AI symptom checks before visiting physical therapy: does it change spine care decisions?
Official title: When AI Is the First Clinician: Impact of Pre-Visit AI Use on Presentation, Diagnostic Expectations, and Shared Decision-Making in Spine Physical Therapy
Run by Assiut University · NCT07733752 · Data updated 2026-11-12
This study tests whether using AI symptom-checking tools like ChatGPT before a visit affects shared decision-making during the first physical therapy evaluation for adults with neck, back, or radicular spine problems.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Assiut University Academic / other |
| Locations | 1 site (Asyut) |
| Status | Recruiting |
| Started | June 10, 2026 |
| Main results expected | December 10, 2026 |
| Study ends | February 10, 2027 |
| Registry record updated | July 29, 2026 |
| Trial ID | NCT07733752 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with new spine-related musculoskeletal complaints (neck, thoracic, or low back pain, with or without radicular symptoms) presenting for a first physical therapy evaluation.
✕Probably not a fit
Patients with complex conditions or those already highly engaged in their care may not experience added benefit from AI pre-visit tools.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective observational cohort study at a spine physical therapy clinic. It compares patients who used an AI symptom-checker in the prior 30 days with those who did not, focusing on how much patients and clinicians engage in shared decision-making during the initial evaluation. Primary outcome is a measure of shared decision-making; secondary aims include illness presentation stage, alignment between patient and clinician diagnoses, baseline status, function, health-seeking behavior, and short-term outcomes. Eligible adults are 18+ presenting for a new spine-related evaluation, with several exclusion criteria to avoid confounding factors. The study is led by Assiut University in Egypt.
Why it matters
Potential benefit: If AI pre-visit tools are found to improve shared decision-making, patients may experience more collaborative care and potentially better adherence to treatment plans.
How similar studies have gone: Previous work suggests AI tools can influence patient beliefs and decision-making, but real-world effects in initial physical therapy encounters are not well established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age: 18 years or older * Presenting for a new evaluation at an outpatient physical therapy clinic for a spine-related musculoskeletal complaint, including Neck, Thoracic, and Low back pain With or without radicular symptoms * Able to provide informed consent. * Able to read, understand, and complete study questionnaires Exclusion Criteria: * Recent spinal surgery within the past 3 months, due to differing clinical pathways and management strategies. * Presence of serious spinal pathology under active medical management, such as: Malignancy (e.g., metastatic disease) Spinal infection Acute fracture * Cognitive impairment or other conditions that limit the ability to provide informed consent or reliably complete study measures. * Patients currently enrolled in another study that may influence clinical decision-making or outcomes related to spine care.
Where it's running
-
Faculty of Medicine, Assiut University, Egypt
Asyut, Egypt Recruiting
Study contacts
- Study coordinator: Mariam A Ibrahim Principal investigator
- Email: Mariam.A.ibrahim@med.aun.edu.eg
- Phone: +20 10 01539399
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Ultrasound-guided Pharmacopuncture for Spinal Pain in Korea
This registry follows patients with spinal pain to see if ultrasound-guided pharmacopuncture is safe and helps reduce pain.
-
Gelified radiopaque ethanol for cervical disc herniation in routine care
This observational study looks at how patients with cervical disc herniation and chronic neck pain fare after treatment with Absolute Gel, used in standard clinical practice.
-
Relationship between how much of the arm is missing and balance, neck/back pain, daily activities, and reaction time in people with a unilateral upper limb amputation
This study will see if the amount of arm loss relates to balance, neck and back pain, daily tasks, hand dexterity, and reaction time in adults who use a myoelectric or bionic prosthesis.
-
Common Pain Mechanisms in Migraine and Associated Neck and Lower Back Pain
This study tests how migraine relates to neck and lower back pain and whether shared central pain processing plays a role in people with episodic or chronic migraine who also have neck or lower back pain.
-
STEPPT: Connecting primary care patients with physical therapy
This project will test whether the STEPPT program increases physical therapy referrals and attendance for Hispanic adults with neck or back pain seen at a community health center.
-
Exercise after caudal epidural steroid injection for lumbar disc herniation
This trial will test whether adding aerobic or core‑stabilisation exercise to standard physiotherapy after a caudal epidural steroid injection helps adults with MRI‑confirmed lumbar disc herniation reduce pain and improve function.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.