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Impact Of Craniovertebral Angle On Dizziness And Risk Of Falling In Cervical Radiculopathy Patients / By Sara Abdelrahman Elsayed Hassan Aboud; Supervisors Prof. Dr. Ashraf Ahmed Abd Elmoneim, Prof. Dr. Ebtesam Mohamed Fahmy, Dr. Mohamed Helayel Marzouk Helayel

By: Contributor(s): Material type: TextTextLanguage: English Summary language: English, Arabic Producer: 2024Description: 108 pages : illustrations ; 25 cm. + CDContent type:
  • text
Media type:
  • Unmediated
Carrier type:
  • volume
Other title:
  • تأثير الزاوية القحفية العنقية على الدوار وخطر السقوط في مرضى إعتلال الجذور العنقية [Added title page title]
Subject(s): DDC classification:
  • 615.82
Available additional physical forms:
  • Issued also as CD
Dissertation note: Thesis (M.Sc.)-Cairo University, 2024. Summary: Background: Cervical radiculopathy (CR) is a set of symptoms caused by compression or irritation of the cervical spinal nerve root. Forward head posture (FHP) is the most common postural abnormality. Cervicogenic dizziness is closely related to neck pain, neck trauma, or neck disease affecting 20% to 30% of people in working age (18 to 65). Purpose: To investigate the impact of changes in craniovertebral angle on cervicogenic dizziness and the risk of falling in patients with cervical radiculopathy. Methods: Fifty patients with chronic cervical radiculopathy (degenerative type) manifested by cervicogenic dizziness from both sex were enrolled in this study. Their ages ranged from 35 to 50 years. They were assigned into two equal groups; the study group (GI) included 25 patients with forward head posture (FHP) (CVA less than 49°) and the control group (GII) included 25 patients without forward head posture (FHP) (CVA≥55°). Craniovertebral angle was measured by Kinovea software program, Cervical joint position error (JPE) was measured via Cervical range of motion (CROM), Cervicogenic dizziness was assessed via Dizziness Handicap Inventory Questionnaire (DHI), risk of falling was assessed by Berg Balance Scale (BBS) and fear of falling was assessed by Fall Efficacy Scale- International (FES-I). Results: There was a significant decrease in mean scores of (BBS), with significant increase in JPE (Neutral head repositioning (NHR) and Target head repositioning (THR) and mean scores of (DHI) and (FES-I) in the study group (GI) compared to the control group (GII) (P<0.05). There was a statistically strong significant positive correlation between degree of CVA and scores of BBS and a statistically significant negative correlation between degree of CVA and JPE (NHR and THR) and scores of (DHI) and (FES-I)) (P< 0.05). Conclusion: Forward head posture (FHP) is associated with high joint position sense error indicating impaired cervical proprioception, severe cervicogenic dizziness, high risk of falling and increased fear of falling in patients with chronic cervical radiculopathy.
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.21.11.M.Sc.2024.Sa.I. (Browse shelf(Opens below)) Not for loan 01010110090664000

Thesis (M.Sc.)-Cairo University, 2024.

Bibliography: pages 79-96.

Background: Cervical radiculopathy (CR) is a set of symptoms caused by
compression or irritation of the cervical spinal nerve root. Forward head posture
(FHP) is the most common postural abnormality. Cervicogenic dizziness is closely
related to neck pain, neck trauma, or neck disease affecting 20% to 30% of people in
working age (18 to 65). Purpose: To investigate the impact of changes in craniovertebral
angle on cervicogenic dizziness and the risk of falling in patients with
cervical radiculopathy. Methods: Fifty patients with chronic cervical radiculopathy
(degenerative type) manifested by cervicogenic dizziness from both sex were enrolled
in this study. Their ages ranged from 35 to 50 years. They were assigned into two
equal groups; the study group (GI) included 25 patients with forward head posture
(FHP) (CVA less than 49°) and the control group (GII) included 25 patients without
forward head posture (FHP) (CVA≥55°). Craniovertebral angle was measured by
Kinovea software program, Cervical joint position error (JPE) was measured via
Cervical range of motion (CROM), Cervicogenic dizziness was assessed via Dizziness
Handicap Inventory Questionnaire (DHI), risk of falling was assessed by Berg
Balance Scale (BBS) and fear of falling was assessed by Fall Efficacy Scale-
International (FES-I). Results: There was a significant decrease in mean scores of
(BBS), with significant increase in JPE (Neutral head repositioning (NHR) and Target
head repositioning (THR) and mean scores of (DHI) and (FES-I) in the study group
(GI) compared to the control group (GII) (P<0.05). There was a statistically strong
significant positive correlation between degree of CVA and scores of BBS and a
statistically significant negative correlation between degree of CVA and JPE (NHR
and THR) and scores of (DHI) and (FES-I)) (P< 0.05). Conclusion: Forward head
posture (FHP) is associated with high joint position sense error indicating impaired
cervical proprioception, severe cervicogenic dizziness, high risk of falling and
increased fear of falling in patients with chronic cervical radiculopathy.

Issued also as CD

Text in English and abstract in Arabic & English.

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