Clinical trial Recruiting at 1 site Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorAssiut University
Academic / other
Locations1 site (Asyut)
StatusRecruiting
StartedJune 10, 2026
Main results expectedDecember 10, 2026
Study endsFebruary 10, 2027
Registry record updatedJuly 29, 2026
Trial IDNCT07733752 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.