Do diagnostic x-rays for spinal pain in patients receiving chiropractic care change patient outcomes? A pilot randomised controlled trial.

Macquarie University0 个研究点目标入组 22 人开始时间: 2021年2月1日最近更新: 2024年1月22日

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•Inclusion criteria for patients:
•New episode of spinal pain, defined as no prior episode with greater than or equal to 2/10 numerical pain score lasting more than 24 hours within the previous month
•Treating chiropractor intending to refer the patient for X-ray, for reasons outside current X-ray guidelines.
•Treating chiropractor intending to use spinal manipulative therapy as a treatment option
•Ability to read and understand English to consent to the research and complete the questionnaires.
•Inclusion criteria for chiropractors:
•Chiropractors who self-report regularly treating patients presenting with spinal pain
•Chiropractors who self-report that they use spinal manipulative therapy with the majority of their spinal pain patients
•Chiropractors who self-report regularly (but not always) referring patients for X-rays (referring between 20-80% of new patients for X-ray)
•Willing to randomise patients to be X-rayed
•Practice within Sydney or immediate surrounds.

•Under 18 years of age
•Treating chiropractor suspects serious underlying pathology requiring further investigation or referral (e.g. cancer, infection, fracture, cauda equina syndrome, myelopathy, progressive neurological symptoms, chest or abdominal pathology)

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