Study on Chiropractic Therapy and Ibuprofen for Acute Neck Pain in Adults

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What is this study about?

This clinical trial is focused on studying the effects of treatments for acute neck pain. The study will explore the effectiveness of two main treatments: Chiropractic Spinal Manipulative Therapy (CSMT) and a medication called Ibuprofen, which is commonly used to relieve pain and reduce inflammation. Additionally, the study will include a comparison with a placebo treatment. The purpose of the study is to investigate how these treatments affect the intensity of neck pain during the treatment period.

Participants in the study will be divided into four groups. One group will receive CSMT, another will receive a sham or fake version of CSMT, the third group will take Ibuprofen, and the fourth group will receive a placebo. The study will monitor changes in pain levels from the start of the study to two weeks later. The study will also look at changes in pain over several days during the treatment period and at various points after the treatment has ended.

The study aims to provide insights into which treatment is most effective in reducing pain for individuals experiencing acute neck pain. By comparing the different groups, researchers hope to better understand the benefits and effectiveness of CSMT and Ibuprofen in managing this condition.

1 joining the study

Upon joining the study, participants are assigned to one of four groups. Each group receives a different treatment for acute neck pain.

The treatments include chiropractic spinal manipulative therapy (CSMT), sham manipulation, ibuprofen medication, or placebo medication.

2 treatment administration

Participants in the ibuprofen group receive 600 mg film-coated tablets. The medication is taken orally.

The frequency and duration of ibuprofen administration are determined by the study protocol.

3 monitoring and assessment

Participants’ pain intensity is measured using a numeric rating scale (NRS) from 0 to 10.

The primary assessment occurs from baseline to day 14, with additional assessments on days 2 to 13, and post-treatment on days 7, 28, 56, 84, and 168.

4 completion of the study

The study is estimated to conclude by December 31, 2024.

Participants’ data will contribute to understanding the efficacy of the treatments for acute neck pain.

Who Can Join the Study?

Participants must be between 18 and 59 years old.
Participants should have acute non-radicular neck pain, which means neck pain that does not spread to other parts of the body, and is classified as grade 1 or 2 by a specific task force on neck pain.
The current episode of neck pain must have started within the last 2 weeks before the first chiropractic visit.
The pain intensity should be moderate, severe, or very severe, which means a score of 4 or higher on a scale from 0 to 10.
Participants should have been pain-free for at least four weeks in a row before the current episode of neck pain.
Participants should not have been treated by a chiropractor in the past 3 months.
Participants must agree not to seek other manual (hands-on) or drug treatments for their neck pain during the study period.
Participants must be non-pregnant women. If there is any doubt, a negative pregnancy test is required before joining the study.

Who Cannot Join the Study?

Patients who are under 18 years old cannot participate.
Patients who have any other serious health conditions that might interfere with the study cannot participate.
Patients who are pregnant or breastfeeding cannot participate.
Patients who have had recent surgery on the neck cannot participate.
Patients who are currently taking other medications that might affect the study cannot participate.
Patients who have a history of allergic reactions to the study medications cannot participate.
Patients who are unable to follow the study procedures cannot participate.

Where you can join this trial?

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Site Name	City	Country
Aexqygdozifxih Bffeof Ay	Bergen	Norway
Kztuzbw Nlbq	Leknes	Norway
Akwcntvmpdednxs Ouas	Oslo	Norway
Khkjbzzvuwefnqbzuoj i Krxuxmycquuk	Kristiansund	Norway
Nreqd Dyuwqku	Drammen	Norway
Nkhne Jnqfaekt Ap	Jessheim	Norway
Tgvxubar krlhhmdngxtikoxjwm	Tonsberg	Norway
Fvnyfpk Kdmsoxjomfdt	Tertnes	Norway
Dnr Kiuxpuzdthj	Drammen	Norway
Frtruljwqro kddarmesukovkzqwvj	Flekkefjord	Norway
Kjghwtz Fqnblkn	Oslo	Norway
Sjexmyr Kjvyfxntmux	Sandane	Norway
Kbytmewhjnixlutszm Svkctlz	Oslo	Norway
Bqjvn kgrrzkxtvrwykucdad ou fhedkyvtcemx Sedoe amrftlxr	Skien	Norway
Kitbezk Owbccig	Tananger	Norway
Nxiji	Lorenskog	Norway
Nyolc Hsbrbfh	Harstad	Norway
Azpir Hqsoas Hawqdaqh	Hønefoss	Norway
Nrimc Nvgslhbw	Nittedal	Norway
Fwvewsmlajxcunn Øavcf	Oslo	Norway
Slgtalayvc Kvqfppfdnwmw	Vik i Sogn	Norway
Mvxcip Kqdjvlzuyrppcihxyzd Mvpcz	Moelv	Norway
Hkjdgzla Kuhhlfjmywxh &kubf Hcvfz	Borgenhaugen	Norway
Kscxqkx Vfyyp Az	Vadsø	Norway
Hrypc i Ssakuwe (dtfxd	Oslo	Norway
Bku Bcuzh Knetizhbrgiikozfwa	Hokkesund	Norway
Fsdteap ksndnqruryurkdqrr	Fetsund	Norway
Khcydim Veyfu Ao	Oslo	Norway
Kkcnrxjilxecgviuqdyp Fyveqjnk	Finnsnes	Norway
Iqrlzjfi Iilkjnjurrmggyz Lgsvvazc	Levanger	Norway
Sxbbg Hooah	Oslo	Norway
Kfmgybcvhgd kvpglwfvd Hgeyjb	Halden	Norway
Hcgtl i fsrvno Gkfsblts	Grimstad	Norway
Ftdkj Huruk &vmkf Tbdewla	Sandefjord	Norway
Ktjwipdcaov Krsr Bwzrgkui Bwqze Kzoqzhbea	Kolvereid	Norway
Rlidblftkilzvq	Randaberg	Norway
Ktgeedk Mfkxwgkmhj Ssbqmwe Stilhiso Szlwlbh 2 eiak	Sofiemyr	Norway
Ahhqdfcp Utilskllbb Hiivtkib	Lorenskog	Norway

Trial status

Country	Status	Recruitment Start
Norway	Recruiting	01.09.2022

Trial locations

Investigated drugs:

Chiropractic Spinal Manipulative Therapy (CSMT) is a hands-on treatment where a chiropractor uses their hands to apply a controlled force to a joint of the spine. The goal is to improve spinal motion and improve the body’s physical function. In this trial, CSMT is being tested to see how effective it is in reducing the intensity of acute neck pain.

NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) are a class of medications that reduce inflammation, pain, and fever. They are commonly used to relieve pain from various conditions, including acute neck pain. In this trial, NSAIDs are being evaluated for their effectiveness in decreasing the intensity of neck pain during the treatment period.

Investigated diseases:

Neck pain

Acute Neck Pain – Acute neck pain is a sudden onset of discomfort or pain in the neck area, often resulting from muscle strain, poor posture, or injury. It can cause stiffness, limited range of motion, and tenderness in the neck muscles. The pain may radiate to the shoulders or upper back and can be accompanied by headaches. Typically, acute neck pain develops quickly and can last from a few days to a few weeks. It may be exacerbated by certain movements or positions, such as turning the head or looking down for extended periods. The condition is common and can affect individuals of all ages.

Trial ID:

2023-509624-17-00

NCT ID:

NCT05374057

Trial Phase:

Therapeutic confirmatory (Phase III)

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Study on Chiropractic Therapy and Ibuprofen for Acute Neck Pain in Adults

What is this study about?

Who Can Join the Study?

Who Cannot Join the Study?