Impact of head posture on dizziness and falling risk in cervical radiculopathy patients

Impact of the Craniovertebral Angle on the Cervicogenic Dizziness and the Risk of Falling in Patients With Cervical Radiculopathy

This study is testing how different head postures affect dizziness and the risk of falling in people with neck problems caused by nerve issues.

Quick facts

• Study type: Observational
• Enrollment: 50 (estimated)
• Ages: 35 Years to 50 Years
• Sex: All
• Sponsor: Cairo University (other)
• Locations: 1 site (Dokki, Giza Governorate)
• Trial ID: NCT06220799 on ClinicalTrials.gov

What this trial studies

This observational study aims to investigate how changes in craniovertebral angle affect cervicogenic dizziness and the risk of falling in patients with chronic cervical radiculopathy. It will involve measuring the craniovertebral angle and assessing cervical proprioception among participants. The study will compare a group of patients with forward head posture to those without to determine any significant differences in dizziness and fall risk. Participants will be evaluated through various scales and assessments over the course of the study.

Who should consider this trial

Good fit: Ideal candidates are individuals aged 35 to 50 with chronic cervical radiculopathy and mild to moderate neck pain lasting more than six months.

Not a fit: Patients with acute cervical radiculopathy, cervical myelopathy, or those who have undergone previous cervical surgery may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding and management of dizziness and fall risk in patients with cervical radiculopathy.

How similar studies have performed: While the specific approach of this study may be novel, similar studies have indicated that postural changes can influence dizziness and fall risk in other populations.

Eligibility criteria

Inclusion Criteria:

* The Patients will include if they have the following:

  1. Fifty patients with chronic cervical radiculopathy(degenerative type) from both sex will participate in the study (twenty five with forward head posture (FHP) , and twenty five without forward head posture (FHP) ).
  2. The duration of the disease (cervical radiculopathy)is more than 6 months.
  3. The age ranged from 35 to 50 years old.
  4. Mild to moderate neck pain on visual analogue scale .
  5. Pain and dizziness lasting for 3-6 months.
  6. subjective dizziness experienced in conjunction with cervical pain, movement, stiffness, or particular postures.

     Exclusion Criteria:
* The Patients will exclude if they exhibit any of the following:

  1. Cervical myelopathy.
  2. Cervical myelo-radiculopathy.
  3. Acute cervical radiculopathy.
  4. Diabetic neuropathy.
  5. Previous cervical surgery.
  6. Cervical trauma.
  7. Deformities in the cervical spine .
  8. Rheumatoid arthritis.
  9. Any tumours and infection involving the cervical spine .
  10. Patients with a history of neuromuscular disorders.
  11. precise diagnosis of either central dizziness (due to cerebrovascular disorders related to the vertebrobasilar circulation, migraine, multiple sclerosis, tumours of the posterior fossa, neurodegenerative disorders, some drugs, and psychiatric disorders) or peripheral dizziness( due to a problem in the part of the inner ear that controls balance. These areas are called the vestibular labyrinth, or semicircular canals. The problem may also involve the vestibular nerve. This is the nerve between the inner ear and the brain stem).

Where this trial is running

Dokki, Giza Governorate

• Faculty of Physical Therapy Labs at Cairo University — Dokki, Giza Governorate, Egypt (RECRUITING)

Study contacts

• Study coordinator: Sara Aboud, Teaching Assistant

Conditions: Cervical Radiculopathy