Correlation of malalignment of head posture and proprioception function in patients with cervical spondylosis / Ibrahim Ahmed Ibrahim Abu Ella ; Supervised Moshera H. Darwish , Amr Hassan , Heba A. Khalifa

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy Neuromuscular and Neurosurgery

Background : Cervical spondylosis and forward head posture are the most common musculoskeletal problems among the society. Proprioception errors may contribute to the development of cervical spondylosis. Objective: The study aimed to determine the relationship between forward head posture and proprioception function in patients with cervical spondylosis, and to detect the influence of cervical spondylosis severity on FHP and proprioception function. Patients and Methods: Sixty patients with cervical spondylosis from both sex represented the sample of the study. Their age ranged from 30-50 years old. Patients were divided into three equal groups according to the degree of cervical spondylosis severity; Mild group (GI), moderate group (GII) and severe group (GIII). Cervical degenerative index was used to determine the degree of spondylosis severity. Lateral photography was used to measure craniovertebral angle (CVA) from sagittal plane. Cervical range of motion device was used to assess proprioception error in six directions, flexion, extension, side bending right and left, rotation right and left. Results: There was a negative correlation between CVA and proprioception errors. A statistical significant difference in the median values of CVA and proprioception errors were found between the three groups (P<0.05) with proprioception error was significantly higher in (GII) and (GIII) than (GI) and the CVA was significantly lower in (GIII) than other groups. Conclusion: Forward head posture was associated with reduced proprioception. Progression of cervical spondylosis was concomitant with reduced CVA and proprioception error

Issued also as CD