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

Обзор

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.

Подробное описание

Cervical radiculopathy (CR), which is a normal result of degenerative changes such as cervical disc herniation and bone hyperplasia, is characterized by neck pain and radiating pain from the neck to the shoulder. Neck pain has a major physical, psychological, and socioeconomic impact, as it is the fourth most frequent cause of disability, preceded of low back pain, depression, and arthralgia. In fact, up to 50-70% of the entire population will experience (at least) one episode of neck pain clinically important throughout their life.

Prolonged or recurring stress exposure, pain catastrophism, and fear-avoidance behaviors can trigger variable responses to pain thresholds" intolerance depending on the magnitude of the individual stress response.

Regular physical exercise is a key factor for the prevention of many chronic diseases. Physical exercise (PE) can be used as a primary non-pharmacological clinical tool because it can improve antioxidant capacity, reduce oxidative stress and inflammation and increase energy efficiency. Depending on the volume, the intensity and the frequency of exercise, acute or chronic biochemical and physiological responses are induced. Once movement meets control, they can regain the choices lost in the presence of pain and give people the optimal choice in how they move, these choices are lost with movement impairment. So, the movement value is a central theme in the physical therapy profession and functional concepts which build on movement therapy. These concepts are built on kinetic control approach. This study may add missing information to the existing literature and suggests directions for the effect of kinetic control retraining on neck proprioception and functional outcome in patients with cervical radiculopathy.

Вмешательства

• Другое Selected 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.
• Другое Kinetic 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 accord

Первичные конечные точки

• Evaluation of cervical proprioception using the cervical range of motion (CROM) device [Срок оценки: 8 weeks]
• Assessment of deep neck flexors (DNFs) strength by craniocervical flexion test (CCFT) using pressure biofeedback unit (PBU) [Срок оценки: 8 weeks]

Вторичные конечные точки (2)

• Evaluation of neck pain intensity using the Visual Analogue Scale (VAS) [Срок оценки: 8 weeks]
• Evaluation of neck-related functional performance using the Arabic version of Neck Disability Index (NDI) [Срок оценки: 8 weeks]

Критерии участия

Критерии включения

• 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)..

Критерии исключения

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Horus University — Damietta

Публикации

• Shehab EW, Salem NA, Ahmed S, Elsherif AA, Rehab NI. Effect of Kinetic Control Retraining on Neck Proprioception and Function in Cervical Radiculopathy: A Randomized Controlled Trial. J Musculoskelet Neuronal Interact. 2026 Mar 1;26(1):97-107. doi: 10.22540/JMNI-26-097. PMID 41764757

Идентификаторы

NCT: NCT06803134 · P.T.REC/012/004919

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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