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.

German International University

Status: Completed

Conditions: Cervical Radiculopathy

Treatments: Other: Cawthorne-Cooksey exercises; Other: Therapeutic Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT07323992

P.T.REC/012/006093

Details and patient eligibility

About

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

Full description

Fifty four patients with cervical radiculopathy from both sexes will be selected randomly outpatient clinic and allocated into two equal groups. The Control Group will receive the selected physical therapy program only (electrotherapy, manual therapy, strengthening exercises), study Group will receive the Cawthorne-Cooksey exercises program and the selected physical therapy program. Basic assumptions

It will be assumed that:

• All the patients will follow the instructions and the rehabilitation program that are given to them.
• The motivation and cooperation are the same for all patients
• The patients will exert their maximum efforts during the study.

Null Hypothesis:

It will be hypothesized that:

• There will be no significant effect of Cawthorne-Cooksey exercises on proprioception in patients with cervical radiculopathy.
• There will be no significant effect of Cawthorne-Cooksey exercises on functional outcomes in patients with cervical radiculopathy.

Enrollment: 54 patients

Sex: All

Ages: 30 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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54 participants in 2 patient groups

Cawthorne-Cooksey exercises

Experimental group

Description:

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.

Treatment:

Other: Therapeutic Ultrasound

Other: Cawthorne-Cooksey exercises

Therapeutic Ultrasound

Experimental group

Description:

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 ).

Treatment:

Other: Therapeutic Ultrasound