Impact of Craniovertebral Angle on Dizziness and Risk of Falling in Cervical Radiculopathy Patients

Inclusion Criteria:

• The Patients will include if they have the following:

1. Fifty patients with chronic cervical radiculopathy(degenerative type) from bothsex will participate in the study (twenty five with forward head posture (FHP) ,and twenty five without forward head posture (FHP) ).
2. The duration of the disease (cervical radiculopathy)is more than 6 months.
3. The age ranged from 35 to 50 years old.
4. Mild to moderate neck pain on visual analogue scale .
5. Pain and dizziness lasting for 3-6 months.
6. subjective dizziness experienced in conjunction with cervical pain, movement,stiffness, or particular postures.

Exclusion Criteria:

• The Patients will exclude if they exhibit any of the following:

1. Cervical myelopathy.
2. Cervical myelo-radiculopathy.
3. Acute cervical radiculopathy.
4. Diabetic neuropathy.
5. Previous cervical surgery.
6. Cervical trauma.
7. Deformities in the cervical spine .
8. Rheumatoid arthritis.
9. Any tumours and infection involving the cervical spine .
10. Patients with a history of neuromuscular disorders.
11. precise diagnosis of either central dizziness (due to cerebrovascular disordersrelated to the vertebrobasilar circulation, migraine, multiple sclerosis, tumoursof the posterior fossa, neurodegenerative disorders, some drugs, and psychiatricdisorders) or peripheral dizziness( due to a problem in the part of the inner earthat controls balance. These areas are called the vestibular labyrinth, orsemicircular canals. The problem may also involve the vestibular nerve. This isthe nerve between the inner ear and the brain stem).