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Manipulative Treatment of Children With Neck and Back Pain

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ClinicalTrials.gov Identifier: NCT01504698
Recruitment Status : Completed
First Posted : January 5, 2012
Last Update Posted : May 19, 2015
Sponsor:
Collaborators:
Chiropractors Fund
Municipality of Svendborg
Nordic Institute of Chiropractic and Clinical Biomechanics
Sygehus Lillebaelt
IMK Foundation
Chiroform
Information provided by (Responsible Party):
Kristina Boe Dissing, University of Southern Denmark

Study Description
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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.

Condition or disease Intervention/treatment Phase
Neck Pain Back Pain Procedure: Advice and exercise-based treatment plus joint manipulation Procedure: Advice and exercise-based treatment Not Applicable

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.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 237 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Manipulative Treatment of Children With Neck and Back Pain. A Randomised Controlled Trial of 1200 Children From 3rd to 7th Grade
Study Start Date : February 2012
Actual Primary Completion Date : June 2014
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Back Pain

Arms and Interventions
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Arm Intervention/treatment
Experimental: Treatment with manipulation Procedure: Advice 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.
Active Comparator: Treatment without manipulation Procedure: Advice 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.


Outcome Measures
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Primary Outcome Measures :
  1. Number of recurrences during the follow-up period. [ Time Frame: 2 1/2 year ]
    Weekly reports of pain by sms


Secondary Outcome Measures :
  1. Global perceived effect after two weeks [ Time Frame: 2 weeks ]
    Questionnaire

  2. Change in pain intensity (Numerical Rating Scale) [ Time Frame: After one and two weeks ]
    Questionnaire

  3. Average duration of complaint time for each episode [ Time Frame: Up till 2 1/2 years ]
    Weekly reports of pain by sms

  4. Total duration of complaint time during the follow-up period (combination of duration and recurrences) [ Time Frame: 2 1/2 year ]

Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   8 Years to 15 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01504698


Locations
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Denmark
13 Municipal Schools
Svendborg, Denmark, 5700
Sponsors and Collaborators
University of Southern Denmark
Chiropractors Fund
Municipality of Svendborg
Nordic Institute of Chiropractic and Clinical Biomechanics
Sygehus Lillebaelt
IMK Foundation
Chiroform
Investigators
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Study Director: Niels Wedderkopp, Ph.D. University of Southern Denmark
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Kristina Boe Dissing, Principal Investigator, University of Southern Denmark
ClinicalTrials.gov Identifier: NCT01504698    
Other Study ID Numbers: CVKS-20110042
First Posted: January 5, 2012    Key Record Dates
Last Update Posted: May 19, 2015
Last Verified: May 2015
Keywords provided by Kristina Boe Dissing, University of Southern Denmark:
Manipulative treatment
Children
Neck pain
Back pain
 Effect
Adolescence
Advise
Exercise
Additional relevant MeSH terms:
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Back Pain
Neck Pain
Pain
Neurologic Manifestations