Sex-Based Differences in Cervical Joint Position Sense in Patients With Chronic Mechanical Neck Pain

NCT07126418 | Completed

• 2 other identifiers: P.T.REC/012/003940P.T.REC/012/006048
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This is across sectional observational study aims to investigate whether there are sex-based differences in cervical proprioception, pain intensity, and neck disability in patients with chronic mechanical neck pain. The findings may contribute to better individualized care plans and inform future clinical guidelines.

Conditions

Chronic Mechanical Neck Pain

Outcome Measures

Primary Outcomes (1)

• cervical joint position Error (JPE) measured with CROM device at baseline

  at baseline

Secondary Outcomes (2)

• pain intensity: Visual Analog Scale (VAS) will be used to assess pain intensity at baseline

  at baseline

• Dysfunction of neck area: The neck disability index (NDI) will used to assess the level of cervical dysfunction

  at baseline

Study Arms (2)

group A:30 males' patients with a primary complaint of chronic neck pain more than 3 months

Other: observation (cervical proprioception, neck pain and neck disability)

Group B: 30 females' patients with a primary complaint of chronic neck pain more than 3 months

Other: observation (cervical proprioception, neck pain and neck disability)

Interventions

observation (cervical proprioception, neck pain and neck disability) OTHER

1\) Assessment of cervical proprioception using CROM device: Head reposition accuracy tests: neutral head position (NHP) and target head position (THP) tests are common tests used to assess cervical proprioception. Repositioning to the NHP and repositioning into THP. The test procedures were the same as those described by Lee et al., 2006. The NHP test measures the subject's ability to actively reposition their head to their self-selected neutral position. The THP test measures the individual's ability to actively reposition the head to a previously demonstrated target position. A) Neutral head position: After explaining the testing procedure, the CROM device will securely fixed on the head of the subject. The participants will instructed to sit upright with their feet flat on the floor, their back against the chair backrest and facing straight ahead, this position will established as their self-selected "NHP". The magnetic part of the unit was then placed so that it was put

Group B: 30 females' patients with a primary complaint of chronic neck pain more than 3 months; group A:30 males' patients with a primary complaint of chronic neck pain more than 3 months

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

* Sixty patients 30 males and 30 females (diagnosed and referred from orthopedist ) with a primary complaint of chronic neck more than 3 months, will be selected . * All subjects will participate in the study after signing institutionally approved consent form prior to data collection.

You may qualify if:

• Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months .
• patients with age range from 18 to 45 years old.
• patients with body mass index less than 30 kg/m2

You may not qualify if:

• previous spine surgery
• pregnancy.
• Diabetic patients
• Hypertensive patients
• Patients were excluded if neck pain was associated with cervical radiculopathy, whiplash injuries or severe headaches -cervical spine fracture - vertebrobasilar insufficiency.
• red flags suggesting of cancer, infection, vascular insufficiency
• Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.
• patients received any form of cervical treatments within past 6 months

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University- Faculty of physical therapy

Cairo, Egypt

Location

MeSH Terms

Interventions

Observation

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 10, 2025
• First Posted: August 17, 2025
• Study Start: September 10, 2025
• Primary Completion: February 1, 2026
• Study Completion: February 1, 2026
• Last Updated: February 6, 2026

Record last verified: 2026-02

Locations

EG (1)