TY - JOUR T1 - Evaluation of Neck Proprioception, Vestibular Function, and Cervical Muscle Thickness in Patients with Cervical Spinal Stenosis: A Cross-Sectional Study TT - Servikal Spinal Stenozlu Hastalarda Boyun Propriosepsiyonu, Vestibüler Fonksiyon ve Servikal Kas Kalınlığının Değerlendirilmesi: Kesitsel Bir Çalışma AU - Kına, Hakan AU - Bozyiğit, Bülent AU - Söylemez, Emre AU - Güneş, Musa AU - Köremezli Keskin, Nevin AU - Gurel, Tuğçe AU - Apaydın, Aydın Sinan PY - 2025 DA - August Y2 - 2025 DO - 10.18678/dtfd.1648494 JF - Duzce Medical Journal JO - Duzce Med J PB - Duzce University WT - DergiPark SN - 1307-671X SP - 194 EP - 200 VL - 27 IS - 2 LA - en AB - Aim: This study aimed to examine the relationship between spinal canal diameter and cervical proprioception, vestibular function, and neck muscle thickness in patients with cervical spinal stenosis (CSS), compared with healthy controls.Material and Methods: This cross-sectional study included 23 patients diagnosed with CSS through radiological and clinical examination, and 23 healthy individuals as a control group. The severity of CSS was determined by measuring the cross-sectional area (CSA) of the thecal sac. Proprioception was evaluated using the cervical joint position error test (CJPET), balance with static posturography on a foam surface, and dizziness with the dizziness handicap inventory (DHI). Cervical vestibular function was assessed using cervical vestibular evoked myogenic potential (cVEMP) and subjective visual vertical (SVV) tests. The CSA of the sternocleidomastoid, longus capitis, and longus colli muscles was also measured.Results: The CSS group showed significantly greater CJPET deviation (p=0.032), foam surface balance scores with eyes open and closed (p=0.034 and 0.015, respectively), and DHI scores (p KW - Cervical spinal stenosis KW - dizziness KW - proprioception KW - balance N2 - Amaç: Bu çalışmanın amacı, servikal spinal stenoz (cervical spinal stenosis, CSS) hastalarında spinal kanal çapı ile servikal propriosepsiyon, vestibüler fonksiyon ve boyun kası kalınlığı arasındaki ilişkiyi, sağlıklı kontrollerle karşılaştırarak incelemektir.Gereç ve Yöntemler: Bu kesitsel çalışmaya, radyolojik ve klinik muayene ile CSS tanısı konulan 23 hasta ve kontrol grubu olarak 23 sağlıklı birey dahil edilmiştir. CSS şiddeti, tekal kese kesitsel alanı (cross-sectional area, CSA) ölçülerek değerlendirilmiştir. Propriosepsiyon, servikal eklem pozisyon hata testi (cervical joint position error test, CJPET), denge foam yüzey üzerinde statik posturografi ile ve baş dönmesi dizziness handicap inventory (DHI) ile değerlendirilmiştir. Servikal vestibüler fonksiyon, servikal vestibüler uyarılmış miyojenik potansiyel (cervical vestibular evoked myogenic potential, cVEMP) ve subjektif görsel dikeylik (subjective visual vertical, SVV) testleriyle incelenmiştir. Ayrıca, sternokleidomastoid, longus capitis ve longus colli kaslarının CSA değerleri de ölçülmüştür.Bulgular: CSS grubunda, kontrol grubuna kıyasla anlamlı derecede daha yüksek CJPET sapması (p=0,032), gözler açık ve kapalı foam yüzey denge skorları (sırasıyla p=0,034 ve p=0,015) ve DHI skoru (p CR - Meyer F, Börm W, Thomé C. Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. Dtsch Arztebl Int. 2008;105(20):366-72. CR - Goodwin AM, Hsu WK. Congenital cervical stenosis: a review of the current literature. 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