Tai Chi and Chiropractic Care for Chronic Neck Pain

This study is looking at whether combining chiropractic care with Tai Chi training can help adults with chronic non-specific neck pain (pain that isn't caused by a specific injury or disease). You might be able to join if you are between 18 and 65 years old, have had neck pain for at least three months, and your pain is at a certain level. The study will compare three groups: one receiving chiropractic care, Tai Chi, and educational materials; another receiving chiropractic care and educational materials; and a third receiving only educational materials. The main goal is to see if it's practical to recruit and keep participants in this type of study, and to monitor their safety. We will also look at how these treatments affect your pain, disability, and quality of life.

Study design
This is a pilot study with three groups, involving 48 adults. Participants will be randomly assigned to one of the three treatment groups.
What's involved
You would receive either 10 chiropractic treatments over 16 weeks, 16 weeks of group Tai Chi training, or educational materials. You will be followed for 8 weeks after your treatment ends.
Compensation
Not stated in the trial record.
Follow-up
Individuals will be followed for 8 weeks after the end of their intervention period.

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NCT05726331

Chronic Non-Specific Neck Pain Treated With Tai Chi and Chiropractic Care

Recruiting
NAAges 18–65InterventionalTreatment
Harvard University Faculty of Medicine
~48 participants
Updated 2024-01-19 on ClinicalTrials.gov
What's tested:Chiropractic CareTai ChiEnhanced Usual Care

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Recruitment rate
Measured over Through study completion (an average of 18 months)
+2 more outcomes measured
Neck Pain
Chronic Pain
1 sites across 1 states
Massachusetts1

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Eligibility criteria

Inclusion

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 numerical rating scale ranging from 0 to 10, with 10 described as 'worst neck pain imaginable'
Neck Disability Index score of 5 or greater
Agreeable to participate in all study procedures and be randomized to all intervention groups
Fluent in English

Exclusion

Currently, or having received chiropractic care in past 12 months
Regular practice (on average, weekly) of Yoga, Tai Chi or Qigong in the past 6 months
Any major systemic illness or unstable medical condition (e.g. Parkinson's disease, cancer) or psychiatric condition requiring immediate treatment or that could lead to difficulty complying with the protocol
Any disability precluding exercise practice
History of stroke, carotid artery dissection, or vertebral artery dissection
Signs of myelopathy or carotid bruits or evidence of pathological hypermobility (e.g. Ehlers Danlos Syndrome) during the clinical exam
Neck pain caused by congenital deformity of the spine that contraindicate treatment, neck pain related to neoplasm, inflammatory rheumatic disease, neurological disorder, active oncologic disease, severe affective disorder, addiction, or psychosis
Neck pain associated with unstable radicular pain or radiculopathy
Pregnancy
Recent spinal injections (in the past 4 weeks)
Neck pain with litigation
Any prior cervical surgery/spinal surgery within previous year
Persons currently involved in a disability/accident claim
  • Recruitment rateThrough study completion (an average of 18 months)

    Recruitment rate will be evaluated with respect to rate of enrollment, defined as randomization into the trial.

  • Retention rateThrough study completion (an average of 18 months)

    Retention rate will be quantified by the proportion of subjects who remain in the study to complete the 24-week visit.

  • Intervention adherenceThrough study completion (an average of 18 months)

    Intervention adherence will be measured by collection of chiropractic visit attendance and Tai Chi class attendance data.