Back Pain, Neck Pain
Conditions
Keywords
Manipulative treatment, Children, Neck pain, Back pain, Effect, Adolescence, Advise, Exercise
Brief summary
The purpose of this study is to determine the effect of manipulative treatment of children with neck and back pain. Because manipulation is the most frequently used treatment of musculoskeletal complaints in children, and an increasing number of Danish children see a chiropractor, it appears obvious to start the search for evidence by examining the effect of this treatment.
Detailed description
Parents receive text messages \[SMS) on a weekly basis inquiring about the child's musculoskeletal pain as well as amount and types of sport during leisure time the past week. Following a report of pain, the parents will be interviewed by phone by a member of the clinical team, consisting of two licensed physical therapists and two licensed chiropractors, for a thorough description of the complaint. Based on this, the interviewer determines whether the complaint is negligible or whether the child should be seen by a member of the clinical team, in which case the child will be examined at his or her school. At this examination, the child will be evaluated for inclusion and exclusion criteria.
Interventions
PROCEDUREAdvice and exercise-based treatment plus joint manipulation
The treatment can consist of advice, activation and exercise and/or manual soft-tissue treatment plus joint manipulation.The areas and frequency of manipulative treatment will be determined by the chiropractor and will consist of high-velocity, low-amplitude manipulation and/or mobilization to the spine and/or the extremities.
PROCEDUREAdvice and exercise-based treatment
The treatment can consist of advice, activation and exercise and/or manual soft-tissue treatment. However, assisted stretching is not allowed as this will approach mobilization.
Sponsors
Chiropractors Fund
Municipality of Svendborg
Nordic Institute of Chiropractic and Clinical Biomechanics
Sygehus Lillebaelt
IMK Foundation
Chiroform
University of Southern Denmark
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Pain in neck or back equal to or greater than 3 on an 11-box numerical rating scale for more than three days.
Exclusion criteria
* If a serious pathology or injury is suspected, the child will be referred to a secondary care sports injury center for diagnostic work-up and/or imaging. * Handicaps which prevents normal physical activity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of recurrences during the follow-up period. | 2 1/2 year | Weekly reports of pain by sms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total duration of complaint time during the follow-up period (combination of duration and recurrences) | 2 1/2 year | — |
| Global perceived effect after two weeks | 2 weeks | Questionnaire |
| Change in pain intensity (Numerical Rating Scale) | After one and two weeks | Questionnaire |
| Average duration of complaint time for each episode | Up till 2 1/2 years | Weekly reports of pain by sms |
Countries
Denmark
Outcome results
None listed