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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

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 f...

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Autores principales: Dissing, Kristina Boe, Hartvigsen, Jan, Wedderkopp, Niels, Hestbæk, Lise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730742/
https://www.ncbi.nlm.nih.gov/pubmed/26823970
http://dx.doi.org/10.1186/s12998-016-0086-y
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author Dissing, Kristina Boe
Hartvigsen, Jan
Wedderkopp, Niels
Hestbæk, Lise
author_facet Dissing, Kristina Boe
Hartvigsen, Jan
Wedderkopp, Niels
Hestbæk, Lise
author_sort Dissing, Kristina Boe
collection PubMed
description 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 Childhood Health, Activity and Motor Performance School 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 measure is number of recurrences of back and neck pain during the follow-up period (3–27 months). Secondary outcome measures are average duration of complaint time for each episode, 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. DISCUSSION: For most common non-traumatic musculoskeletal complaints no standardized and evidence based treatment strategy exists. 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. TRIAL REGISTRATION: ClinicalTrials NCT01504698 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12998-016-0086-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-47307422016-01-29 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 Dissing, Kristina Boe Hartvigsen, Jan Wedderkopp, Niels Hestbæk, Lise Chiropr Man Therap Study Protocol 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 Childhood Health, Activity and Motor Performance School 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 measure is number of recurrences of back and neck pain during the follow-up period (3–27 months). Secondary outcome measures are average duration of complaint time for each episode, 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. DISCUSSION: For most common non-traumatic musculoskeletal complaints no standardized and evidence based treatment strategy exists. 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. TRIAL REGISTRATION: ClinicalTrials NCT01504698 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12998-016-0086-y) contains supplementary material, which is available to authorized users. BioMed Central 2016-01-28 /pmc/articles/PMC4730742/ /pubmed/26823970 http://dx.doi.org/10.1186/s12998-016-0086-y Text en © Dissing et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Dissing, Kristina Boe
Hartvigsen, Jan
Wedderkopp, Niels
Hestbæk, Lise
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730742/
https://www.ncbi.nlm.nih.gov/pubmed/26823970
http://dx.doi.org/10.1186/s12998-016-0086-y
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