Clinical trial NCT04886661: Correlation of Cervical Lordosis Degree Detected on Cervical X-Ray Image With Clinical, Demographic and MRI Findings
Official title: Correlation of Cervical Lordosis Detected on Cervical X-Ray Images With Clinical, Demographic and MRI Findings
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Neck Pain
Cervical Lordosis
Disk, Herniated
Keywords: neck pain
cervical sagittal balance
trigger points
flex head posture
Lead sponsor: Haydarpasa Numune Training and Research Hospital
Sponsor class: OTHER
First posted: 2021-05-14
Enrollment: 125
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: 125 Patients with chronic neck pain aged between 18-65 who have their Cervical X-RAY and MRIs being taken within the last 3 months in regards to the inclusion and exclusion criterias.

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.

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

Primary outcomes:
measure: C2-C7 COBB ANGLE
timeFrame: 1 week
measure: C2-C7 POSTERIOR TANJANT ANGLE
timeFrame: 1 week
measure: C2-C7 CERVICAL VERTEBRAL ALIGNMENT (CVA)
timeFrame: 1 week
measure: CERVICAL HERNIATION LEVEL
timeFrame: 1 week
measure: CERVICAL HERNIATION DEGREE
timeFrame: 1 week
Secondary outcomes:
measure: DEMOGRAPHIC FINDINGS
timeFrame: 1 week
measure: SCREEN TIME
timeFrame: 1 week
measure: VISUAL ANALOG SCALE (VAS)
timeFrame: 1 week
measure: NECK DISABILITY INDEX (NDI)
timeFrame: 1 week
measure: DURATION OF THE NECK PAIN
timeFrame: 1 week
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Haydarpaşa Numune Education and Research Hospital
Study officials:
References: