Evidence map›Paper›PMID 39890151›Full record

ArticleBMJ open2025

Clinical course of spinal pain in adolescents: a feasibility study in a chiropractic setting.

Laura Rc Montgomery, Steven J Kamper, Anika Young, Amber Beynon, Katherine A Pohlman, Lise Hestbæk, Mark J Hancock, Simon D French, Christopher G Maher, Michael S Swain

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laura Rc MontgomeryFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia laura.montgomery@sydney.edu.au.ORCID http://orcid.org/0000-0003-1634-0846
Steven J KamperFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Anika YoungDepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Amber BeynonCurtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Katherine A PohlmanResearch Center, Parker University, Dallas, Texas, USA.ORCID http://orcid.org/0000-0002-1536-112X
Lise HestbækDepartment of Sports and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Mark J HancockDepartment of Health Sciences, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Simon D FrenchDepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Christopher G MaherFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1628-7857
Michael S SwainDepartment of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

designProspective feasibility study.

objectivesTo inform the design and conduct of a large-scale clinical cohort study investigating adolescents with moderate-to-severe spinal pain.

settingChiropractic care in Sydney, Australia.

participantsAdolescents aged 12-17 years with spinal pain (≥4/10 pain intensity score).

methodsAdolescents and chiropractors completed baseline and week-12 follow-up questionnaires, with adolescents reporting pain intensity and recovery weekly via text messages during weeks 1-11. Questionnaire measures included spinal pain, pain coping, quality of life, physical activity, clinical assessment findings and care delivered. Chiropractors provided usual clinical care. We conducted a descriptive feasibility analysis. PRIMARY OUTCOMES: (1) Recruitment rate, (2) response rate to each data collection instrument and (3) retention rate.

resultsFrom May 2021 to February 2023, 20 chiropractors from 10 clinics were enrolled (invited n=85). 10 chiropractors recruited 45 adolescents (15.4±1.4 years, 43% female) over 13.5 months, excluding an 8-month pause due to COVID-19 disruptions. The average recruitment rate was 0.6 adolescents/recruiting chiropractor/month. We achieved a 100% response to chiropractor baseline and follow-up questionnaires, 98% to adolescent baseline, 94% average response to combined weekly text messages and 93% retention of adolescents at study completion.

conclusionsOur high response and retention rates demonstrate feasible data collection methods in this population. Addressing low recruitment by expanding the number and type of clinicians is necessary for a successful larger study.

Indexed as

Back PainChiropracticManipulation, ChiropracticAdolescentAustraliaChildFeasibility StudiesFemaleHumansMalePain MeasurementProspective StudiesQuality of LifeSurveys and QuestionnairesAdolescentBack painPrognosis

Identifiers

PMID39890151
PMCPMC11795366

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.