Chiropractic Care and a Specific Regimen of Nutritional Supplementation for Patients With Acute Ankle Sprain

NCT ID: NCT01824095

Last Updated: 2016-01-25

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

PHASE3

Total Enrollment

73 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2015-06-30

Brief Summary

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The purpose of this multisite randomized controlled trial (RCT) is to compare the short-term (6 week) and long-term (6 month) effect of chiropractic care combined with a specific nutritional supplement regimen to chiropractic care with a placebo supplement for patients with ankle sprains, in terms of improvement in physical function and pain.

Detailed Description

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Specific Aim 1: to compare the short-term (6 week) effect of chiropractic care combined with a specific nutritional supplement regimen to chiropractic care with a placebo nutritional supplement for patients with ankle sprains, in terms of speed and amount of improvement in physical function and pain. Our hypothesis is that chiropractic care plus nutritional supplements designed to supply necessary nutrients for ligament healing will have improved outcomes in pain and disability, compared to chiropractic care plus placebo. We will use the Foot and Ankle Ability Measure Activities of Daily Living Subscale (FAAM ADLS) to measure outcomes.

Specific aim 2: to compare the long-term (6 month) effect of chiropractic care combined with a specific nutritional supplement regimen to chiropractic care with a placebo nutritional supplement for patients with ankle sprains, in terms of speed and amount of improvement in physical function and pain. Our hypothesis is that chiropractic care plus nutritional supplements designed to supply necessary nutrients for ligament healing will have improved outcomes as measured by the FAAM ADLS, compared to chiropractic care plus placebo.

Specific aim 3: to explore any changes in the attitude, knowledge and behavior of chiropractic interns and practitioners of the role of nutrition in treating musculoskeletal injuries, pre- and post-intervention. We will also compare their responses to those of a population of students and practitioners who did not participate in the project, as a comparison group.

Conditions

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Ankle Sprains

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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placebo

Acute phase (1st treatment through Week 4): Placebo. 2 capsules 3 x day. Chronic phase (Weeks 5-16): Placebo. 1 capsule 3 x day.

Group Type PLACEBO_COMPARATOR

Dietary supplement

Intervention Type DIETARY_SUPPLEMENT

dietary supplement

Acute phase (1st treatment through Week 4): Ligaplex 1. Ligaplex 1 supplies nutrients to support connective tissue and reduce inflammation. The protocol is commonly used in chiropractic practice and suggested by Standard Process: 2 capsules 3 x day.

Chronic phase (Weeks 5-16): Glucosamine Synergy. This supplement maintains connective tissue and joint health. The protocol is commonly used in chiropractic practice and suggested by Standard Process: 1 capsule 3 x day.

Group Type EXPERIMENTAL

Dietary supplement

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Dietary supplement

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Acute ankle sprain, defined as ankle sprain within the past 7 days, by patient report. Treating clinician will verify diagnosis via clinical examination.
* Ages 18-50; ankle sprains are more common in this age group.

Exclusion Criteria

* Diagnosis of grade III ankle sprain, fracture or dislocation; fracture will be diagnosed using the Ottawa ankle rules11,12
* Contraindications to chiropractic care, such as fracture or other abnormalities found by history, examination, or x-rays, as determined by the treating or supervising clinician.
* Pregnancy: although it is unlikely that the nutritional supplements would have adverse effects on the fetus, we are excluding pregnant women as a safeguard.
* Unwilling or unable to regularly take the supplements (e.g., vegetarians; known sensitivity by self-report; patients will be shown the ingredient list prior to signing the informed consent).
* Litigation for a health-related claim (in process or pending).
* History of ankle surgery or presence of ankle hardware (pins, screws, etc.), by patient report.
* History of diabetic or other peripheral neuropathy, by patient report.
* Current use of prescription or nonprescription medications that may interact with experimental or placebo supplements, by patient report.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sport and Spine Rehab Clinical Research Foundation

OTHER

Sponsor Role collaborator

Parker University

OTHER

Sponsor Role collaborator

Brentwood Spine Clinic, Brentwood, MO, USA

UNKNOWN

Sponsor Role collaborator

Logan University, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cheryl K Hawk, DC, PhD

Role: PRINCIPAL_INVESTIGATOR

Logan University

Locations

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Sport and Spine Rehab

Columbia, Maryland, United States

Site Status

Sport and Spine Rehab

Ft. Washington, Maryland, United States

Site Status

Sport and Spine Rehab

Landover, Maryland, United States

Site Status

Sport and Spine Rehab

Rockville, Maryland, United States

Site Status

Brentwood Spine Clinic

Brentwood, Missouri, United States

Site Status

Logan University

Chesterfield, Missouri, United States

Site Status

Sport and Spine Rehab

Fairfax, Virginia, United States

Site Status

Sport and Spine Rehab

McLean, Virginia, United States

Site Status

Sport and Spine Rehab

Sterling, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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Standard Process - 2013

Identifier Type: -

Identifier Source: org_study_id

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