Early Detection of Proprioceptive Problems in Degenerative Cervical Myelopathy Using Daily Activity Analysis Study of Adults 50 and Older in Hong Kong

What this Trial Is About

Researchers are investigating proprioceptive deficits in degenerative cervical myelopathy DCM, a progressive neurological condition that affects body balance, motor control, and coordination. DCM commonly causes hand clumsiness, gait disturbance, and incoordination due to proprioceptive dysfunction. This study aims to develop a non-invasive assessment protocol using simple Physical Performance Tests to detect early subtle proprioceptive deficits, especially in people aged 50 and older, to help prevent severe disabilities associated with DCM. The study evaluates the Proprioceptive Functional Analysis System PFAS alongside Physical Performance Tests to assess proprioceptive function in daily activities. Participants include Chinese individuals aged 50 or above, both with radiological evidence of DCM and healthy controls without myelopathic signs. The assessments focus on core and peripheral joint proprioception during activities of daily living. The goal is to validate simple physical tests as reliable diagnostic tools comparable to advanced technology. Participants will undergo testing with PFAS and physical performance assessments to monitor proprioceptive deficits over time. The main outcome measured is the Modified Japanese Orthopaedics Association Scoring System for Cervical Myelopathy mJOA over 15 years, along with secondary tests assessing speed and time-limited proprioceptive function. The study includes long-term monitoring of proprioceptive function to help identify early signs of DCM and support early diagnosis and intervention.

Proprioceptive Deficits in Degenerative Cervical Myelopathy