Effects of Intensive Chiropractic Care to Usual Care for Adults With Spinal Cord Injuries.

Not Applicable

Completed

• Conditions: Spinal Cord Injuries
• Interventions: Other: Chiropractic Care; Other: Sham intervention; Other: Physical therapy intervention

• Registration Number: NCT05315115
• Lead Sponsor: Riphah International University

Brief Summary

To determine the effects of chiropractic care on spasticity, functional outcomes and quality of life in Spinal Cord Injuries in adults.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-03-30
• Study First Submitted QC: 2022-04-06
• Study Start: 2022-04-07
• Study First Posted: 2022-04-07
• Primary Completion: 2022-12-01
• Study Completion: 2022-12-01
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-23
• Last Update Posted: 2024-10-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

Inclusion Criteria

• Adults with both genders (Male and Female).
• Age above 20 years.
• Spinal Cord Injuries adults.

Exclusion criteria

• Spinal Cord Injury due to Traumatic Brain Injury.
• Patients having cognitive impairments.
• Patients having associated Neurological Pathologies.
• Patients who are unable to follow the treatment plan.

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group	Physical therapy intervention	The participant's head and/or spine will be moved in ways that include passive and active movements, similar to what is done when assessing the spine by a chiropractor.No spinal adjustment will be performed during any control intervention.
Experimental group	Chiropractic Care	A registered chiropractor will assess the entire spine, and both sacroiliac joints will be assessed for vertebral subluxation by a registered chiropractor. The clinical indicators that will be used to assess the function of the spine before spinal adjustment intervention include assessing for joint tenderness to palpation manually palpating for a restricted intersegmental range of motion, assessing for palpable asymmetric intervertebral muscle tension, and any abnormal or blocked joint play and end-feel of the joints.
Experimental group	Physical therapy intervention	A registered chiropractor will assess the entire spine, and both sacroiliac joints will be assessed for vertebral subluxation by a registered chiropractor. The clinical indicators that will be used to assess the function of the spine before spinal adjustment intervention include assessing for joint tenderness to palpation manually palpating for a restricted intersegmental range of motion, assessing for palpable asymmetric intervertebral muscle tension, and any abnormal or blocked joint play and end-feel of the joints.
Control group	Sham intervention	The participant's head and/or spine will be moved in ways that include passive and active movements, similar to what is done when assessing the spine by a chiropractor.No spinal adjustment will be performed during any control intervention.

Primary Outcome Measures

Name	Time	Method
36-Item Short Form Survey (SF-36)	4 weeks	The SF-36 was originally designed as a generic health measure but has also been applied to specific disease populations. It comprises 36 questions that cover eight domains of health. Scores for the different domains are converted and pooled using a scoring key, for a total score indicating a range of low to the high quality of life. This tool will be measured after 4 weeks.
ASIA scale	4 weeks	The American Spinal Injury Association (ASIA) impairment scale describes a person's functional impairment as a result of a Spinal Cord Injury. This scale indicates how much sensation a person feels after light touch and a pinprick at multiple points on the body and tests key motions on both sides of the body. This tool will be measured after 4 weeks.
Spine Dysfunction, Stress & Sensory-Motor Integration Questionnaire (SSSMQ)	4 weeks	The SSSMQ is a newly developed tool to assess Spine Dysfunction Characteristics, logical and Psychological Stress Symptoms, and Multimodal and Sensorimotor Integration Dysfunction Symptoms. A baseline assessment of a participant will be done before the start of the intervention. This tool will be measured after 4 weeks.
Functional Independence Measure (FIM)	4 weeks	The Functional Independence Measure (FIM) is an instrument that was developed as a measure of disability for a variety of populations and is not specific to any diagnosis. FIM is comprised of 18 items, grouped into 2 subscales - motor and cognition. Each item is scored on a 7 point ordinal scale, ranging from a score of 1 to a score of 7. The higher the score, the more independent the patient is in performing the task associated with that item. This tool will be measured after 4 weeks.

Trial Locations

Locations (1)

National Institute of rehabilitation medicine.; 🇵🇰 Islamabad, Federal, Pakistan