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
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.
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).