Chiropractic for Back and Neck Pain in an Emergency Department Setting (CBNP)

Shamir Medical Center (Assaf-Harofeh)

Status and phase: Completed; Phase 2; Phase 1

Conditions: Back Pain; Anxiety; Neck Pain

Treatments: Procedure: Sham Chiropractic; Procedure: real chiropractic

Study type: Interventional

Funder types: Other

Identifiers

NCT00964717

126/08

Details and patient eligibility

About

This study aims to examine the efficacy of an Integrative approach utilizing Chiropractic as an add-on therapy for the treatment back and neck pain in an emergency department setting

Chiropractic is well established as an effective treatment for back pain. The investigators cumulative experience in Asaf Harofeh Medical Center has shown Chiropractic to be an effective therapy for simple back and neck pain in an emergency room (ER) setting.

This study will examine weather Chiropractic can decrease pain, increase range of motion and decrease anxiety in patients admitted to the Emergency Room with simple back and neck pain without neurological findings. Chiropractic will be performed as an add on therapy on top of analgesic therapy.

Enrollment: 52 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult male and females age 18-60 with acute or sub acute/chronic simple back or neck pain
• Agreed to a physical examination and by an orthopedic physician and X-ray Diagnosis of simple back pain with levels of 4 < NRS at least
• Agreed and able to fill pain, anxiety and satisfactory questioners
• Agreed and able to sign informed consent

Exclusion criteria

• Fracture, sprain or neurological deficit during physical examination
• Pain scale of NRS < 4
• Active pregnancy
• Active inflammatory arthritis
• History of CVA
• Open wounds
• Acute malignancy with life expectancy of less than 5 years
• Experience with acupuncture treatments
• History of drug addiction
• History of osteoporosis
• Declined or unable to sign informed consent
• Soldiers in active military service
• Received a chiropractic treatment in the past

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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52 participants in 3 patient groups

Chiropractic

Active Comparator group

Description:

Real Chiropractic treatment

Treatment:

Procedure: real chiropractic

Sham Chiropractic

Sham Comparator group

Description:

stimulation utilizing 'activator' thumper

Treatment:

Procedure: Sham Chiropractic

No treatment

No Intervention group

Description:

No add on therapy - patients lay down for a period of 15 minutes without any treatment or intervention