Does the Degree of Cervical Stenosis Affect Proprioception?

NCT06566573 | Not Yet Recruiting

• 1 other identifier: cervicalproprioception35
• Study Type: interventional
• Target: 108
• Locations: 0 countries
• Sites: N/A

Brief Summary

Neck pain is a common health problem that negatively affects the quality of life of individuals of different age groups and most people experience this problem at some point in their lives. With age, changes occur in the neuromuscular functions of the cervical region that are considered normal. These changes lead to many problems such as postural disorder, decreased stabilization, loss of normal joint motion, balance disorders and decreased cervical joint position sense. When the literature was examined, the situation was observed that cervical proprioception, which is defined as joint position sense, has not been sufficiently investigated. In particular, researchers have not found any literature on how proprioceptive sensation varies according to the degree of cervical stenosis. Therefore, this study will provide a direction for the treatment of cervical region problems. The data will be discussed with appropriate statistical methods and treatment recommendations will be presented according to the results obtained.

Conditions

Proprioceptive Disorders; Stenosis

Outcome Measures

Primary Outcomes (3)

• Visual analog scale (VAS)

  Visual analog scale (VAS) will be used for pain assessment. The VAS is a one-dimensional measure of pain intensity and is frequently used in adult populations. The pain definitions used for the two endpoints on a 10 cm line are 0 for 'no pain' and 10 for 'extreme pain. Pain will be evaluated in 3 different ways: pain at the time, pain at rest and pain during activity. While assessing pain, the type and location of pain will also be questioned verbally and noted.

  through study completion, an average of 1 year

• Assessment of Normal Joint Motion

  Normal range of motion (ROM) of the cervical region will be assessed with the Pa Crom Basic - Cervical Range Of Motion (CROM). CROM is an instrument that reliably measures cervical range of motion. The instrument is fixed to the patient's head with velcro. Patients sit in a chair and their feet are flat on the floor. The CROM dial is set to position 0 in the plane to be measured. Patients are shown how to perform the movement and are asked to actively perform this movement. Measurements are made separately for flexion, extension, right rotation, left rotation and right-left lateral flexion movements. Each movement is performed three times and passive range of motion is evaluated. The average of the test values is recorded.

  through study completion, an average of 1 year

• Assessment of cervical proprioception

  Cervical proprioception will be assessed with the CROM instrument. To test neck proprioception, the ability to reposition the head will be examined. It is assessed in two ways: 1. Repositioning to a neutral head position (Joint Position Error - EPH) 2. Repositioning the head to a predetermined reference point (Head Repositioning Accuracy - HRPA). For CBPD, the patient is asked to reposition the head to a predetermined target position; 2-2.5 degrees deviation is normal, 3-4 degrees deviation is impaired. The patient sits upright in a chair, the CROM device is fixed to the head with velcro. In EPH, the head is held in normal position with an eye patch and deviations in CROM are recorded. In BYPD, the head is positioned in the determined position with the eye patch closed and the amount of deviation is averaged. Measurements are made in flexion, extension, right and left rotation and lateral flexion.

  through study completion, an average of 1 year

Study Arms (4)

cervical stenosis degree 0

OTHER

Pain, range of motion and proprioceptive sensations of patients with spinal stenosis grade 0 according to the Kang grading system will be evaluated on MRI.

Other: Pain; Other: Normal Range of Motion; Other: Proprioceptive Sense

cervical stenosis degree 1

OTHER

Pain, range of motion and proprioceptive sensations of patients with spinal stenosis grade 1 according to the Kang grading system will be evaluated on MRI.

Other: Pain; Other: Normal Range of Motion; Other: Proprioceptive Sense

cervical stenosis degree 2

OTHER

Pain, range of motion and proprioceptive sensations of patients with spinal stenosis grade 2 according to the Kang grading system will be evaluated on MRI.

Other: Pain; Other: Normal Range of Motion; Other: Proprioceptive Sense

cervical stenosis degree 3

OTHER

Pain, range of motion and proprioceptive sensations of patients with spinal stenosis grade 3 according to the Kang grading system will be evaluated on MRI.

Other: Pain; Other: Normal Range of Motion; Other: Proprioceptive Sense

Interventions

Pain OTHER

The relationship between the degree of stenosis and pain in patients with lumbar spinal stenosis will be evaluated with a visual analogue scale.

cervical stenosis degree 0; cervical stenosis degree 1; cervical stenosis degree 2; cervical stenosis degree 3

Normal Range of Motion OTHER

CROM will be used for normal range of motion (ROM) of the cervical region. Measurements will be made separately for flexion, extension, right rotation, left rotation, right and left lateral flexion.

cervical stenosis degree 0; cervical stenosis degree 1; cervical stenosis degree 2; cervical stenosis degree 3

Proprioceptive Sense OTHER

CROM will be used for cervical proprioception. Measurements will be made separately for flexion, extension, right rotation, left rotation, right and left lateral flexion.

cervical stenosis degree 0; cervical stenosis degree 1; cervical stenosis degree 2; cervical stenosis degree 3

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals aged 18 and over
• Previously performed cervical MRI
• Cases whose stenosis classification can be clearly determined on MRI

You may not qualify if:

• Individuals who did not agree to participate in the study
• Individuals undergoing cervical surgery
• Those with pain that restricts cervical movement
• Those diagnosed with vertigo
• Those with sudden hearing loss
• Having additional neurological disorders
• Those with psychiatric and cognitive disorders that would prevent measurement in the study

Sponsors & Collaborators

• Izmir Democracy University: lead

MeSH Terms

Conditions

Somatosensory Disorders; Constriction, Pathologic

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pathological Conditions, Anatomical

Study Officials

• Betül Taspinar, Prof. Dr.

  Izmir Democracy University

  PRINCIPAL INVESTIGATOR

• Ayşe Sezgi Kızılırmak Karataş, Msc. Pt.

  Izmir Democracy University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Onur Engin, Assist.Prof.

CONTACT

+905367915466; oengin4@hotmail.com

Ferruh Taspinar, Prof.Dr

CONTACT

05426853877; fztferruh@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist.Prof.

Model Details: Prospective cross-sectional study

Study Record Dates

• First Submitted: August 12, 2024
• First Posted: August 22, 2024
• Study Start: September 15, 2024
• Primary Completion: June 6, 2025
• Study Completion: September 15, 2025
• Last Updated: August 22, 2024

Record last verified: 2024-08