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Trial registered on ANZCTR
Registration number
ACTRN12614001002673
Ethics application status
Approved
Date submitted
9/09/2014
Date registered
16/09/2014
Date last updated
10/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The effects of chiropractic care on brain-computer interface interventions and rehabilitation
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Scientific title
The effects of chiropractic care and brain computer interface interventions on neural plasticity in people with subclinical pain.
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Secondary ID [1]
285303
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Brain injuries
292986
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Condition category
Condition code
Physical Medicine / Rehabilitation
293276
293276
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0
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Other physical medicine / rehabilitation
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Musculoskeletal
293329
293329
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0
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Other muscular and skeletal disorders
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Neurological
293330
293330
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The participants will attend four intervention sessions for each outcome measure in random order. These sessions will include:
1. An experimental session where they will receive chiropractic care alone. Chiropractic care will involve a full spine adjusting session delivered by a registered chiropractor that will be approximately 15 minutes in duration.
2. An experimental session where they will receive a brain computer interface (BCI) intervention alone - this intervention involves the participant performing a motor imagination task where they picture a muscle movement taking place alone. No external device is used to apply the BCI intervention. This intervention will be approximately 15 minutes in duration and will be guided by a research assistant.
3. An experimental session where they will receive a chiropractic intervention followed by a BCI intervention as described above. This session will last approximately 30 minutes.
4. Control intervention
There will be a one week washout period between interventions.
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Intervention code [1]
290212
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Rehabilitation
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Intervention code [2]
290243
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Treatment: Other
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Comparator / control treatment
A control session where they will receive no BCI intervention or adjustments but will be repositioned as if the chiropractor was going to adjust their spine (i.e. cervical, thoracic and lumbar adjustment setups). This will act as a physiological control for time, as well as the vestibular, cutaneous and muscular afferent discharge changes involved in moving and touching the subject when preparing for the adjustments. Care will be taken to ensure no forces are applied to individual segments during the control intervention.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Transcranial magnetic stimulation measured using electromyography in a lower limb muscle.
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Assessment method [1]
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Timepoint [1]
293115
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Immediately post each intervention.
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Primary outcome [2]
293158
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Somatosensory evoked potentials measured using electroencephalogram.
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Assessment method [2]
293158
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Timepoint [2]
293158
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Immediately post each intervention
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Secondary outcome [1]
310387
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Intramuscular and surface EMG will be used to record muscle activity in the lower limb (tibilais anterior muscle) when the participant is performing motor tasks (holding a small contraction for 10 seconds followed by a maximum voluntary contraction).
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Assessment method [1]
310387
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Timepoint [1]
310387
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Immediately post each intervention
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Eligibility
Key inclusion criteria
Participants may include students, staff, faculty, and previous patients of the College’s chiropractic centre. Subjects will be eligible for inclusion if they are English speaking, aged 18-40, and have previously sought chiropractic care, and have some history of recurring spinal dysfunction such as mild pain, ache, and/or stiffness with or without a history of known trauma.
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subjects will be ineligible to participate if they exhibit no evidence of vertebral subluxations, have absolute contraindications to spinal adjustments, have experienced previous significant adverse reactions to chiropractic care, or they are suffering from a current upper limb disorder/dysfunction that would make them unable to carry out data recording sessions (e.g. sprain/strain/fracture), and if they have sought treatment for the subclinical pain symptoms.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
22/09/2014
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Actual
22/09/2014
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Date of last participant enrolment
Anticipated
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Actual
12/01/2018
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Date of last data collection
Anticipated
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Actual
29/03/2018
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Sample size
Target
180
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Accrual to date
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Final
180
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Recruitment outside Australia
Country [1]
6343
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New Zealand
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State/province [1]
6343
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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New Zealand College of Chiropractic
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Address [1]
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6 Harrison Road
Mount Wellington
Auckland 1060
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
New Zealand College of Chiropractic
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Address
6 Harrison Road
Mount Wellington
Auckland 1060
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
288613
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Address [1]
288613
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Country [1]
288613
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291640
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
291640
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Health and Disability Ethics Committees Ministry of Health C/- MEDSAFE, Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
291640
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New Zealand
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Date submitted for ethics approval [1]
291640
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Approval date [1]
291640
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01/09/2014
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Ethics approval number [1]
291640
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14/NTB/113
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Summary
Brief summary
It is possible that chiropractic care may enhance the efficiency and accuracy of BCI’s that are currently in development or operation. In this project we plan to investigate whether adjusting dysfunctional segments in the spine alters motor cortical output to the tibialis anterior muscle when it is applied in conjunction with a BCI intervention. If we find that spinal manipulation enhances BCI interventions this may be important for brain injury rehabilitation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
51298
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Dr Imran Khan Niazi
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Address
51298
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New Zealand College of Chiropractic
6 Harrison Road
Mount Wellington
Auckland 1060
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Country
51298
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New Zealand
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Phone
51298
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+6495266789
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Fax
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Email
51298
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[email protected]
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Contact person for public queries
Name
51299
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Imran Khan Niazi
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Address
51299
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New Zealand College of Chiropractic
6 Harrison Road
Mount Wellington
Auckland 1060
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Country
51299
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New Zealand
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Phone
51299
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+6495266789
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Fax
51299
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Email
51299
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[email protected]
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Contact person for scientific queries
Name
51300
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Imran Khan Niazi
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Address
51300
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New Zealand College of Chiropractic
6 Harrison Road
Mount Wellington
Auckland 1060
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Country
51300
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New Zealand
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Phone
51300
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+6495266789
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Fax
51300
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Email
51300
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF