Conservative care with or without manipulative therapy in the management of back and neck pain in Danish children aged 9-15: Study protocol for a randomized controlled trial

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskning

Abstrakt

Background
Complaints in the musculoskeletal system often start early in life and back and neck pain in children are well-established predictors for similar problems in adulthood. Despite lack of evidence of effectiveness, manipulative therapy is one of the most commonly used treatment modalities for back and neck pain in children. The primary objective of this study is to evaluate the effectiveness of manipulative therapy when added to an approach consisting of manual soft tissue treatment, exercises and advice as needed, in children aged 9-15 complaining of back and neck pain.
Method
The project is nested in the CHAMPS Study, which includes around 1200 children aged 9-15, who were all invited to participate in this randomized controlled trial in case they experienced back and/or neck pain during the two year inclusion period. Parents received text messages (SMS) on a weekly basis inquiring about the child´s musculoskeletal pain. If pain was reported, the child was evaluated for inclusion into the trial and, if eligible, randomized into one of two intervention groups:
1. Pragmatic advice, manual soft tissue treatment and exercises
2. The above plus manipulative therapy
By the end of data collection 237 children were included in the study. The primary outcome measures are number of recurrences of back and neck pain during the follow-up period (3-27 months) and average duration of complaint time for each episode. Secondary outcome measures are total duration of complaint time, global perceived effect after two weeks, and change in pain intensity after 2 weeks. Baseline information includes quality of life, expectations to treatment, expectations to future course, age, gender, social class and physical education at school.
Purpose
We want to evaluate the effectiveness of manipulative therapy in addition to an approach consisting of manual soft tissue treatment, exercises and advice as needed, in children aged 9-15 complaining of back and neck pain. To our knowledge this is the first large scale randomized controlled trial investigating
the effectiveness of commonly used treatments for back and neck pain in children.
OriginalsprogEngelsk
Publikationsdatomaj 2015
StatusUdgivet - maj 2015
Begivenhed13th WFC Congress/ECU convention - Athen, Grækenland
Varighed: 13. maj 201516. maj 2015

Konference

Konference13th WFC Congress/ECU convention
Land/OmrådeGrækenland
ByAthen
Periode13/05/201516/05/2015

Emneord

  • Manipulation, Chiropractic
  • children
  • Adolescent
  • Back pain

Citationsformater