Effects of Neck Proprioception Impairment on Balance in Cervical Spondylosis Patients

This observational cross-sectional study aims to investigate the impact of cervical proprioception deficits on postural stability in patients with cervical spondylosis. Using pedobarographic analysis, the study will assess static balance parameters in affected individuals. The main question it aims to answer is: Does Cervical proprioception deficits affect postural stability in patients with cervical spondylosis measured by pedobarographic parameters?

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Key information

Conditions

Postural Stability

Age range

25 year–50 year

Sex eligibility

All sexes

Study type

Observational

About this study

This cross-sectional observational study intends to investigate the association between cervical proprioception and postural stability in people with cervical spondylosis. Cervical proprioception promotes posture regulation by providing sensory feedback to the central nervous system. Alterations in cervical joint position sensation caused by degenerative alterations can have a negative impact on balance.

Eighty participants with clinically diagnosed cervical spondylosis will be recruited. Each participant will undergo a single evaluation session that includes cervical joint position error testing and postural stability assessment using pedobarographic analysis. Data will be collected on center of pressure sway, weight distribution, and balance parameters under various conditions.

so this study findings can help physical therapists, rehabilitation experts, and clinicians design protocols to improve proprioceptive input and postural control in people with cervical spondylosis. Furthermore, early diagnosis of proprioceptive deficits by pedobarography may enable preventive actions and lower the incidence of falls and related morbidity in this population.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Eighty-two patients with cervical spondylosis, the patient will be diagnosed and referred by physician.
Mild to moderate cervical disability according to neck disability index( MacDermid et al., 2009).
Age ranges from 25 to 45 years.
Body mass index from 18.5 - 24.9.

Exclusion criteria

The patients will be excluded if they have one of the following:
visual or vestibular sensory disorders or cerebellar disease.
Cervical myelopathy.
Patients with previous cervical surgery.
inflammatory diseases involving cervical spine such as rheumatoid arthritis or ankylosing spondylitis.
History of cervical trauma including whiplash associated disorders (WAD).
History of cervical tumors.
History of ankle instability.
No previous foot and ankle surgery.

Treatment and study plan

Pedobarography system (foot pressure plateform)

Device

Pedobarography system (foot pressure plateform) for Postural Stability assessment will be used to assess Postural stability. the pedobarographic analysis will be delivered using the FreeMed Professional platform (Sensor Medica, Rome, Italy). It evaluates the distribution of foot pressure on the ground.Three components make up the platform: a central mat with resistance sensors and two passive mats at either end that form a walking path. The platform is connected to a computer, to which all data is displayed and processed using FreeStep software

Other names: FREEMED baropodometric platform and FREESTEP software -v.2.01.054

overhead laser pointer

Device

laser pointer for Cervical proprioception device will be used to assess cervical proprioception by preforming Cervical joint position error (JPE) test

Primary outcomes

Postural stability measured using a foot pressure platform

Time frame: Single assessment at baseline (Day 1)

Postural stability will be assessed by measuring postural sway using a force platform (stabilometer) under two conditions (eyes open and eyes closed). The primary variable will be the ellipse surface area (mm²) representing the center of pressure sway.

Secondary outcomes

Cervical joint position error (JPE) measured using overhead laser pointer

Time frame: Single assessment at baseline (Day 1)

Cervical proprioception will be measured using a laser pointer repositioning test. Participants will perform active neck movements and attempt to return to the neutral position with eyes closed. The average deviation (in degrees) from the starting point over three trials will be recorded. Errors greater than 4.5° will indicate proprioceptive impairment

Study contacts

Contact information is provided by the study sponsor or research team.

AISHA MOURAD MOHAMMED, Bachelor of physical therapy

CONTACT

[email protected]

+20 1064046189

Sponsors and collaborators

Lead sponsor

Delta University for Science and Technology

Other

Registry information

Official study title

The Influence of Cervical Proprioception Deficits on Postural Stability in Patients With Cervical Spondylosis

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2025
First posted: Nov 17, 2025
Registry last updated: Nov 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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