The Effects of Cervical Sensorimotor Control Challenges on Gait Patterns, Cervical Sensorimotor Control During Dynamic Tasks

Influence of Various Cervical Sensorimotor Control Challenges on Gait Patterns, Cervical Sensorimotor Control, and Dual-Task Performance During Dynamic Gait-related Tasks

To investigate the influence of cervical SMC challenges during gait-related dynamic tasks on all task performance and symptoms in patients with CNP.

Study Overview

• Status: Completed
• Conditions: Neck Pain; Gait; Sensorimotor

Detailed Description

The goal of this observational study is to learn about the immediate effects of cervical sensorimotor challenges during gait-related dynamic tasks on all task performance and symptoms in patients with CNP .

The main question it aims to answer is:

Does adding sensorimotor challenges in chronic neck pain patient will affect balance and gait performance?

• Study Type: Observational
• Enrollment (Actual): 60

Contacts and Locations

Study Locations

• Taiwan
  • Taiwan
    • Tainan, Taiwan, Taiwan, 701
      • National Cheng Kung University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

Patients with chronic neck pain are: (1) pain was unilateral or bilateral between the superior nuchal line and 1st thoracic vertebra, (2) neck pain persisting for 3 months and above, and (3) average pain intensity of last pain episode was between 2 and 8 based on the numeric rating scale (NRS).

Description

Inclusion Criteria:

• Healthy asymptomatic adults will not have any complaints of current pain and impairments of neuromusculoskeletal systems within the last 6 months.

• For patients with CNP

  • Pain was unilateral or bilateral between the superior nuchal line and 1st thoracic vertebra
  • Neck pain persisting for 3 months and above
  • Average pain intensity of last pain episode was between 2 and 8 based on the numeric rating scale (NRS).

Exclusion criteria:

◾For patients with CNP and healthy asymptomatic adults

• Acute or the first onset of neck pain
• Traumatic cause of pain
• Previous fracture or surgery of the spine
• Diagnosed cardiopulmonary diseases, for example, chronic obstructive pulmonary disease, pulmonary tuberculosis, asthma, chronic bronchitis, pulmonary emphysema
• Diagnosed gastrointestinal and abdominal conditions which may interfere daily activities within the past 6 months
• Medical conditions that may affect balance and study procedures (e.g. neurological diseases, vestibular disorders, malignant tumors)
• Metabolic diseases such as anemia and diabetes
• Smoking, plan to pregnant or in pregnancy
• Psychological disorders (affect questionnaire responses)
• Unable to walk independently
• Corrected visual abnormalities or individuals unable to wear contact lenses for vision correction due to the potential interference of wearing VR head-mounted display with glasses.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Idiopathic neck pain group; Pain was unilateral or bilateral between the superior nuchal line and 1st thoracic vertebra; Neck pain persisting for 3 months and above; Average pain intensity of last pain episode was between 2 and 8 based on the numerical rating scale (NRS).
Asymptomatic adult group; Do not have any complaints of current pain and impairments of neuromusculoskeletal systems within the last 6 months.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Spatiotemporal parameter	Gait speed (meter/second)	One day
Spatiotemporal parameter	cadence (steps/minute)	One day
Spatiotemporal parameter	stride length (meter)	One day
Spatiotemporal parameter	stride duration (second)	One day
Spatiotemporal parameter	stance duration (second)	One day
Spatiotemporal parameter	swing duration (second)	One day
Spatiotemporal parameter	stance length (meter)	One day
Spatiotemporal parameter	swing length (meter)	One day
Spatiotemporal parameter	step width (meter)	One day
Head and Cervical Kinematics	Mean, range, maximum, and minimum of the angular displacements (degree)	One day
Head and Cervical Kinematics	Mean and peak angular velocity (m/s) and acceleration (m/^2)	One day
Lower Extremity Kinematics and Kinetics	Maximum, minimum, and range angular displacement (degree of joint angle)	One day
Lower Extremity Kinematics and Kinetics	Mean and peak angular velocity and acceleration (m/^2)	One day
Enter of Mass and Center of Pressure (COM-COP)	A 15-component link-segment model will be used to estimate the location of the total body COM. The center of pressure (COP) data will be derived from the outputs of the AMTI force platform.	One day

Collaborators and Investigators

• Sponsor: National Cheng Kung University
• Collaborators: National Science and Technology Council

Study record dates

Study Major Dates

• Study Start (Actual): December 16, 2024
• Primary Completion (Actual): September 30, 2025
• Study Completion (Actual): December 31, 2025

Study Registration Dates

• First Submitted: June 19, 2024
• First Submitted That Met QC Criteria: August 4, 2024
• First Posted (Actual): August 7, 2024

Study Record Updates

• Last Update Posted (Actual): April 8, 2026
• Last Update Submitted That Met QC Criteria: April 7, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: Balance; Gait; Sensorimotor control; Chronic neck pain; Oculomotor control
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Neck Pain
• Other Study ID Numbers: NCKU_Visual Challenge

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No