RecruitingNot ApplicableNCT06803134

Effect of Kinetic Control Retraining on Neck Proprioception and Functional Outcome in Patients With Cervical Radiculopathy

Sponsor

Cairo University

Enrollment

44 participants

Start Date

Feb 1, 2025

Study Type

INTERVENTIONAL

Conditions

Cervical radiculopathy

Summary

The aim of this study is to investigate the effect of kinetic control retraining on neck proprioception and functional outcome in patients with cervical radiculopathy.

Eligibility

Min Age: 40 YearsMax Age: 55 Years

Inclusion Criteria4

Forty Four patients suffering from chronic cervical unilateral radiculopathy (symptomatic duration) (3 months to 1year).
Their age ranges 40-55 years, from both sexes.
Body mass index (BMI) of less than 30 Kg/m2
Cervical spondylosis (at the levels of C5-C6/C6-C7 confirmed by cervical MRI)..

Exclusion Criteria7

Cervical myelopathy with evidence of pyramidal, posterior column, and or spinothalamic tract lesions.
Patients with decreased range of motion of cervical spine secondary to congenital anomalies, musculature contracture, or bony block.
Previous cervical or shoulder surgery or trauma.
Cervical instability caused by structural problem (e.g. ligament tear or spondylolithesis.
Psychological problems interfering with the patient understanding of the orders, or patients who did not have direction preference.
Vertebro-basilar artery insufficiency, diabetic neuropathy.
Comorbidities that impact physical activity (e.g., cerebrovascular accidents, severe heart disease). - Double crush syndrome and thoracic outlet syndrome.

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Interventions

OTHERSelected physical therapy program

Both groups will receive a selected physical therapy program in the form of trans-cutaneous electrical nerve stimulation (TENS), moist hot pack, posture education, and strengthening exercises for deep neck flexors, for 30 minutes, 3 sessions per week, for 8 weeks.

OTHERKinetic control retraining

Each patient in the experimental group will receive kinetic control retraining for 30 minutes, 3 sessions per week, for 8 weeks. Each session is based on the progression on the motor control rating scale (MCRS) related to kinetic control management frame. For each movement direction, specific control tests will be conducted. The direction and site of the uncontrolled movement will be evaluated using special tests in accordance with the pain history of the patient. The tests will be chosen according to the patient"s symptoms; screening of all patients will be done through at least three tests in each direction according to the patient"s symptoms.