Effect of Vestibular Rehabilitation on Evoked Myogenic Potentials in Patients With Cervical Spondylosis

NCT07502625 — Not applicable, Not yet recruiting, 62 participants, Cairo University

ClinicalTrials Daily · Areas · Conditions · Drugs · Sponsors ·

Registry	NCT07502625
Status	Not yet recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, treatment
Enrollment	62 (Estimated)
Sponsor	Cairo University (Other)
Conditions	Cervical Spondylosis
Interventions	Vestibular rehabilitation program, traditional physiotherapy (Other)
Dates	start 2026-04-01 (estimated), primary completion 2026-07-01 (estimated), completion 2026-08-01 (estimated), first posted 2026-03-31, last updated 2026-03-31

-Summary

This study will Investigate the effect of vestibular rehabilitation on:

Primary outcomes: Vestibular evoked myogenic potentials, Balance,and Cervical proprioception.

Secondary outcomes: Functional disability and pain intensity level

Expand all sections · Collapse all

+Arms and interventions

Arm	Type	Interventions	Description
Experimental group	Experimental	Other: Vestibular rehabilitation program	Experimental group will receive Vestibular rehabilitation program plus TENS and Hot Pack application, it will be done three times per week for two months
Control group	Active comparator	Other: traditional physiotherapy	control group will receive TENS and hot packs,it will be done three times per week for two months

Vestibular rehabilitation program (Other): Exercises for enhancing gaze stability, Exercises for enhancing eye movements, Exercises for enhancing postural stability, Exercises for decreasing vertigo, and Exercises for improving activities of daily living
traditional physiotherapy (Other): TENS and Hot packs application

+Outcome measures

Primary outcomes

Primary outcome [base line and after 2 months]: Vestibular evoked myogenic potentials will be assessed using Electromyography device to measure Cervical and Ocular vestibular evoked myogenic potentials.
Primary outcomev [base line and after 2 months]: Balance will be assessed using HUMAC balance system.
Primary outcome [base line and after 2 months]: Cervical proprioception will be assessed using SenMoCOR Laser Head Light.

Secondary outcomes

Secondary outcome [base line and after 2 months]: Functional disability will be assessed using Copenhagen Neck Functional Disability Scale Arabic Version.
Secondary outcome [base line and after 2 months]: Pain intensity level will be assessed using visual analogue scale.

+Eligibility

Sex: All, ages: 40 Years to 60 Years

Inclusion Criteria:

* Adult patients (40-to-60 years old) diagnosed as cervical spondylosis with vestibular dysfunction manifestation (Shi et al., 2024).
* Normal BMI 20-to-25 kg/m².
* All patients have chronic neck pain lasting for more than 3 months (Sadeghi et al., 2022).
* The area of chronic neck pain will defined to the cervical region, possibly with referred pain into the occipit, nuchal muscles, and shoulders.

Exclusion Criteria:

* Signs of serious pathology (e.g., rheumatoid diseases, ankylosing spondylitis, tumor),
* History of cervical spine surgery,
* History of trauma or fractures in cervical spine, and
* Signs of vascular syndrome such as vertebrobasilar insufficiency and no usage of non steroidal anti-inflammatory drugs two weeks before treatment (Sadeghi et al., 2022).