To Investigate the Effect of Modified Cawthorne-cooksey Exercises on Cervical Proprioception and Functional Outcomes in Patients With Cervical Radiculopathy. Fifty Four Patients With Cervical Radiculopathy From Both Sexes Will be Selected Randomly and Allocated Into Two Equal Groups. (Cawthorne)

January 11, 2026 updated by: Ahmed Khairy Abdullah Hussein, German International University

Effect of Modified Cawthorne-Cooksey Exercises on Cervical Proprioception and Functional Outcomes in Patients With Cervical Radiculopathy

To investigate the effect of cawthorne-cooksey exercises on cervical proprioception and functional outcomes in patients with cervical radiculopathy

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Fifty four patients with cervical radiculopathy from both sexes will be selected randomly outpatient clinic and allocated into two equal groups. The Control Group will receive the selected physical therapy program only (electrotherapy, manual therapy, strengthening exercises), study Group will receive the Cawthorne-Cooksey exercises program and the selected physical therapy program. Basic assumptions

It will be assumed that:

  • All the patients will follow the instructions and the rehabilitation program that are given to them.
  • The motivation and cooperation are the same for all patients
  • The patients will exert their maximum efforts during the study.

Null Hypothesis:

It will be hypothesized that:

  • There will be no significant effect of Cawthorne-Cooksey exercises on proprioception in patients with cervical radiculopathy.
  • There will be no significant effect of Cawthorne-Cooksey exercises on functional outcomes in patients with cervical radiculopathy.

Study Type

Interventional

Enrollment (Actual)

54

Phase

  • Not Applicable

Contacts and Locations

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

Study Locations

  • Egypt
      • Cairo, Egypt
        • Pivot clinic

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

No

Description

Inclusion Criteria:

  1. Their ages range from 30 to 45 years.
  2. Both sexes
  3. With mild to moderate cervical disability according to the neck disability index.
  4. Unilateral cervical radiculopathy for more than 6 months.
  5. Cervical radiculopathy due to disc prolapse (C5-C6) (C6-C7) mild to moderate or disc prolapse according to magnetic resonance image(MRI).
  6. Complaining from vertigo at least for 3 months.
  7. Normal body mass index (18.5 - 24.99Kg/m2).

Exclusion Criteria:

  1. Any other musculoskeletal disorders of the spine or upper extremity
  2. Patients with any other Neurological deficits, psychiatric disease Cervical myelopathy, Cognitive problems, vertebral fractures and previous history of spine or cervical surgery.
  3. Clinical instability, recent trauma.
  4. Structural abnormalities of the spine, osteoporosis, and spasmodic torticollis.
  5. Inflammatory or other specific disorders of spine such as ankylosing spondylitis and rheumatoid arthritis

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

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Cawthorne-Cooksey exercises
Cawthorne-Cooksey exercises are one form of vestibular exercises under this training involving centers such as visual, proprioceptive, and vestibular activities. Cawthorne-Cooksey exercises, originally developed for vestibular rehabilitation, focus on eye-head-body coordination and postural adaptation. When adapted for cervical use, they may enhance neuromuscular control, improve cervical joint position sense, and promote motor learning. These exercises are made to compensate for the affected vestibular signals (which cause poor balance and coordination) by retraining the eye and body musculatures.
Other: Cawthorne-Cooksey exercises

Cawthorne-Cooksey exercises are one form of vestibular exercises under this training involving centers such as visual, proprioceptive, and vestibular activities.

Cawthorne-Cooksey exercises, originally developed for vestibular rehabilitation, focus on eye-head-body coordination and postural adaptation. When adapted for cervical use, they may enhance neuromuscular control, improve cervical joint position sense, and promote motor learning. These exercises are made to compensate for the affected vestibular signals (which cause poor balance and coordination) by retraining the eye and body musculatures.

Other: Therapeutic Ultrasound
The application of ultrasound therapy with patient prone lying position paravertebral in posterior aspect of neck. The Treatment parameter ( 1 MHZ, FR 100HZ , duty factor 75% , power intensity 1.5w/cm2 , continuous mode , treatment time 5 min ).
Experimental: Therapeutic Ultrasound

Therapeutic Ultrasound:

The application of ultrasound therapy with patient prone lying position paravertebral in posterior aspect of neck. The Treatment parameter ( 1 MHZ, FR 100HZ , duty factor 75% , power intensity 1.5w/cm2 , continuous mode , treatment time 5 min ).
Other: Therapeutic Ultrasound
The application of ultrasound therapy with patient prone lying position paravertebral in posterior aspect of neck. The Treatment parameter ( 1 MHZ, FR 100HZ , duty factor 75% , power intensity 1.5w/cm2 , continuous mode , treatment time 5 min ).

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cervical Proprioception
Time Frame: From enrollment to the end of treatment at 8 weeks

Measuring Neck Proprioception by cervical joint position error via overhead laser pointer :

  1. Laser pointer: will be fixed to the subject's head by a strap to determine the degree of error in the test .
  2. Target paper: typically, 40 cm in diameter that contains concentric circles in 1 cm increments, divided into 4 quadrants intersecting at zero .
  3. Chair: a stable chair with back support and positioned such that it will not move when the subject will move his/her head during the test.
  4. Colored stickers: will be used to determine the starting and the ending points of the laser.
  5. Ruler: to measure the distance between the start point and endpoint in each direction on the target paper.
From enrollment to the end of treatment at 8 weeks

Collaborators and Investigators

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

Sponsor

German International University

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 (Actual)

September 15, 2025

Primary Completion (Actual)

December 15, 2025

Study Completion (Actual)

December 15, 2025

Study Registration Dates

First Submitted

December 24, 2025

First Submitted That Met QC Criteria

December 24, 2025

First Posted (Estimated)

January 7, 2026

Study Record Updates

Last Update Posted (Actual)

January 13, 2026

Last Update Submitted That Met QC Criteria

January 11, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P.T.REC/012/006093

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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