Effects of Gaze Stabilization Exercises on Dizziness, Balance and Quality of Life in Cervical Spondylosis Patients

NCT05707130 | Completed DMC

• 1 other identifier: REC/RCR & AHS/22/0218
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the effects of gaze stabilization exercises on dizziness, balance and quality of life in patients with cervical spondylosis.

Conditions

Dizziness; Balance; Distorted; Cervical Spondylosis

Keywords

Dizziness; Balance; Distorted; Cervical Spondylosis

Outcome Measures

Primary Outcomes (3)

• Romberg Test

  The Romberg test is a test that measures your sense of balance.

  9 months

• Dizziness Handicap Inventory

  The DHI contains 25 items, and a total score (0-100 points) is obtained by summing ordinal scale responses, higher scores indicating more severe handicap. The scale was developed to capture various sub-domains of self- perceived handicap and comprises 7 physical, 9 functional, and 9 emotional questions. Item scores are summed. There is a maximum score of 100 (28 points for physical, 36 points for emotional and 36 points for functional) and a minimum score of 0. The higher the score, the greater the perceived handicap due to dizziness.

  9 months

• Vestibular Disorders Activities of Daily Living Scale

  The scale evaluates the effects of vertigo and balance disorders on independence in everyday activities of daily living. The tool is designed to be useful for evaluating functional limitation and perceived handicap and disability before and after therapeutic intervention. The scale evaluates the effects of vertigo and balance disorders on independence in everyday activities of daily living. The scale 28- item self-report questionnaire that is broken down into 3 subscales: 1. Functional- evaluates the individual's perception of basic self-maintenance tasks 2. Ambulatory-evaluates perception of mobility related tasks 3. Instrumental-evaluates self-perception in higher-level, more socially complex tasks

  9 months

Study Arms (2)

gaze stabilization exercises group

EXPERIMENTAL

Experimental group will receive Vestibulo ocular reflex VOR / gaze stabilization exercise, Static neck exercise, and Habituation exercise. Neck isometric exercises like isometric flexion, extension, lateral bending will be performed.

Other: gaze stabilization exercises

control group

ACTIVE COMPARATOR

Patients in Conventional group will get neck isometric exercises like isometric flexion, extension, lateral bending.

Other: neck isometrics

Interventions

gaze stabilization exercises OTHER

patients will perform gaze stabilization exercise, Static neck exercise, and Habituation exercise. Neck isometric exercises like isometric flexion, extension, lateral bending will be performed.

gaze stabilization exercises group

neck isometrics OTHER

Patients in Conventional group will get neck isometric exercises like isometric flexion, extension, lateral bending.

control group

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pre diagnosed from orthopedic doctor with cervical spondylosis
• Complaining of cervicogenic dizziness confirmed with positive results to the tests namely Romberg's test, dizziness handicap inventory

You may not qualify if:

• Patients with cervical radiculopathy
• Any drug allergy and neurological deficits were excluded from the study.
• Dizziness due to ear infection and due to BPPV

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Fedral, 44000, Pakistan

Location

Related Publications (4)

• Sun Y, Muheremu A, Tian W. Atypical symptoms in patients with cervical spondylosis: Comparison of the treatment effect of different surgical approaches. Medicine (Baltimore). 2018 May;97(20):e10731. doi: 10.1097/MD.0000000000010731.

  PMID: 29768345 BACKGROUND

• Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019 Oct 15;20(1):447. doi: 10.1186/s12891-019-2846-z.

  PMID: 31615495 BACKGROUND

• Meng Z, Yu J, Luo C, Liu X, Jiang W, Yu L, Huang R. Anterior Cervical Spondylosis Surgical Interventions are Associated with Improved Lordosis and Neurological Outcomes at Latest Follow up: A Meta-analysis. Sci Rep. 2017 Jun 30;7(1):4407. doi: 10.1038/s41598-017-04311-6.

  PMID: 28667278 BACKGROUND

• Lv Y, Tian W, Chen D, Liu Y, Wang L, Duan F. The prevalence and associated factors of symptomatic cervical Spondylosis in Chinese adults: a community-based cross-sectional study. BMC Musculoskelet Disord. 2018 Sep 11;19(1):325. doi: 10.1186/s12891-018-2234-0.

  PMID: 30205836 BACKGROUND

MeSH Terms

Conditions

Dizziness; Spondylosis

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Study Officials

• Zeest Hashmi, MSNMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients will be allocated to intervention groups by randomization. The patients in group A will be given gaze stabilization exercises and habituation exercises along with neck isometrics for 4 weeks. The patients in group B will be given neck isometrics for treatment of cervical spondylosis for 4 weeks.

Study Record Dates

• First Submitted: January 23, 2023
• First Posted: January 31, 2023
• Study Start: January 1, 2022
• Primary Completion: February 15, 2023
• Study Completion: February 15, 2023
• Last Updated: April 3, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)