Effects of Neck Proprioception Impairment on Balance in Cervical Spondylosis Patients

November 13, 2025 updated by: Aisha Mourad, Delta University for Science and Technology

The Influence of Cervical Proprioception Deficits on Postural Stability in Patients With Cervical Spondylosis

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?

Study Overview

Status

Not yet recruiting

Conditions

Postural Stability

Intervention / Treatment

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.

Study Type

Observational

Enrollment (Estimated)

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: AISHA MOURAD MOHAMMED, Bachelor of physical therapy
Phone Number: +20 1064046189
Email: Aisha.Mourad@deltauniv.edu.eg

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

Adult

Accepts Healthy Volunteers

N/A

Sampling Method

Non-Probability Sample

Study Population

Eighty-two patients with cervical spondylosis will represent the sample of this study. They will be selected from the outpatient clinic of Faculty of Physical Therapy, Delta University. All the patients will sign a consent form before starting the study

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postural stability measured using a foot pressure platform Time Frame: Single assessment at baseline (Day 1)	Postural stability will be assessed by measuring postural sway using a force platform (stabilometer) under two conditions (eyes open and eyes closed). The primary variable will be the ellipse surface area (mm²) representing the center of pressure sway.	Single assessment at baseline (Day 1)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cervical joint position error (JPE) measured using overhead laser pointer Time Frame: Single assessment at baseline (Day 1)	Cervical proprioception will be measured using a laser pointer repositioning test. Participants will perform active neck movements and attempt to return to the neutral position with eyes closed. The average deviation (in degrees) from the starting point over three trials will be recorded. Errors greater than 4.5° will indicate proprioceptive impairment	Single assessment at baseline (Day 1)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Delta University for Science and Technology

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

November 15, 2025

Primary Completion (Estimated)

December 30, 2025

Study Completion (Estimated)

December 30, 2025

Study Registration Dates

First Submitted

September 22, 2025

First Submitted That Met QC Criteria

November 13, 2025

First Posted (Actual)

November 17, 2025

Study Record Updates

Last Update Posted (Actual)