To Investigate the Effect of Modified Cawthorne-cooksey Exercises on Cervical Proprioception and Functional Outcomes in Patients With Cervical Radiculopathy. Fifty Four Patients With Cervical Radiculopathy From Both Sexes Will be Selected Randomly and Allocated Into Two Equal Groups.

NCT07323992 | Completed

• 1 other identifier: P.T.REC/012/006093
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the effect of cawthorne-cooksey exercises on cervical proprioception and functional outcomes in patients with cervical radiculopathy

Conditions

Cervical Radiculopathy

Keywords

Cervical radiculopathy; disc; cervical; radiculopathy; nerve; root; compression

Outcome Measures

Primary Outcomes (1)

• Cervical Proprioception

  Measuring Neck Proprioception by cervical joint position error via overhead laser pointer : 1. Laser pointer: will be fixed to the subject's head by a strap to determine the degree of error in the test . 2. Target paper: typically, 40 cm in diameter that contains concentric circles in 1 cm increments, divided into 4 quadrants intersecting at zero . 3. Chair: a stable chair with back support and positioned such that it will not move when the subject will move his/her head during the test. 4. Colored stickers: will be used to determine the starting and the ending points of the laser. 5. Ruler: to measure the distance between the start point and endpoint in each direction on the target paper.

  From enrollment to the end of treatment at 8 weeks

Study Arms (2)

Cawthorne-Cooksey exercises

EXPERIMENTAL

Cawthorne-Cooksey exercises are one form of vestibular exercises under this training involving centers such as visual, proprioceptive, and vestibular activities. Cawthorne-Cooksey exercises, originally developed for vestibular rehabilitation, focus on eye-head-body coordination and postural adaptation. When adapted for cervical use, they may enhance neuromuscular control, improve cervical joint position sense, and promote motor learning. These exercises are made to compensate for the affected vestibular signals (which cause poor balance and coordination) by retraining the eye and body musculatures.

Other: Cawthorne-Cooksey exercises; Other: Therapeutic Ultrasound

Therapeutic Ultrasound

EXPERIMENTAL

Therapeutic Ultrasound: The application of ultrasound therapy with patient prone lying position paravertebral in posterior aspect of neck. The Treatment parameter ( 1 MHZ, FR 100HZ , duty factor 75% , power intensity 1.5w/cm2 , continuous mode , treatment time 5 min ).

Other: Therapeutic Ultrasound

Interventions

Cawthorne-Cooksey exercises OTHER

Cawthorne-Cooksey exercises are one form of vestibular exercises under this training involving centers such as visual, proprioceptive, and vestibular activities. Cawthorne-Cooksey exercises, originally developed for vestibular rehabilitation, focus on eye-head-body coordination and postural adaptation. When adapted for cervical use, they may enhance neuromuscular control, improve cervical joint position sense, and promote motor learning. These exercises are made to compensate for the affected vestibular signals (which cause poor balance and coordination) by retraining the eye and body musculatures.

Cawthorne-Cooksey exercises

Therapeutic Ultrasound OTHER

The application of ultrasound therapy with patient prone lying position paravertebral in posterior aspect of neck. The Treatment parameter ( 1 MHZ, FR 100HZ , duty factor 75% , power intensity 1.5w/cm2 , continuous mode , treatment time 5 min ).

Cawthorne-Cooksey exercises; Therapeutic Ultrasound

Eligibility Criteria

• Age: 30 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Their ages range from 30 to 45 years.
• Both sexes
• With mild to moderate cervical disability according to the neck disability index.
• Unilateral cervical radiculopathy for more than 6 months.
• Cervical radiculopathy due to disc prolapse (C5-C6) (C6-C7) mild to moderate or disc prolapse according to magnetic resonance image(MRI).
• Complaining from vertigo at least for 3 months.
• Normal body mass index (18.5 - 24.99Kg/m2).

You may not qualify if:

• Any other musculoskeletal disorders of the spine or upper extremity
• Patients with any other Neurological deficits, psychiatric disease Cervical myelopathy, Cognitive problems, vertebral fractures and previous history of spine or cervical surgery.
• Clinical instability, recent trauma.
• Structural abnormalities of the spine, osteoporosis, and spasmodic torticollis.
• Inflammatory or other specific disorders of spine such as ankylosing spondylitis and rheumatoid arthritis

Sponsors & Collaborators

• German International University: lead

Study Sites (1)

Pivot clinic

Cairo, Egypt

Location

MeSH Terms

Conditions

Radiculopathy

Interventions

Ultrasonic Therapy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Diathermy; Hyperthermia, Induced; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Teaching Assistant of Physical Therapy

Study Record Dates

• First Submitted: December 24, 2025
• First Posted: January 7, 2026
• Study Start: September 15, 2025
• Primary Completion: December 15, 2025
• Study Completion: December 15, 2025
• Last Updated: January 13, 2026

Record last verified: 2026-01

Locations

EG (1)