RECRUITINGINTERVENTIONAL

Chiropractor Delivered Virtual Intervention After Vertebral frActure

Chiropractor Delivered Virtual Intervention After Vertebral frActure (VIVA)

About This Trial

This study will determine feasibility of a chiropractor delivered virtual intervention for individuals following osteoporotic vertebral fracture. This pilot trial will have two parallel groups with a 1:1 ratio. Participants will be randomized to: 1) immediate receipt; or 2) waitlist usual care control and delayed receipt of VIVA 10 weeks post-randomization. VIVA is an intervention for people with vertebral fractures that covers four areas: pain management, safe movement, exercise, and nutrition. It includes print and video resources, and a framework for goal setting, selecting exercises, and teaching body mechanics. A chiropractor (DC) completes a virtual assessment and then leads twelve 1:1 virtual sessions (via Zoom) over eight weeks. Sessions start with brief education on a topic (e.g., safe movement, pain management, exercise, nutrition), followed by training and modeling of exercise and safe movement strategies, then goal setting, and action planning. This trial will be considered feasible if a) we recruit 14 people in eight months; b) 80% of participants complete the trial; and c) exercise adherence is 75%.

Who May Be Eligible (Plain English)

Who May Qualify: - Over the age of 50 (men or post-menopausal women) - Have had a vertebral fracture in the past two years - Willing to participate in twelve (12) virtual rehabilitation sessions for 10 weeks - Have access to internet and a smart device with a camera and microphone Who Should NOT Join This Trial: - Cauda equina syndrome or spinal cord injury - Had a traumatic fracture (i.e., car accident) - An active infection - Active inflammatory arthritis with a flare up within the past two years - An inability to follow two-step commands or understand instructions and are without a caregiver to support participation - Been participating in a similar rehabilitation program for vertebral fractures delivered by a physical therapist, exercise physiologist or kinesiologist and includes exercise - Any surgeries planned or health problems that might cause their health to change significantly in the next 3 months Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Over the age of 50 (men or post-menopausal women) * Have had a vertebral fracture in the past two years * Willing to participate in twelve (12) virtual rehabilitation sessions for 10 weeks * Have access to internet and a smart device with a camera and microphone Exclusion Criteria: * Cauda equina syndrome or spinal cord injury * Had a traumatic fracture (i.e., car accident) * An active infection * Active inflammatory arthritis with a flare up within the past two years * An inability to follow two-step commands or understand instructions and are without a caregiver to support participation * Been participating in a similar rehabilitation program for vertebral fractures delivered by a physical therapist, exercise physiologist or kinesiologist and includes exercise * Any surgeries planned or health problems that might cause their health to change significantly in the next 3 months

Treatments Being Tested

BEHAVIORAL

VIVA

VIVA is an intervention for people with vertebral fractures that covers four areas: pain management, safe movement, exercise, and nutrition. It includes print and video resources, and a framework for goal setting, selecting exercises, and teaching body mechanics.

Locations (1)

University of Waterloo

Waterloo, Ontario, Canada