Neck Pain Clinical Trial
Official title:
Randomized Clinical Trial of Chiropractic Manual Therapy Plus Home Exercise, Supervised Exercise Plus Home Exercise and Home Exercise Alone For Individual 65 and Over With Chronic Mechanical Neck Pain
The purpose of this randomized clinical trial is to assess the relative effectiveness of three conservative treatment approaches for seniors with chronic neck pain: 1) chiropractic manual treatment plus home exercise, 2) supervised exercise plus home exercise and 3) home exercise alone.
Neck pain (NP) is a considerable health problem, affecting both young and elderly
individuals. Of particular concern is the negative impact NP may have on the functional
ability of the geriatric population, already challenged by decreased mobility and balance
associated with ageing. Chiropractic manual treatment and rehabilitative exercise have
demonstrated potential for the treatment of NP in younger individuals, but have yet to be
rigorously tested in the elderly.
The broad, long-term objective of this research is to identify effective therapies for
patients, 65 years and older, who suffer with chronic neck pain and to enhance their
functional capacity.
Primary Aims
• To determine the relative clinical effectiveness of 1) chiropractic manual treatment and
home exercise, 2) supervised rehabilitative exercise and home exercise, and 3) home exercise
alone in both the short-term (after 12 weeks) and long-term (after 52 weeks), using
patient-rated neck pain as the main outcome measure.
Secondary Aims
- To estimate the short- and long-term relative effectiveness of the three interventions
using:
- Patient-rated outcomes: neck related disability, general health status, patient
satisfaction, improvement, and medication use measured by self-report
questionnaires;
- Objective functional performance outcomes: neck motion, strength and endurance,
and functional ability measured by examiners masked to treatment group assignment;
- Cost measures: direct and indirect costs, and cost utility of treatment measured
by questionnaires, phone interviews, and medical records.
- To describe patients' perceptions of treatment and the issues they consider when
determining their satisfaction with care.
This project is a collective effort by a multidisciplinary team, with an established record
of collaborative research in the area of neck and back pain. The results of this study will
provide valuable information for elderly neck pain sufferers and the clinicians who treat
them.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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