be assessed using Electromyography device to measure Cervical and Ocular vestibular evoked myogenic potentials. |
| Primary outcomev | base line and after 2 months | Balance will be assessed using HUMAC balance system. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary outcome | base line and after 2 months | Functional disability will be assessed using Copenhagen Neck Functional Disability Scale Arabic Version. |