Combined chiropractic care and Tai Chi for chronic neck pain: A protocol for a pilot randomized trial.
Peter M Wayne, Robert Vining, Cynthia R Long...
https://pubmed.ncbi.nlm.nih.gov/40321971Actively Recruiting
Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID05726331
Combined Chiropractic Care and Tai Chi for Chronic Non-Specific Neck Pain
Led by Harvard University Faculty of Medicine · Updated on 2024-01-19
48
Participants Needed
1
Research Sites
35 weeks
Total Duration
On this page
Sponsors
H
Harvard University Faculty of Medicine
Lead Sponsor
B
Brigham and Women's Hospital
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the combined effect of chiropractic care and Tai Chi training on reducing pain and disability in adults with chronic non-specific neck pain. This pilot study aims to assess the feasibility of recruiting, retaining, and safely monitoring participants, while also measuring clinical outcomes such as pain levels, disability, quality of life, self-efficacy, and psychological factors related to neck pain. The study is sponsored by Harvard University Faculty of Medicine and involves adults aged 18 to 65 with persistent neck pain. Participants will be randomly assigned to one of three groups: one group will receive 10 chiropractic treatments over 16 weeks along with Tai Chi group training for 16 weeks and enhanced usual care, which includes educational materials; a second group will receive chiropractic care plus enhanced usual care; and a third group will receive only enhanced usual care with educational materials and biweekly check-in calls. Chiropractic care includes posture correction, soft tissue release, spinal manipulation, education, strengthening, and ergonomic advice. Tai Chi classes will be held weekly for 16 weeks. During the study, participants will be assessed at baseline, 16 weeks, and 24 weeks for pain intensity, pain on movement, disability, quality of life, self-efficacy, postural awareness, pain catastrophizing, fear of movement, and interoceptive awareness. Researchers will also monitor recruitment, retention, and adherence rates throughout the average 18-month study duration. Participants will be followed for 8 weeks after interventions end to evaluate longer-term outcomes and safety.
CONDITIONS
Brief Title
Chronic Non-Specific Neck Pain Treated With Tai Chi and Chiropractic Care
Who Can Participate
Age: 18Years - 65Years
All Genders
Eligibility Criteria
You may qualify if you...
- Chronic nonspecific neck pain at least 5 days a week for at least 3 consecutive months
- Neck pain averaged over past week of 3 or more on a 0 to 10 numerical rating scale
- Neck Disability Index score of 5 or greater
- Willing to participate in all study procedures and be randomized to any group
- Fluent in English
You will not qualify if you...
- Received chiropractic care currently or in the past 12 months
- Regular practice of Yoga, Tai Chi, or Qigong weekly in the past 6 months
- Major systemic illness, unstable medical or psychiatric condition affecting study compliance
- Any disability preventing exercise practice
- History of stroke, carotid or vertebral artery dissection
- Signs of myelopathy, carotid bruits, or pathological hypermobility
- Neck pain caused by congenital spine deformity, neoplasm, inflammatory or neurological disorders
- Neck pain with unstable radicular symptoms or radiculopathy
- Pregnancy
- Spinal injections within past 4 weeks
- Neck pain involved in litigation
- Cervical or spinal surgery within past year
- Involved in a disability or accident claim
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 16 weeks
Participants receive their assigned intervention which may include up to 10 chiropractic sessions over 16 weeks, weekly Tai Chi classes for 16 weeks, and/or enhanced usual care with educational materials. Participants follow their assigned treatment plan for 16 weeks.
Up to 10 chiropractic visits and weekly Tai Chi classes for 16 weeks depending on assignment
Follow-up
Duration - 8 weeks
Participants are followed for 8 weeks after the end of the treatment period to assess longer-term outcomes related to neck pain and quality of life.
Periodic follow-up contacts during 8 weeks after treatment
Trial Site Locations
Total: 1 location
1
Osher Clinical Center at Brigham and Women's Hospital
Chestnut Hill, Massachusetts, United States, 02199
Actively Recruiting
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Research Team
J
Jacqui Guzman, BA
D
Daniel Litrownik
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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