- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02684916
Chiropractic Treatment for Headache Among Children Aged 7-14
Effectiveness of Chiropractic Manipulation Treatment Versus Placebo Manipulation on Children Aged 7-14 Years With Headache and Musculoskeletal Problems. A Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study is a two-armed parallel, randomized controlled clinical trial where children suffering from chronic headache and at the same time having one or more biomechanical dysfunctions of the spine are randomized to either chiropractic manipulation treatment or placebo manipulation treatment.
The outcome is based on weekly sms responses collecting the number of days with headache the past week, intensity of headache and use of medication for headache. These are answered four weeks prior to initiation of treatment and 16 weeks thereafter. After the 16 weeks follow-up, a final questionnaire is completed including information about the course and the present headache status.
The primary outcome is the number of days with headache. Secondary outcomes are intensity of headaches and use of medication for headache.
Covariates are collected via baseline questionnaires on patient demographics; medical history; factors known to initiate, worsen or ease the headache; prevalence of headache in the nearest family; and behavioral patterns known to influence headache.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Brønderslev, Denmark, 9700
- Kiropraktisk Center og Børneklinik
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Headaches for at least half a year.
- Headache for at least 4 days pr. month.
- At least one musculoskeletal dysfunction as identified by an experienced chiropractor as a movement restriction in one or more of the spinal joints and painful on manual palpation suitable for chiropractic manipulation treatment at the time of the initial screening.
- Able to report information on headache via cell phone either by him- or herself or with help from the parents.
Exclusion Criteria:
- Contraindications for chiropractic treatment
- Ongoing treatment for headache at another practitioner, except medical treatment 3 months prior to inclusion.
- Lack of reporting baseline data via sms 4 weeks prior to inclusion.
- Acute neck or head trauma during the trial period which is estimated to influence the headache
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Chiropractic treatment
Visit with active treatment.
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The child receives chiropractic manipulation treatment in the neck and in the spine and pelvis according to individual needs. They also receive a written list of general advice regarding lifestyle and habits. The parents and the child are unaware of group allocation. |
Placebo Comparator: Placebo
Visit without active treatment.
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Non-therapeutic placebo treatment: a broad non-specific contact outside the spinal column is taken on subject's scapula and gluteal region lying in a side posture position, on the scapulae in a prone position and on trapezius muscles in a sitting position.
In those positions the chiropractor pushes in a non-intentional and non- therapeutic directional line with a low-amplitude, low velocity push maneuver.
All contacts are performed without soft tissue pre-tension and gentle contact, to insure that no joint cavitation occurs.
To obtain a noise that many people associate with a chiropractic spinal adjustment, a de-activated Activator Instrument is used on the arm of the chiropractor to give a click-sound.
General advice on lifestyle and habits is handed out to the placebo group as well.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Difference in number of days per week with headache over four months analyzed as repeated measures with end-point at four months.
Time Frame: Assessed weekly for a period of four months.
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Patient or parent reported via sms-service.
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Assessed weekly for a period of four months.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intensity of headache, graded on a 0-10 scale, where 10 is the worst, over four months analyzed as repeated measures with end-point at four months.
Time Frame: Assessed weekly for a period of four months.
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Patient or parent reported via sms-service.
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Assessed weekly for a period of four months.
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Use of medicine the past week due to headache over four months analyzed as repeated measures with end-point at four months.
Time Frame: Assessed weekly for a period of four months.
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Patient or parent reported via sms-service.
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Assessed weekly for a period of four months.
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Improvement on a seven point Likert scale (from 'totally recovered' to 'worse than ever') assessed at four months.
Time Frame: Assessed at the end of four months follow-up.
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Patient or parent reported via sms-service.
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Assessed at the end of four months follow-up.
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Susanne L. Rosing, D.C., MSC, Nordic Institute of Chiropractic and Clinical Biomechanics
Publications and helpful links
General Publications
- Lynge S, Dissing KB, Vach W, Christensen HW, Hestbaek L. Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7-14 years - a randomised clinical trial. Chiropr Man Therap. 2021 Jan 7;29(1):1. doi: 10.1186/s12998-020-00360-3.
- Lynge S, Hartvigsen J, Christensen HW, Vach W, Hestbaek L. Effectiveness of chiropractic manipulation versus sham manipulation on recurrent headaches in children aged 7-14 years, Protocol for a randomized clinical trial. Chiropr Man Therap. 2019 Aug 23;27:40. doi: 10.1186/s12998-019-0262-y. eCollection 2019.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1504 (OTHER: CSL Behring)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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