Effect of Proprioceptive Training on Cervical Sensorimotor Control and Functional Recovery in Patients With Cervical Radiculopathy (Proprioceptive)
Study purpose
The goal of this study is to investigate whether adding cervical proprioceptive training to conventional physiotherapy improves cervical sensorimotor control and functional recovery in patients with chronic cervical radiculopathy.
The study will include 58 participants, aged 35-50 years, with unilateral chronic cervical radiculopathy associated with lower cervical discogenic or spondylotic changes (C5-C6 and/or C6-C7), with symptoms lasting more than three months.
Main research questions
- Does cervical proprioceptive training, in addition to conventional physiotherapy, improve cervical joint position sense (measured by cervical joint position error) compared with conventional physiotherapy alone?
- Does adding cervical proprioceptive training lead to greater improvements in functional disability, pain intensity, functional ability, and cervical range of motion compared with conventional physiotherapy alone?
Comparison groups
Researchers will randomly allocate participants into two groups:
- Experimental group: Participants will receive conventional physiotherapy combined with a structured cervical proprioceptive training programme.
- Control group: Participants will receive conventional physiotherapy alone.
The researchers will compare the two groups to determine whether adding cervical proprioceptive training produces greater improvements in cervical sensorimotor control and functional outcomes.
What participation involves
Participants will be asked to:
- Complete baseline assessments, including the Neck Disability Index (NDI), Visual Analogue Scale (VAS), cervical joint position error (JPE), cervical range of motion (CROM), and Patient-Specific Functional Scale (PSFS).
- Attend their assigned physiotherapy programme three times per week for six weeks, with treatment sessions lasting approximately 60 minutes.
- Follow the treatment programme assigned to their group.
- Complete the same outcome assessments after the six-week intervention period to evaluate changes and compare the results between groups.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This study is a two-arm, parallel-group randomized clinical trial designed to investigate the effects of a structured cervical proprioceptive training program in individuals with chronic cervical radiculopathy.
Following baseline assessment, participants will be randomly allocated to either an experimental group receiving cervical proprioceptive training or a control group receiving conventional physiotherapy. The intervention period will last six weeks. Treatment sessions will be conducted three times per week, with each session lasting approximately 60 minutes.
The experimental group will receive a supervised cervical proprioceptive training program intended to address impaired cervical sensorimotor control. Training will focus on cervical joint-position awareness, accurate repositioning of the head, and controlled cervical movement. Exercises will be introduced at an appropriate level of difficulty and progressed according to the participant's performance, movement accuracy, tolerance, and ability to complete the tasks with adequate control. Training will be conducted under physiotherapist supervision.
The control group will receive a conventional physiotherapy program over the same six-week treatment period. Treatment will follow the conventional physiotherapy procedures specified in the study protocol and will be delivered according to the standardized intervention plan.
Participants will undergo the planned study assessments before and after the intervention period. The treatment period, session duration, and intervention procedures will be applied consistently according to the study protocol. Attendance and intervention implementation will be monitored throughout the study.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Giza Governorate
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Giza, Giza Governorate, Egypten
- Faculty of physical therapy
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-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Patients of both sexes, diagnosed as having unilateral cervical radiculopathy secondary to discogenic and spondylotic changes at the lower cervical spine (C5-C6 and C6-C7).
- Duration of illness more than "three" months.
- Aged between 35-50 years old.
- Body mass index (BMI) of less than 30 kg/m².
- 4-7/10 score according to VAS (Appendix I).
- Neck Disability Index (NDI) score ≥10/50.
- PSFS scoring of ≥ 5/10
Exclusion Criteria:
- Cervical myelopathy or cervical myelo-radiculopathy.
- Thoracic outlet syndrome.
- Carpal tunnel syndrome.
- Structural spinal instability such as spondylolisthesis.
- Vertebro-basilar artery insufficiency.
- Previous cervicothoracic spine surgery.
- Serious spinal pathology (e.g., tumors or infection).
- Vestibular or severe visual disorders.
- Associated other neurological diseases.
- Recent cervical physiotherapy within the last 2 months
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Control group
Effect of conventional therapy on control group |
Stretching of neck muscles and manual therapy and strengthening exercises |
|
Eksperimentel: Study group
Effect of proprioceptive training on stufy group |
Stretching of neck muscles and manual therapy and strengthening exercises Proprioceptive training using head mounted laser and target grids and tracking grids |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Joint position error
Tidsramme: 6 weeks
|
Deviation from normal joint position is calculated |
6 weeks
|
|
Patient specific functional scale
Tidsramme: 6 weeks
|
Measures function of cervical radiculopathy patient |
6 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- P.T.REC/012/006393
Plan for individuelle deltagerdata (IPD)
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