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Chiropractic Care for Lower Back Pain (VERDICT Trial)

N/A

Waitlist Available

Led By Christine Goertz, DC, PhD

Research Sponsored by Palmer College of Chiropractic

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Diagnostic confirmation of neuromusculoskeletal LBP

Veterans aged ≥ 18 years

Must not have

Any condition prohibiting or contraindicating chiropractic care

Under active chiropractic care

Timeline

Screening 3 weeks

Treatment Varies

Follow Up at baseline and weeks 5, 10, 26, 40, and 52

Awards & highlights

No Placebo-Only Group

Summary

This trial is to study how effective different doses of chiropractic care are for chronic low back pain and how health services utilization is impacted.

Who is the study for?

This trial is for Veterans aged 18 or older with chronic low back pain who can attend chiropractic sessions for up to a year. They must understand the study, not be under current chiropractic care, and not planning to move within three months. Those with conditions that prohibit chiropractic care or are in other pain treatment studies cannot join.

What is being tested?

The study tests how different doses of chiropractic therapy affect chronic low back pain in Veterans over two phases: one group gets a lower dose (1-5 visits) and another gets higher (8-12 visits) for 10 weeks. Afterwards, they may receive monthly care or no further treatment for ten months.

What are the potential side effects?

Chiropractic care generally has minimal side effects but can include temporary discomfort at the site of adjustment, fatigue, or headache. Serious side effects are rare but could involve nerve damage or worsening pain.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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My lower back pain is confirmed to be from a nerve, muscle, or skeletal issue.

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I am a veteran and 18 years old or older.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I do not have any health issues that prevent me from receiving chiropractic care.

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I am currently seeing a chiropractor.

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I am currently in or planning to enter hospice care.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ at baseline and weeks 5, 10, 26, 40, and 52

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~at baseline and weeks 5, 10, 26, 40, and 52

This trial's timeline: 3 weeks for screening, Varies for treatment, and at baseline and weeks 5, 10, 26, 40, and 52 for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change from Baseline Low Back Pain Disability at several time points - Roland Morris Disability Questionnaire (RMDQ)

Secondary study objectives

Healthcare Services Utilization

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

4Treatment groups

Active Control

Group I: Phase 1: Low Dose (1-5 visits)Active Control1 Intervention

Veterans with cLBP who will be randomly allocated to undergo a course of a low dose (1-5 visits) of multimodal, evidence-based chiropractic care for 10 weeks (Phase 1).

Group II: Phase 1: Higher Dose (8-12 visits)Active Control1 Intervention

Veterans with cLBP who will be randomly allocated to undergo a course of a higher dose (8-12 visits) of multimodal, evidence-based chiropractic care for 10 weeks (Phase 1).

Group III: Phase 2: CCPMActive Control1 Intervention

After Phase 1, Veterans with cLBP who will be randomly allocated again to receive chiropractic chronic pain management (CCPM) consisting of scheduled monthly chiropractic care for 10 months.

Group IV: Phase 2: No CCPMActive Control1 Intervention

After Phase 1, Veterans with cLBP who will be randomly allocated again to receive no CCPM in which they will receive no chiropractic care for 10 months.

0 / 5Eligibility criteria met