BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care
Abstract Background Low back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly tho...
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doaj-62731660ff864a049851959a5cb6c52c2020-11-25T01:31:37ZengBMCChiropractic & Manual Therapies2045-709X2020-04-012811710.1186/s12998-020-00302-zBAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic careAlan D. Jenks0Trynke Hoekstra1Iben Axén2Katie de Luca3Jonathan Field4Dave Newell5Jan Hartvigsen6Simon D. French7Bart Koes8Maurits W. van Tulder9Sidney M. Rubinstein10Department of Health Sciences and Amsterdam Movement Science, Faculty of Science, Vrije UniversiteitDepartment of Health Sciences and Amsterdam Public Health research institute, Faculty of Science, Vrije UniversiteitUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska InstitutetDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie UniversityBack Active, Private PracticeAECC University CollegeDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie UniversityDepartment of General Practice, Erasmus University Medical CenterDepartment of Health Sciences and Amsterdam Movement Science, Faculty of Science, Vrije UniversiteitDepartment of Health Sciences and Amsterdam Movement Science, Faculty of Science, Vrije UniversiteitAbstract Background Low back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Improving our understanding of this patient population and the course of their low back pain may provide input for studies researching safer and more effective care than is currently provided. Objectives The primary objectives are to examine the clinical course over one year of pain intensity, healthcare costs and pain, functional status and recovery rates of low back pain in people 55 years and older who visit a chiropractor for a new episode of low back pain. Methods An international prospective, multi-center cohort study with one-year follow-up. Chiropractic practices are to be recruited in the Netherlands, Sweden, United Kingdom and Australia. Treatment will be left to the discretion of the chiropractor. Inclusion/Exclusion criteria: Patients aged 55 and older who consult a chiropractor for a new episode of low back pain, meaning low back pain for the first time or those patients who have not been to a chiropractor in the previous six months. This is independent of whether they have seen another type of health care provider for the current episode. Patients who are unable to complete the web-based questionnaires because of language restrictions or those with computer literacy restrictions will be excluded as well as those with cognitive disorders. In addition, those with a suspected tumor, fracture, infection or any other potential red flag or condition considered to be a contraindication for chiropractic care will be excluded. Data will be collected using online questionnaires at baseline, and at 2 and 6 weeks and at 3, 6, 9 and 12 months. Discussion This study, to our knowledge, is the first large-scale, prospective, multicenter, international cohort study to be conducted in a chiropractic setting to focus on older adults with low back pain consulting a chiropractor. By understanding the clinical course, satisfaction and safety of chiropractic treatment of this common debilitating condition in the aged population, this study will provide input for informing future clinical trials. Trial registration Nederlandse Trial Registrar NL7507 .http://link.springer.com/article/10.1186/s12998-020-00302-zAgeingChronic painEpidemiologyLow back painAgedElderly |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alan D. Jenks Trynke Hoekstra Iben Axén Katie de Luca Jonathan Field Dave Newell Jan Hartvigsen Simon D. French Bart Koes Maurits W. van Tulder Sidney M. Rubinstein |
spellingShingle |
Alan D. Jenks Trynke Hoekstra Iben Axén Katie de Luca Jonathan Field Dave Newell Jan Hartvigsen Simon D. French Bart Koes Maurits W. van Tulder Sidney M. Rubinstein BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care Chiropractic & Manual Therapies Ageing Chronic pain Epidemiology Low back pain Aged Elderly |
author_facet |
Alan D. Jenks Trynke Hoekstra Iben Axén Katie de Luca Jonathan Field Dave Newell Jan Hartvigsen Simon D. French Bart Koes Maurits W. van Tulder Sidney M. Rubinstein |
author_sort |
Alan D. Jenks |
title |
BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care |
title_short |
BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care |
title_full |
BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care |
title_fullStr |
BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care |
title_full_unstemmed |
BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care |
title_sort |
back complaints in the elders - chiropractic (bace-c): protocol of an international cohort study of older adults with low back pain seeking chiropractic care |
publisher |
BMC |
series |
Chiropractic & Manual Therapies |
issn |
2045-709X |
publishDate |
2020-04-01 |
description |
Abstract Background Low back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Improving our understanding of this patient population and the course of their low back pain may provide input for studies researching safer and more effective care than is currently provided. Objectives The primary objectives are to examine the clinical course over one year of pain intensity, healthcare costs and pain, functional status and recovery rates of low back pain in people 55 years and older who visit a chiropractor for a new episode of low back pain. Methods An international prospective, multi-center cohort study with one-year follow-up. Chiropractic practices are to be recruited in the Netherlands, Sweden, United Kingdom and Australia. Treatment will be left to the discretion of the chiropractor. Inclusion/Exclusion criteria: Patients aged 55 and older who consult a chiropractor for a new episode of low back pain, meaning low back pain for the first time or those patients who have not been to a chiropractor in the previous six months. This is independent of whether they have seen another type of health care provider for the current episode. Patients who are unable to complete the web-based questionnaires because of language restrictions or those with computer literacy restrictions will be excluded as well as those with cognitive disorders. In addition, those with a suspected tumor, fracture, infection or any other potential red flag or condition considered to be a contraindication for chiropractic care will be excluded. Data will be collected using online questionnaires at baseline, and at 2 and 6 weeks and at 3, 6, 9 and 12 months. Discussion This study, to our knowledge, is the first large-scale, prospective, multicenter, international cohort study to be conducted in a chiropractic setting to focus on older adults with low back pain consulting a chiropractor. By understanding the clinical course, satisfaction and safety of chiropractic treatment of this common debilitating condition in the aged population, this study will provide input for informing future clinical trials. Trial registration Nederlandse Trial Registrar NL7507 . |
topic |
Ageing Chronic pain Epidemiology Low back pain Aged Elderly |
url |
http://link.springer.com/article/10.1186/s12998-020-00302-z |
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