Using the MAINTAIN Instrument to Improve Care for Patients with Spinal Pain
C-prior: Implementation of the MAINTAIN Instrument for Patients With Dysfunctional Spinal Pain - a Randomized Clinical Trial
This study tests if a new tool can help chiropractors better identify patients with recurring spinal pain who might benefit from ongoing care to reduce their pain compared to regular treatment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 220 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Canadian Memorial Chiropractic College Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Trial ID | NCT05350254 on ClinicalTrials.gov |
What this trial studies
This study investigates the implementation of the MAINTAIN instrument, designed to identify patients with recurrent spinal pain who may benefit from chiropractic maintenance care. The MAINTAIN instrument categorizes patients based on their pain experience, allowing for more individualized treatment plans. The study aims to assess the impact of this instrument in clinical practice, particularly its effectiveness in reducing days with bothersome pain compared to standard chiropractic care. By focusing on patients with specific characteristics, the study seeks to enhance the management of low back and neck pain.
Who should consider this trial
Good fit: Ideal candidates for this study are patients with recurrent spinal pain who have not experienced a pain episode in the past three months.
Not a fit: Patients with serious underlying conditions, such as cancer or acute trauma, or those who are pregnant will not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to more effective and personalized treatment for patients suffering from recurrent spinal pain.
How similar studies have performed: Previous studies have shown positive outcomes with chiropractic maintenance care, particularly for specific patient subgroups, suggesting a promising avenue for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with spinal pain (neck, mid-back, and/or low back) of recurrent (not the first episode) and significant (more than 30 days in the past 12 months) character * No pain episode in the past 3 months * Access to a mobile phone and email. * Ability to send and receive SMS (text messages). Exclusion Criteria: * Pregnancy * Serious pathology (e.g., acute trauma, cancer, infection, cauda equina, osteoporosis, vertebral fractures) * Contraindications to manual therapy * Specific spinal conditions (e.g., radiculopathy, spinal stenosis)
Where this trial is running
Toronto, Ontario
- Canadian Memorial Chiropractic College — Toronto, Ontario, Canada (Recruiting)
Study contacts
- Study coordinator: Martha Funabashi, PhD
- Email: mfunabashi@cmcc.ca
- Phone: 647 805 2024
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.