Chiropractor Delivered Virtual Intervention After Vertebral frActure

What this study is about

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 can join (things the study team will check)

✅ You may be able to join if…

• 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

🚫 You may not be able to join if…

• 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

Where this trial is running

• University of Waterloo, Waterloo, Ontario, Canada

Who to contact

Allison A Legg · 289-380-0859 · a2legg@uwaterloo.ca

It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT07288684.