RecruitingNot ApplicableNCT07288684

Chiropractor Delivered Virtual Intervention After Vertebral frActure

Chiropractor Delivered Virtual Intervention After Vertebral frActure (VIVA)

Sponsor

University of Waterloo

Enrollment

15 participants

Start Date

Oct 20, 2025

Study Type

INTERVENTIONAL

Conditions

Osteoporosis Vertebral Fracture

Summary

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%.

Eligibility

Min Age: 50 Years

Inclusion Criteria4

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

Exclusion Criteria7

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

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Interventions

BEHAVIORALVIVA

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.