- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04598113
Effect of Cervical Traction on Balance in Cervical Radiculopathy Patients
The Immediate Effect of Cervical Traction on Balance in Cervical Radiculopathy Patients: A Randomized Cross-over Trial)
A cross-over randomized trial aiming to assess the immediate effect of cervical traction on balance disorders among patients with common cervical neuropathy. Authors hypothesized that as cervical traction alleviate radicular pain it may also improve patient balance disorders. Effective traction is compared to sham traction.
Main outcome measures are balance parameters (force platform).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Monastir, Tunisia, 5000
- Physical Medicine and Rehabilitation Department
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Unilateral cervical radiculopathy of greater than three months
Exclusion Criteria:
- History of surgery or bone-ligament damage to the cervical spine
- Neurological and/or rheumatic diseases involving the cervical spine or which may result in impaired balance
- Inner ear and vestibular pathology
- Worsening of pain or intolerance in the manual cervical traction test
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Effective Traction/Sham Traction
Group of patients treated firstly with Effective Traction then with Sham Traction
|
While The patient is lie on the back his or her head is housed within the specific head portion of the device. The investigator inflate progressively the device using a valve and ensuring the patient's relaxation. The process of inflation is continued until the level of 12 Kg of pressure is reached. This maximum level of traction is maintained for 10 minutes then the process of deflation is started until the pressure decreased to 0 Kg. This maneuver is reproduced once again after 5 minutes of rest. The balance assessment using the force plate-from is done just before the intervention and 5 minutes after its end. |
SHAM_COMPARATOR: Sham Traction/Effective Traction
Group of patients treated firstly with Sham Traction then with Effective Traction
|
While The patient is lie on the back his or her head is housed within the specific head portion of the device. The investigator inflate progressively the device using a valve and ensuring the patient's relaxation. The process of inflation is continued until the level of 12 Kg of pressure is reached. This maximum level of traction is maintained for 10 minutes then the process of deflation is started until the pressure decreased to 0 Kg. This maneuver is reproduced once again after 5 minutes of rest. The balance assessment using the force plate-from is done just before the intervention and 5 minutes after its end. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in static posturographic parameters: The center of pressure (CoP) movement: sway area
Time Frame: The CoP sway area assessment is done just before the intervention and 5 minutes after.
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The CoP sway area (cm2) correspond to the the area which encloses the data points of the trajectory in relation with the body movement.
The CoP sway area is assessed in two conditions (with open then closed eyes)
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The CoP sway area assessment is done just before the intervention and 5 minutes after.
|
Change in static posturographic parameters: The CoP displacement amplitude
Time Frame: The CoP displacement amplitude assessment is done just before the intervention and 5 minutes after.
|
The CoP displacement amplitude (cm) in the anterior-posterior and medial-lateral trajectory correspond to the amount of body movement during a certain time interval in both trajectories.
The CoP displacement amplitude is assessed in two conditions (with open then closed eyes)
|
The CoP displacement amplitude assessment is done just before the intervention and 5 minutes after.
|
Change in static posturographic parameters: The Cop velocity
Time Frame: The Cop velocity assessment is done just before the intervention and 5 minutes after.
|
The Cop velocity (cm/s) correspond to the velocity of movement of the body.
The CoP velocity is assessed in two conditions (with open then closed eyes)
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The Cop velocity assessment is done just before the intervention and 5 minutes after.
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Change in static posturographic parameters: The Romberg quotient
Time Frame: The Romberg quotient assessment is done just before the intervention and 5 minutes after.
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The Romberg quotient correpond to the Ratio between Closed and Open Eyes Values of the previous parameters.
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The Romberg quotient assessment is done just before the intervention and 5 minutes after.
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Change in static posturographic parameters: CoP position
Time Frame: The CoP position assessment is done just before the intervention and 5 minutes after.
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The CoP position correspond to the location side in the frontal plan (left or right) and in the sagittal plan (anterior or posterior).
The CoP position is assessed in two conditions (with open then closed eyes)
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The CoP position assessment is done just before the intervention and 5 minutes after.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in pain intensity
Time Frame: The pain assessement is done just before the intervention and 5 minutes after
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The pain is assessed using a visual analog scale(VAS) /100 mm (minimum 0 mm and maximum 100 mm).
The higher the score the worse the patient's pain.
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The pain assessement is done just before the intervention and 5 minutes after
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Change in grip strength (Kg)
Time Frame: The measure is done just before the intervention and 5 minutes after
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The grip strength is measured using Jamar Hydraulic Hand Dynamometer
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The measure is done just before the intervention and 5 minutes after
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Brief Best test
Time Frame: The test is performed only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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Clinical test to assess the balance capacity during standing and walking.
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The test is performed only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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Neck Disability Index (NDI)
Time Frame: The questionnaire is administered only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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A self-administered questionnaire used to assess the self-rated disability.
It contains 10 sections scored from 0 to 5 each.
The total score range from 0 to 50.
The higher the score the higher the patient's level of disability.
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The questionnaire is administered only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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Hospital Anxiety and Depression scale
Time Frame: The scale is administered only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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A scale used to determine the level of anxiety and depression in patients.
The questionnaire comprises seven questions for anxiety and seven questions for depression.
Each response to a question is scored from 0 to 3. The total score for anxiety and depression separately range from 0 to 21.
The higher the score the more sever the patient's anxiety and depression status.
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The scale is administered only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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The short form (36) health survey: SF-36
Time Frame: The questionnaire is administered only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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A questionnaire used to assess patient's health status (Quality of life).
It yields an 8-scale profile of functional health and well-being scores: physical functioning (PF), role limitations due to physical problems (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role limitations due to emotional problems (RE), mental health (MH), and one single item scale on health transition.
Score ranges from 0 to 100, with higher score indicating higher level of function and/or better health and lower score indicating lower level of function and/or bad health.
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The questionnaire is administered only once at baseline in each patient: before the Effective Traction in the Arm EffectiveTraction/ShamTraction and before the Sham Traction in the Arm ShamTraction/EffectiveTraction.
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CTB
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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