Measurement of Spinal Mobilization in Pediatric Population

Sponsor
Université du Québec à Trois-Rivières (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05607355
Collaborator
Fondation Chiropratique du Québec (Other), Canadian Chiropractic Research Fondation (Other)
60
3

Study Details

Study Description

Brief Summary

The goal of this cross-sectional study is to measure the biomechanical parameters during a vertebral mobilization delivered by chiropractors on patients of five years old of age and younger. The main questions it aims to answer are:

  • What is the force and rate of force application of spinal mobilizations in children consulting in chiropractic?

  • What are the adverse events observed by legal tutors immediately following the intervention received by the child?

Participants will receive the clinically indicated spinal mobilization by their treating chiropractor. The chiropractor will have a small sensor on the finger during the delivery of the spinal mobilization. The legal tutor will complete a questionnaire immediately after the intervention to report adverse events.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Scope: Number of parents consulting complementary and alternative medicine practitioners for their children's health is increasing. Spinal mobilization is commonly provided by these practitioners, including chiropractors, to address health disorders in children. Spinal mobilization involves the application of a controlled force to a vertebra using a slow speed and is considered an appropriate technique in young children. Despite the popularity of spinal mobilization in the pediatric population, only a paucity of data exists on its biomechanics. One study has evaluated the force used by chiropractors on manikins and one study calculated theoretical values of the maximum force that should be applied in function of the patient age. To date, no studies have characterized spinal mobilization biomechanics using a pragmatic approach: measurement directly at the clinician's hands during spinal mobilization delivered on real pediatric patients.

    Purpose: The aims are to (1) measure the biomechanical parameters during spinal mobilization delivered by chiropractors on patients of 5 years of age or younger and (2) to report immediate adverse events.

    Methodology:

    Design: This research proposal is a pragmatic cross-sectional study. Participants: Patients seeking care at our collaborating chiropractic clinics and aged between 0 (newborn) and 5 years old will be recruited. Spinal mobilization will have to be clinically indicated. A total of 60 participants will be recruited.

    Experiment: To measure spinal mobilization parameters, the chiropractor will wear a small sensor on their finger tip used to deliver the spinal mobilization (MedicalSensor 9811E, Tekscan, Boston, US). The sensor record force by time data using a 100 Hz acquisition frequency. Legal guardians will complete a short online questionnaire (pediatric version of the SafetyNet system) immediately following the intervention to report any adverse events. Participant characteristics (age, weight, height, sex, reason to seek care) will also be collected.

    Primary outcomes: Spinal mobilization peak force and rate of force applications (i.e., speed).

    Secondary outcomes: Immediate adverse events observed by the legal guardian. Analyses: The sample of participants will be descriptively analyzed. The mean, range and standard deviation of the peak force and rate of force applications measured during the spinal mobilizations will be reported. Adverse events frequency and nature will be reported. Exploratory analyzes will be conducted to explore the associations between participants' characteristics, treated region of the spine and spinal mobilization's peak force and rate of force applications

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    60 participants
    Observational Model:
    Case-Only
    Time Perspective:
    Cross-Sectional
    Official Title:
    Measurement of Spinal Mobilization Biomechanical Parameters in the Preschool Pediatric Population
    Anticipated Study Start Date :
    Nov 1, 2022
    Anticipated Primary Completion Date :
    Feb 1, 2023
    Anticipated Study Completion Date :
    Feb 1, 2023

    Outcome Measures

    Primary Outcome Measures

    1. Spinal mobilization force [During the intervention.]

      For each spinal mobilization delivered by the chiropractor on the participant, the peak force will be measured.

    2. Spinal mobilization rate of force application [During the intervention.]

      For each spinal mobilization delivered by the chiropractor on the participant, the rate of force will be measured.

    Secondary Outcome Measures

    1. Adverse events [5-min following the intervention]

      Adverse events of the intervention observed by the legal guardian of the participant will be reported using a validated questionnaire (pediatric verson of the SafetyNet reporting system).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A to 5 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion criteria :
    • Being aged between 0 (newborn) and 5 years old

    • Consulting a chiropractor involved in the study

    • Having at spinal mobilization included in the care plan.

    Exclusion Criteria:
    • Not requiring a spinal mobilization on the day of data collection.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Université du Québec à Trois-Rivières
    • Fondation Chiropratique du Québec
    • Canadian Chiropractic Research Fondation

    Investigators

    • Principal Investigator: Isabelle Pagé, PhD, Département de Chiropratique

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    Responsible Party:
    Isabelle Pagé, Professor, Université du Québec à Trois-Rivières
    ClinicalTrials.gov Identifier:
    NCT05607355
    Other Study ID Numbers:
    • UQTR_PEDS_MOB_2022-2023
    First Posted:
    Nov 7, 2022
    Last Update Posted:
    Nov 14, 2022
    Last Verified:
    Nov 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Isabelle Pagé, Professor, Université du Québec à Trois-Rivières

    Study Results

    No Results Posted as of Nov 14, 2022