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Chiropractic Maintenance Care for Back Pain

N/A

Recruiting

Research Sponsored by Canadian Memorial Chiropractic College

Eligibility Criteria Checklist

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

Must have

Patients with spinal pain (neck, mid-back, and/or low back) of recurrent (not the first episode) and significant (more than 30 days in the past 12 months) character

No pain episode in the past 3 months

Must not have

Specific spinal conditions (e.g., radiculopathy, spinal stenosis)

Contraindications to manual therapy

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 12-months

Awards & highlights

No Placebo-Only Group

Summary

This trial will help determine if a clinical assessment tool can improve care for back pain patients by identifying those who may benefit from chiropractic maintenance care.

Who is the study for?

This trial is for people with recurring and significant spinal pain (neck, mid-back, or low back) lasting more than 30 days in the past year. Participants must not have had a pain episode in the last 3 months and should be able to use a mobile phone and email.

What is being tested?

The study tests if using the MAINTAIN instrument improves care for back and neck pain patients by guiding them to either standard chiropractic care or ongoing maintenance treatments based on their specific needs.

What are the potential side effects?

Chiropractic treatments may cause temporary discomfort, stiffness, or tiredness. Rarely, some individuals might experience increased pain after treatment.

Eligibility Criteria

Inclusion Criteria

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

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I have had significant spinal pain for more than 30 days in the past year.

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I haven't experienced any pain episodes in the last 3 months.

Exclusion Criteria

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

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I have a diagnosed spinal condition like radiculopathy or spinal stenosis.

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I cannot receive hands-on physical therapy.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 12-months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~12-months

This trial's timeline: 3 weeks for screening, Varies for treatment, and 12-months for reporting.

Treatment Details

Study Objectives

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

Primary study objectives

Number of days with activity-limiting pain

Secondary study objectives

Loss of work productivity

Number of missed working days

Pain intensity

Awards & Highlights

No Placebo-Only Group

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

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Stratified Maintenance CareExperimental Treatment1 Intervention

All participating patients will receive pragmatic chiropractic care for the initial 3 weeks (6 visits) and home exercise recommendations. Participants in the Stratified Maintenance Care group will be classified based on the MAINTAIN instrument into: not a candidate, good candidate, and very good candidate for maintenance care: * Participants showing a good response to the initial care and classified as not a candidate or a good candidate for maintenance care will be given home exercise recommendations. Return for further manual treatment will be recommended if they have a relapse or exacerbation of symptoms (symptom-guided care). * Participants classified as having a good response to the initial care and very good candidates for maintenance care, will have visits with tapering manual treatments and home exercise recommendations. They will then be recommended maintenance care with pre-planned visits at 4-12 week intervals (aiming at increasing the interval as soon as possible).

Group II: Standard Chiropractic CareActive Control1 Intervention

All participating patients will receive pragmatic chiropractic care for the initial 3 weeks (6 visits) and home exercise recommendations. In the Standard chiropractic care group, participating patients will receive a standard (pragmatic) chiropractic care in which treatment will be provided based on the clinician's judgement and home exercise recommendations. This may or may not include maintenance care depending on the clinicians' standard operating procedures. All treatments provided will be recorded. Return for further treatment will be recommended if they have a relapse or exacerbation of symptoms (symptom-based).

0 / 4Eligibility criteria met