The Effect of Chiropractic Treatment on Infantile Colic A Randomized, Controlled Trial

NCT ID: NCT00954759

Last Updated: 2012-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2012-08-31

Brief Summary

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Infantile colic is a condition that affects more than 10% of babies and their families. The reason, and hence the proper treatment, for this condition is unknown and many causes have been suggested. One of the treatments that parents choose is chiropractic manipulation. In Denmark, around 4,000 babies are treated for colic by chiropractors each year although the effect of chiropractic treatment of infantile colic has not been properly scientifically evaluated.

The effect of chiropractic treatment on infantile colic needs to be investigated since this is a very common disorder with no known effective treatment but with good empirical evidence of the value of chiropractic treatment. Although it is usually considered to be a benign and self-limiting condition, some studies suggest there might be long-term effects in terms of psychomotor problems. In worst case, the infants' crying may also lead to violence and 'shaken baby syndrome'.

Null hypothesis: There is no effect of chiropractic treatment on the course of infantile colic.

This study is a controlled clinical trial, where infants fulfilling the diagnostic criteria for colic will be randomized into two groups. One group will receive treatment and the other won't. This will determine the overall effect and furthermore, subgroup analyses will be performed to identify possible subgroups of infants who will benefit the most from the treatment.

The results from subgroup analyses can help to identify children who might benefit from the treatment. Then treatment can be initiated early and a lot of hardship can be avoided for both the babies and the families.

Detailed Description

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OBJECTIVES:

Primary: To investigate the effect of chiropractic treatment on infantile colic.

Secondary: A) To investigate if infants with suspected musculoskeletal problems respond differently to the treatment than those without. B) To investigate whether health visitors and chiropractors can agree on the diagnosis of "suspected musculoskeletal problems".

METHOD:

A randomized controlled single blind multicenter clinical trial with a nested case-crossover study.

Infants fulfilling the diagnostic criteria for colic will be recruited by health visitors and randomized to chiropractic treatment or no treatment. The parents will be unaware of the child's allocation. All children will be taken to the chiropractors' treatment room while the parents stay in the reception areas. Before treatment, both the recruiting health visitors and the chiropractors will note, whether they suspect musculoskeletal involvement or not. All analyses will be adjusted for known confounders, which will be recorded by the health visitor at baseline.

PERSPECTIVE FOR HEALTH CARE:

First of all, the study will evaluate the effect of chiropractic treatment of infantile colic. Secondly, it will clarify if the treatment effect differ between children with suspected musculoskeletal problems and those without. If children with musculoskeletal problems respond better to chiropractic treatment than others, the study will also indicate whether the health nurse is able to identify these children.

Conditions

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Infantile Colic

Keywords

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Infantile colic Chiropractic Manipulation Randomized controlled trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Chiropractic treatment

Manipulation and/or mobilisation

Group Type EXPERIMENTAL

Chiropractic treatment

Intervention Type PROCEDURE

Visit without active treatment

The child is brought in for chiropractic treatment, but no active treatment is delivered. The parents are unaware whether treatment is delivered or not.

Group Type PLACEBO_COMPARATOR

Visit without active treatment

Intervention Type PROCEDURE

The child is brought in for chiropractic treatment, but no active treatment is delivered. The parents are unaware whether treatment is delivered or not.

Interventions

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Chiropractic treatment

Intervention Type PROCEDURE

Visit without active treatment

The child is brought in for chiropractic treatment, but no active treatment is delivered. The parents are unaware whether treatment is delivered or not.

Intervention Type PROCEDURE

Other Intervention Names

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Manipulation, mobilisation

Eligibility Criteria

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Inclusion Criteria

* Age: 2-10 weeks.
* Minimum crying and fussing: three hours per day, three days per week.

Exclusion Criteria

* Known disease.
* Unsatisfying weight gain.
* Psychological or developmental compromise.
* Contraindications for chiropractic treatment.
Minimum Eligible Age

2 Weeks

Maximum Eligible Age

10 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Foundation for the Advancement of Chiropractic Research

UNKNOWN

Sponsor Role collaborator

University of Southern Denmark

OTHER

Sponsor Role collaborator

Nordic Institute of Chiropractic and Clinical Biomechanics

OTHER

Sponsor Role lead

Responsible Party

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Nordic Institute of Chiropractic and Clinical Biomechanics

Principal Investigators

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Lise Hestbaek, PhD

Role: STUDY_DIRECTOR

Nordic Institute of Chiropractic and Clinical Biomechanics

Locations

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Nordic Institute of Chiropractic and Clinical Biomechanics

Odense, DK, Denmark

Site Status

Countries

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Denmark

Other Identifiers

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CVK S-20090056

Identifier Type: -

Identifier Source: secondary_id

RCT Colic

Identifier Type: -

Identifier Source: org_study_id