Swiss Chiropractic Cohort (Swiss ChiCo) Study: Patient Cohort

NCT05116020 | Completed

• 1 other identifier: SwissChiCo-Patient
• Study Type: observational
• Target: 568
• Locations: 1 country
• Sites: 1

Brief Summary

The Swiss chiropractic patient cohort (Swiss ChiCo) study is a nationwide research project which aims to describe the characteristics of patients presenting to Swiss chiropractors, assess the clinical course of patients with musculoskeletal pain, and examine the feasibility for performing a larger subsequent cohort study.

Conditions

Musculoskeletal Pain

Keywords

Chiropractic; Musculoskeletal health; Musculoskeletal pain; Health care quality

Outcome Measures

Primary Outcomes (4)

• Change in musculoskeletal pain impact

  Assessment via Pain, Enjoyment, and General Activity scale (PEG scale, 0-10). A higher score reflects worse outcome (worse pain intensity and interference)

  Baseline; 1-hour after initial visit; 2-, 6-, 12-weeks

• Change in musculoskeletal health status

  Assessment via musculoskeletal health questionnaire (MSK-HQ, 0-56). A higher score reflects better musculoskeletal health status

  Baseline; 1-hour after initial visit; 2-, 6-, 12-weeks

• Invited patient participation proportion

  Proportion of invited patients who agree to participate (feasibility outcome)

  Baseline

• Change in participant follow-up and retention

  Proportion of enrolled participants who complete follow-up surveys (feasibility outcome)

  Baseline; 1-hour after initial visit; 2-, 6-, 12-weeks

Secondary Outcomes (2)

• Reasons for non-participation

  Baseline

• Factors associated with non-response

  Baseline and 12-weeks

Study Arms (1)

Chiropractic patient participants

Usual chiropractic care

Other: Usual chiropractic care

Interventions

Usual chiropractic care OTHER

Usual chiropractic care in Switzerland can include spinal manual therapy, soft-tissue therapy, use of electric therapeutic modalities (low level laser therapy, therapeutic ultrasound, interferential current), acupuncture, prescription medication, exercise, education and reassurance.

Chiropractic patient participants

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Persons presenting to chiropractic clinic seeking new conservative health care for a musculoskeletal pain condition in Switzerland

You may qualify if:

• ≥18 years of age
• Seeking new conservative health care for a musculoskeletal pain condition at a Swiss chiropractic clinic (ie, not having received participant-reported chiropractic care, physiotherapy, osteopathy, or massage therapy for the musculoskeletal complaint in the past 1 month and not a follow-up visit)
• Consent to chiropractic treatment
• Proficient in German, French, Italian, or English
• Active email account
• Willing to complete electronic study questionnaires

You may not qualify if:

• Presenting with red-flag symptoms (i.e., saddle anesthesia, loss of bowel and/or bladder control, history of major trauma, fracture, fever, severe or rapidly progressive neurologic deficit, sudden unexpected weight loss)
• Presenting with non-musculoskeletal pain condition

Sponsors & Collaborators

• Balgrist University Hospital: lead
• University of Zurich: collaborator
• University of Southern Denmark, Department of Sports Science and Clinical Biomechanics: collaborator
• Swiss Chiropractic Association (ChiroSuisse): collaborator
• Swiss Chiropractic Patient Association (Pro Chiropractic Switzerland): collaborator

Study Sites (1)

Balgrist University Hospital

Zurich, 8008, Switzerland

Location

Related Publications (3)

• Lalji R, Hofstetter L, Kongsted A, von Wyl V, Puhan MA, Hincapie CA. Swiss chiropractic practice-based research network and musculoskeletal pain cohort pilot study: protocol of a nationwide resource to advance musculoskeletal health services research. BMJ Open. 2022 Jul 13;12(7):e059380. doi: 10.1136/bmjopen-2021-059380.

  PMID: 35831057 BACKGROUND

• Lalji R, Hofstetter L, Kongsted A, von Wyl V, Puhan MA, Hincapie CA. The Swiss chiropractic practice-based research network: a population-based cross-sectional study to inform future musculoskeletal research. Sci Rep. 2023 Apr 6;13(1):5655. doi: 10.1038/s41598-023-32437-3.

  PMID: 37024506 BACKGROUND

• Lalji R, Hofstetter L, Kongsted A, von Wyl V, Braun J, Puhan MA, Hincapie CA; Swiss ChiCo Clinicians Group. Swiss chiropractic cohort (Swiss ChiCo) pilot study: feasibility for a musculoskeletal cohort study conducted within a nationwide practice-based research network. Eur Spine J. 2024 May;33(5):2068-2078. doi: 10.1007/s00586-024-08175-z. Epub 2024 Mar 13.

  PMID: 38480624 DERIVED

Related Links

• Musculoskeletal Epidemiology Research Group, Balgrist University Hospital, Project webpage

MeSH Terms

Conditions

Musculoskeletal Pain

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Cesar A Hincapié, DC PhD

  Balgrist University Hospital and University of Zurich

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 8, 2021
• First Posted: November 10, 2021
• Study Start: March 28, 2022
• Primary Completion: December 21, 2022
• Study Completion: March 31, 2023
• Last Updated: April 26, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will share

Locations

CH (1)