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C-implementación previa del instrumento MAINTAIN para pacientes con dolor espinal: protocolo de estudio para un

Martha Funabashi^1,2,3, Garron Ives⁴, Katherine A Pohlman⁵

¹Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada. mfunabashi@cmcc.ca.

|February 10, 2026

Resumen

Este estudio evalúa la atención de mantenimiento quiropráctico (MC) utilizando el nuevo instrumento MAINTAIN para identificar a los pacientes que se benefician más del manejo específico del dolor espinal. Los resultados informarán la práctica clínica para el dolor espinal recurrente.

Área de la Ciencia:

El cuidado quiropráctico de la atención quiropráctica.
Manejo del dolor Manejo del dolor.
Metodología de ensayos clínicos metodología de ensayos clínicos.

Sus antecedentes:

El dolor espinal es una condición generalizada que afecta a muchas personas.
El cuidado de mantenimiento quiropráctico (MC) tiene como objetivo prevenir episodios recurrentes y el deterioro del dolor espinal a través de tratamientos planificados.
El Inventario Multidimensional de Dolor de West Haven-Yale (MPI) identificó un subgrupo que se beneficia de la MC, pero no es clínicamente práctico, lo que lleva al desarrollo del instrumento MAINTAIN.

Objetivo del estudio:

Evaluar la eficacia y la rentabilidad de la MC estratificada utilizando el instrumento MAINTAIN para el dolor espinal recurrente.
Evaluar la fidelidad y el cumplimiento de la implementación del instrumento MAINTAIN en la práctica clínica.

Principales métodos:

Un ensayo clínico aleatorizado pragmático en el que participaron 225 pacientes (18-65 años) con dolor espinal recurrente.
Los pacientes reciben 3 semanas de cuidado quiropráctico, luego son asignados al azar a MC Estratificado (usando el instrumento MAINTAIN) o Cuidado Quiropráctico Estándar.
Resultado primario: total de días con dolor que limita la actividad a los 12 meses. Los resultados secundarios incluyen días de trabajo perdidos, intensidad del dolor, discapacidad y calidad de vida.

Principales resultados:

Esta sección no está disponible en el resumen proporcionado.

Conclusiones:

Este estudio determinará si el instrumento MAINTAIN puede identificar eficazmente a los pacientes que más se benefician de la quiropráctica dirigida MC.
El diseño pragmático y los procedimientos estándar tienen como objetivo garantizar la generalización y la transferibilidad de los hallazgos a la práctica clínica.
Se espera una evaluación precisa de los resultados debido a los estrictos criterios de inclusión y la recopilación frecuente de datos.

Palabras clave:

La quiropráctica es la quiropráctica.Dolor lumbar y dolor de espalda baja.Mantenimiento cuidado de mantenimiento.La terapia manual es la terapia manual.Dolor de cuello y dolor de cuello.Prevención La prevención es la prevención.Ensayos clínicos aleatorizados de ensayo clínico.Dolor en la columna vertebral Dolor en la columna vertebral

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