Correlation of Cervical Lordosis Degree Detected on Cervical X-Ray Image With Clinical, Demographic and MRI Findings

Study Overview
=================
Brief Summary
-----------------
In this study we are investigating whether there is a relationship between the lordosis angle measured on cervical X-RAY images on the severity and level of cervical disc herniation detected by cervical MRI, demographic characteristics and the duration and posture of the person's daily life activities.

Detailed Description
-----------------
At least 125 patients between the ages of 18-65 who meet the inclusion criteria with cervical cervical X-RAY and cervical MRIs taken in the last 3 months will be included in the study. The demographic characteristics of the patients such as age, gender, BMI, job, education level, marital status, as well as the time they spend on head flexion posture, and their screen time will be questioned. The presence of active trigger points in the cervical muscles will be determined by examination (levator scapula, trapeze, longus colli, splenius capitis). Neck Disability Index will be filled in order to evaluate activities of daily life. Symptom duration and pain level will be evaluated by VAS. Tangent and Cobb angles will be measured on cervical X-RAY images. Presence of effective lordosis will be recorded. In cervical MR, disc herniation level, number, degree (bulging, protrusion, extruded disc) its level will be recorded.

Official Title
-----------------
Correlation of Cervical Lordosis Detected on Cervical X-Ray Images With Clinical, Demographic and MRI Findings

Conditions
-----------------
Neck Pain, Cervical Lordosis, Disk, Herniated

Intervention / Treatment
-----------------
* Other: CHRONIC NECK PAIN


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 18-65 years old Axial neck pain and / or upper extremity radicular symptoms Existing MR and X-Ray radiographs taken within the last 3 months for cervical disc pathologies Exclusion Criteria: A history of trauma, Patients with rheumatoid / autoimmune diseases such as rheumatoid arthritis or ankylosing spondylitis, A history of Cervical fracture or cervical spine surgery History of cancer history, neurological disease Muscle weakness Presence of Scoliosis

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| PATIENTS WITH CHRONIC NECK PAIN<br>Patients between the ages of 18-65 who are eligible for the inclusion criteria will be included in the study who have cervical X-RAY and cervical MRIs taken in the last 3 months. | Other: CHRONIC NECK PAIN<br>* Demographic information will be collected. Neck Disability Index will be filled. Physical examination will be performed.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| C2-C7 COBB ANGLE | MEASURING C2-C7 COBB ANGLE ON LATERAL CERVICAL X-RAY IMAGE | 1 week | 
| C2-C7 POSTERIOR TANJANT ANGLE | MEASURING C2-C7 POSTERIOR TANJANT ANGLE ON LATERAL CERVICAL X-RAY IMAGE | 1 week | 
| C2-C7 CERVICAL VERTEBRAL ALIGNMENT (CVA) | C2-C7 CERVICAL VERTEBRAL ALIGNMENT ON LATERAL CERVIKAL X-RAY IMAGE | 1 week | 
| CERVICAL HERNIATION LEVEL | CERVICAL HERNIATION LEVEL ON CERVICAL MRI | 1 week | 
| CERVICAL HERNIATION DEGREE | CERVICAL HERNIATION DEGREE ON CERVICAL MRI: BULGING,PROTRUSION, SECESTRATION, EXTRUDATION | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| DEMOGRAPHIC FINDINGS | AGE | 1 week | 
| SCREEN TIME | AVARAGE TIME SPENT ON TV, COMPUTER AND MOBILE PHONE DURING A DAY IN HOURS | 1 week | 
| VISUAL ANALOG SCALE (VAS) | VISUAL ANALOG SCALE SCORE FOR THE NECK PAIN FROM 1-10 | 1 week | 
| NECK DISABILITY INDEX (NDI) | NECK DISABILITY INDEX SCORE | 1 week | 
| DURATION OF THE NECK PAIN | HOW LONG DOES THE PATIENT FEELS THE NECK PAIN IN MONTHS | 1 week | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
neck pain, cervical sagittal balance, trigger points, flex head posture