None listed
Conditions
Brief summary
The aim of this project is to test the feasibility of a novel randomised control trial (RCT) protocol involving a six-week pragmatic chiropractic intervention. The secondary aim is to determine the most appropriate and responsive ANS outcome measures and necessary sample size for a fully powered future pragmatic RCT.
Interventions
Intervention:
- At each visit, a spinal exam, including active and passive range of motion, palpation, and muscle testing if required, will be performed to determine the location of spinal dysfunction(s) by qualified chiropractors. Techniques used for their correction will include high-velocity low- amplitude, table-assisted and instrument-assisted approaches. Participants will also receive personalised postural advice and stretches (which could include: spinal range of motion of the cervical, t
Intervention: - At each visit, a spinal exam, including active and passive range of motion, palpation, and muscle testing if required, will be performed to determine the location of spinal dysfunction(s) by qualified chiropractors. Techniques used for their correction will include high-velocity low- amplitude, table-assisted and instrument-assisted approaches. Participants will also receive personalised postural advice and stretches (which could include: spinal range of motion of the cervical, thoracic and lumbar regions; stretches for the hamstring, hip flexors, gluteus Maximus, pectoralis major, child’s pose, etc) to carry out at home. The frequency of care is set to be 12 visits over 6 weeks. Anticipated duration: - Intervention session (1st= 30min, following= 10-15min) Continuous measures (wearable device): - Participants will each be given a wearable device (Fitbit 3) at the initial session and explain how it works. They will be instructed to keep wearing it most of the day and night during the 6 weeks of the intervention. Sleep efficiency, short-term HRV and physical activity will be extracted at the end of the intervention period.
Sponsors
Auckland University of Technology
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
- Aged 18-65 years. - Not actively managing any acute or chronic pain. - Subclinical spinal-related pain (as defined by having recurrent intermittent episodes of pain or tension related to different spinal areas mild enough that participants have not yet sought treatment for and that is grade 3 or under of the Chronic Pain Grade Scale (CPGS) at the time of recruitment - Physically active (category 2 or 3 on the International Physical Activity Questionnaire excluding participants engaging in more than 5000 MET (metabolic equivalent) per week)
Exclusion criteria
- Contraindications to chiropractic care (such as the history of recent fractures; high blood pressure; and metabolic, inflammatory, or neoplastic disease). - Pupillary abnormalities or damage (i.e., coloboma or oculomotor palsy), or enucleation of the eye. - Diagnosed dysautonomia and Raynaud’s disease. - Taking daily medication with the exception being the contraceptive pill. - Immunization planned during the 6 weeks intervention period. - Smoking.
Outcome results
None listed