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首页> 外文期刊>Chiropractic and Manual Therapies >Conservative care with or without manipulative therapy in the management of back and neck pain in Danish children aged 9–15. Study protocol for a randomized controlled trial
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Conservative care with or without manipulative therapy in the management of back and neck pain in Danish children aged 9–15. Study protocol for a randomized controlled trial

机译：在9至15岁的丹麦儿童中，采用或不采用手法疗法进行保守治疗，以治疗背部和颈部疼痛。随机对照试验的研究方案

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Background Complaints in the musculoskeletal system often start early in life and back and neck pain in children are well-established predictors for similar problems in adulthood. Despite lack of evidence of effectiveness, manipulative therapy is one of the most commonly used treatment modalities for back and neck pain in children. The primary objective of this study is to evaluate the effectiveness of manipulative therapy when added to an approach consisting of manual soft tissue treatment, exercises and advice as needed, in children aged 9–15 complaining of back and neck pain. Method The project is nested in the Childhood Health, Activity and Motor Performance School Study, which includes around 1200 children aged 9–15, who were all invited to participate in this randomized controlled trial in case they experienced back and/or neck pain during the two year inclusion period. Parents received text messages (SMS) on a weekly basis inquiring about the child’s musculoskeletal pain. If pain was reported, the child was evaluated for inclusion into the trial and, if eligible, randomized into one of two intervention groups: 1. Pragmatic advice, manual soft tissue treatment and exercises 2. The above plus manipulative therapy By the end of data collection 237 children were included in the study. The primary outcome measure is number of recurrences of back and neck pain during the follow-up period (3–27 months). Secondary outcome measures are average duration of complaint time for each episode, total duration of complaint time, global perceived effect after two weeks, and change in pain intensity after 2?weeks. Baseline information includes quality of life, expectations to treatment, expectations to future course, age, gender, social class and physical education at school. Discussion For most common non-traumatic musculoskeletal complaints no standardized and evidence based treatment strategy exists. We want to evaluate the effectiveness of manipulative therapy in addition to an approach consisting of manual soft tissue treatment, exercises and advice as needed, in children aged 9–15 complaining of back and neck pain. To our knowledge this is the first large scale randomized controlled trial investigating the effectiveness of commonly used treatments for back and neck pain in children. Trial registration ClinicalTrials NCT01504698
机译：背景肌肉骨骼系统的投诉通常从生命的早期开始，儿童的背部和颈部疼痛是成年后类似问题的公认指标。尽管缺乏有效的证据，但手法治疗仍是儿童背部和颈部疼痛最常用的治疗方式之一。这项研究的主要目的是评估针对9至15岁主诉背部和颈部疼痛的儿童，当将其加入包括手工软组织治疗，必要的运动和建议的方法时，评估手法治疗的有效性。方法该项目嵌套在儿童健康，活动和运动表现学校研究中，该研究包括约1200名9-15岁的儿童，如果他们在手术期间经历背部和/或颈部疼痛，他们都应参加此随机对照试验。两年收录期。父母每周都会收到短信（SMS），询问孩子的肌肉骨骼疼痛。如果报告有疼痛，则对该儿童进行评估以纳入该试验，如果符合条件，则将其随机分为两个干预组之一：1.实用建议，人工软组织治疗和锻炼2.上述内容加上手法治疗数据结束时这项研究包括了237名儿童。主要结果指标是随访期间（3–27个月）背部和颈部疼痛复发的次数。次要结局指标是每次发作的平均投诉时间，总投诉时间，两周后的总体感知效果以及2周后疼痛强度的变化。基线信息包括生活质量，对治疗的期望，对未来课程的期望，年龄，性别，社会阶层和学校体育教育。讨论对于最常见的非创伤性肌肉骨骼疾病，尚无标准化且循证的治疗策略。我们希望评估针对9至15岁主诉背部和颈部疼痛的儿童，除包括手工软组织治疗，必要的运动和建议外，还应评估手法的有效性。据我们所知，这是第一项大规模的随机对照试验，研究了常用疗法对儿童背部和颈部疼痛的有效性。试验注册ClinicalTrials NCT01504698

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