About this trial
This pilot randomized controlled trial will evaluate the feasibility and preliminary clinical effects of multimodal chiropractic care for adults with chronic neck pain. Forty participants will be randomized to receive either multimodal chiropractic care plus enhanced usual care or enhanced usual care alone. Feasibility outcomes include recruitment, retention, adherence, and safety. Clinical outcomes include pain intensity, neck-related disability, physical and psychological function, and quality of life. Exploratory electroencephalography (EEG) and gait assessments will examine potential neurophysiological and biomechanical biomarkers associated with treatment response.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Currently receiving chiropractic care or have received chiropractic care within the past 12 months.
Trial design
Parallel
Treatments tested in this trial
Multimodal chiroprctic care
Procedure/Surgery10 visits over 16 weeks including spinal manipulation/mobilization, soft tissue therapy, exercise, and education. Participants receive 10 visits of multimodal chiropractic care over 16 weeks in addition to enhanced usual care. Care may include spinal manipulation or mobilization, soft tissue therapy, therapeutic exercise, and education delivered by licensed chiropractors.
Enahnced usual care
BehavioralEducational materials, usual medical care, biweekly check-in calls. Participants continue their usual medical care and receive educational materials for neck pain self-management and biweekly check-in calls from study staff.
Treatment groups
Trial outcomes
Primary outcomes
Recrutiment feasibility
Number of particpants enrolled within the recruitment period
Retention/completion rate
Proportion of participants completing assessments
Intervention Adherence
Percentage attending ≥ 70% chiropractic sessions
Secondary outcomes
Clinical outcomes
Neck pain intensity, Neck Pain Disability Index, Promis 29, Bothersomeness of Pain, Pain on Movement
Biomarkers / mechanistic
Peak alpha frequency ERP amplitudes Gait speed and stride time variability Stride length Dual task cost (gait speed and variability)
Locations
Sponsors and contacts
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Brigham and Women's Hospital
Lead sponsor
Palmer College of Chiropractic
Collaborator
This trial is not recruiting at the moment. You can still explore other options: