Balance Performance in Dual Task in Patients With Cervical Disc Herniation Related Chronic Neck Pain:a Comparative Study

NCT05338788 | Completed

• 1 other identifier: IzmirBozyaka-HayriyeYILMAZ-001
• Study Type: observational
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

Intense pain and moderate disability are seen most patients with symptomatic cervical disc herniation (CDH). Since neck motion and motor control are associated with changes in neck pain and disability, it is highly likely that patients with neck pain related disability would display dual-task interference (DTI) during postural control with a cognitive task. It is very important for patients with cervical disk herniation to perform more than one task at the same time for many activities of daily living. Therefore, the aim of this study was to compare balance performance in dual task between patients with CDH related chronic neck pain and asymptomatic controls.

Conditions

Cervical Pain; Postural Balance

Keywords

Cervical Pain; postural balance; Biodex Balance System; Cervical disc herniation

Outcome Measures

Primary Outcomes (5)

• Balance

  The Biodex Balance System (BBS; Biodex Medical Systems, Shirley, New York, USA) was used to assess postural control.The evaluated parameters of this system are presented below:The modified clinical test of sensory integration of balance (mCTSIB), athletic single leg test (ASLT), limits of stability (LOS), and fall risk assessment were performed with and without a cognitive task.

  Baseline

• The modified Clinical Test of Sensory Integration of Balance (mCTSIB)

  The mCTSIB was used to assess individuals capability to use sensory inputs for balance.

  Baseline

• Athletic Single Leg Test (ASLT)

  The evaluation was made with eyes open and closed on one leg (dominant limb) on a firm floor on the balance device platform

  Baseline

• Limits of Stability (LOS):

  This test is the best test that measures dynamic control among the standard sway tests.

  Baseline

• Fall risk assessment

  The pre-test platform level was adjusted so that the starting position was 12 and the ending position was 8

  Baseline

Secondary Outcomes (1)

• Disability level

  Baseline

Study Arms (2)

Patient Group

Thirty-two 32 patients with cervical disk herniation related chronic neck pain participated in this cross-sectional controlled study. Patients who aged 18-64 years, had neck pain for at least 12 weeks, no tumor, trauma, fracture pathology in the spinal region and no history of spine surgery were included. The Neck Disability Index (NDI) was used to assess neck pain related disability. The Biodex Balance System (BBS; Biodex Medical Systems, Shirley, New York, USA) was used to assess postural control. The evaluated parameters of this system are presented below: modified clinical test of sensory integration of balance (mCTSIB), athletic single leg test (ASLT), limits of stability (LOS), and fall risk assessment were performed with and without a cognitive task. Dual-task interference (DTI) was assessed.

Other: neck pain and dual task

Control Group

Twenty-three 23 age and sex-matched asymptomatic controls participated in this cross-sectional controlled study. The Biodex Balance System (BBS; Biodex Medical Systems, Shirley, New York, USA) was used to assess postural control.The evaluated parameters of this system are presented below: modified clinical test of sensory integration of balance (mCTSIB), athletic single leg test (ASLT), limits of stability (LOS), and fall risk assessment were performed with and without a cognitive task. Dual-task interference (DTI)was assessed.

Other: neck pain and dual task

Interventions

neck pain and dual task OTHER

The Neck Disability Index (NDI) was used to assess neck pain related disability. The Biodex Balance System was used to assess postural control.Clinical test of sensory integration of balance (mCTSIB), athletic single leg test (ASLT), limits of stability (LOS), and fall risk assessment were performed with and without a cognitive task.In order to avoid the order bias of postural control measurements during "Single-task" and "Dual-task" for each case, the order of the measurements was determined by randomization on the first day by using sealed envelope method. After single/double task randomization was made, the order of tests was also randomized by using sealed envelopes containing two different orders (1-mCTSIB, 2-ASLT, 3-Fall test, 4-LOS and 1- LOS, 2- Fall test, 3- ASLT, 4-mCTSIB).

Control Group; Patient Group

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Between the ages of 18-64 men and women.

You may qualify if:

• to 64 years of age 2.Having generalized neck pain for more than 3 months 3.Being literate and cooperative 4.Being volunteer 5.Volunteer patients diagnosed with chronic neck pain by a specialist
• Asymptomatic individuals between the ages of 18-64
• Without any known disease diagnosis and health problems that would affect the evaluations

You may not qualify if:

• Being pregnant,
• Malignancy,
• Having cervical stenosis,
• Severe cervical spondylosis,
• Cervical fractures and tumor,
• Osteoporosis,
• Neurologic deficit related to compression of the spinal root or cord,
• Having neurologic, dermatologic, infectious, inflammatory rheumatologic and endocrine diseases,
• Any problems that will hinder exercise (advanced cardiopulmonary or orthopedic problems), having intervention including exercise program or physiotherapy in the three months

Sponsors & Collaborators

• Bozyaka Training and Research Hospital: lead

Study Sites (1)

Hayriye Yılmaz

Izmir, 35110, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mehmet G KARAKAYA, Prof, PT

  Muğla Sıtkı Koçman University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 5, 2022
• First Posted: April 21, 2022
• Study Start: May 20, 2019
• Primary Completion: February 1, 2020
• Study Completion: March 20, 2022
• Last Updated: July 20, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)