Effect of Vestibular Rehabilitation on Evoked Myogenic Potentials in Patients With Cervical Spondylosis

Effect of Vestibular Rehabilitation on Evoked Myogenic Potentials in Patients With Cervical Spondylosis

This study will Investigate the effect of vestibular rehabilitation on:

Primary outcomes: Vestibular evoked myogenic potentials, Balance,and Cervical proprioception.

Secondary outcomes: Functional disability and pain intensity level

Inclusion Criteria:

• Adult patients (40-to-60 years old) diagnosed as cervical spondylosis with vestibular dysfunction manifestation (Shi et al., 2024).
• Normal BMI 20-to-25 kg/m².
• All patients have chronic neck pain lasting for more than 3 months (Sadeghi et al., 2022).
• The area of chronic neck pain will defined to the cervical region, possibly with referred pain into the occipit, nuchal muscles, and shoulders.

Exclusion Criteria:

• Signs of serious pathology (e.g., rheumatoid diseases, ankylosing spondylitis, tumor),
• History of cervical spine surgery,
• History of trauma or fractures in cervical spine, and
• Signs of vascular syndrome such as vertebrobasilar insufficiency and no usage of non steroidal anti-inflammatory drugs two weeks before treatment (Sadeghi et al., 2022).