Clinical trial NCT05734924: Magnetic Therapy and Cervical Stabilization Exercises in Cervical Spondylosis
Official title: Adding Low Frequancy High Intensty Magnetic Therapy to Cervical Stabilization Exercises in Cervical Spondylosis
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Cervical Spondylosis
Keywords: Cervical Spondylosis - magnetic therapy
Lead sponsor: Delta University for Science and Technology
Sponsor class: OTHER
First posted: 2023-02-21
Enrollment: 80
Sex: ALL
Minimum age (years): 30
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The selected patients will be randomly assigned into two equal groups study group (GI), and control group (GII). The study group (GI) will receive low Frequency High Intensity magnetic therapy in addition to cervical stabilization exercise protocol . The control group (GII) will receive sham magnetic therapy in addition to, cervical stabilization exercise protocol.
Primary purpose: TREATMENT

Brief summary: The purposes of this study are to Investigate adding low frequency high intensity magnetic therapy to cervical stabilization exercises on pain intensity, function, ROM, cervical endurance, and cervical proprioception errors in patients with cervical spondylosis.

Detailed description: Cervical spondylosis is a chronic degenerative process of the cervical spine. Pain in the neck and/or arms, neck stiffness, and headaches are the usual symptoms of cervical spondylosis . Low frequency high intensity magnetic therapy causes short term immediate effect in the relieve pain and improve function in patients with cervical spondylosis . Cervical stabilization causes decrease in neck pain and neck disability as well as a significant increase in cervical muscle endurance and cervical range of motion after the intervention. It also demonstrates a more ideal upper body posture and improved cervical proprioception. In the present study, therefore, we aimed to investigate adding low frequency high intensity magnetic therapy to CSE on management of cervical spondylosis. This study will be a benefit in the physical therapy field and may guide rehabilitation programs of physical therapy towards better results through decreasing time needed to perform activity of daily living, decreasing dependency and making patient an active member in society.

Eligibility criteria: Inclusion Criteria:

* Eighty Cervical spondylosis patients from both sexes will be participated in this study.
* The patients' ages will be ranged from 30-45 years to prevent aging process.
* X-ray evidence of cervical spondylosis (osteophyte formation, intervertebral disc height narrowing and vertebral end-plate sclerosis) .
* The presence of chronic neck pain (more than 3 months).
* Limited mobility in the cervical spine.

Exclusion Criteria:

* The following patients will be excluded from the study patients with:

  * History of cervical injury of trauma.
  * Cervical myelopathy.
  * Inflammatory arthritis involving cervical spine.
  * Tumor or infection involving cervical spine.
  * Vertebrobasilar artery insufficiency.
  * Neurologic disease (e.g. multiple sclerosis, Parkinson's disease, syringomyelia).
  * Congenital anomalies involving cervical spine.
  * Diabetes mellitus.
  * Vestibular system impairments.

Primary outcomes:
measure: Assessment of Endurance of deep neck flexor muscle by the stabilizer
timeFrame: Baseline
Secondary outcomes:
measure: Assessment of pain pressure threshold (PPT) assessment by using pressure algometer
timeFrame: Baseline
measure: Assessment of pain and function using Neck disability index (NDI):
timeFrame: Baseline
Other outcomes:
Locations:
Study officials:
affiliation: Cairo University
name: Al zahraa F Morshed, MSC
role: PRINCIPAL_INVESTIGATOR
References:
citation: Akkan H, Gelecek N. The effect of stabilization exercise training on pain and functional status in patients with cervical radiculopathy. J Back Musculoskelet Rehabil. 2018;31(2):247-252. doi: 10.3233/BMR-169583.