Virtual Chiropractic Intervention for Spinal Fracture
(VIVA Trial)
What You Need to Know Before You Apply
What is the purpose of 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%.
Are You a Good Fit for This Trial?
This trial is for individuals with osteoporosis who have had a vertebral fracture but are not suitable candidates for drugs that prevent bone loss. Participants should be willing to engage in virtual sessions and follow an exercise program.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- VIVA
Trial Overview
The VIVA program, delivered virtually by chiropractors, is being tested. It includes education on pain management, safe movement, exercise, nutrition, and personalized goal setting over twelve Zoom sessions across eight weeks.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants receive a technology consultation 1-2 weeks prior to baseline assessment, and receive intervention in week one (immediately post-randomization). Following a virtual assessment, participants will receive twelve 1:1 virtual sessions (via Zoom) over eight weeks.
Participants receive a technology consultation 1-2 weeks prior to baseline assessment, and receive intervention in week ten (waitlist control).
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Waterloo
Lead Sponsor
Canadian Chiropractic Research Foundation
Collaborator
Canadian Chiropractic Association, Canadian Chiropractic Research Foundation
Collaborator
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