Physical Therapy Targeting Autonomic and Dura Mater Function: SPINEPASS Randomized Clinical Trial Protocol.
Julia Treleaven, Matt Hammerle, Alicia Swan and 3 others
PMID 41324433WHAT IT FOUND
This paper outlines a future trial comparing a new spine-focused self-management program against standard physical therapy for persistent post-concussion headaches in military personnel.
No patient outcomes are reported, so there is no evidence yet to change clinical practice.
STILL TO COME
How it was doneWhat it means for PTs
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What it does not show
This is a study protocol, not a report of completed research, so no outcomes or efficacy data are available. The trial is powered to detect moderate effects based on previous data without a comparator, which may overestimate the true difference between the two active treatments. Both intervention arms include cervical management, making it possible that the treatments are not sufficiently distinct to show a clear benefit of one over the other. Results will be limited to active-duty military personnel in a single hospital setting, which may not generalize to civilian populations or other military contexts.
Declared interests
The study is funded by the Henry M. Jackson Foundation and the US Department of Defense. No specific author conflicts of interest are detailed beyond the funding sources.
The easy way to misread this
Do not interpret this paper as evidence that SPINEPASS is effective for persistent post-concussion headache. It is a protocol for a future trial and reports no patient outcomes, so it cannot support changing clinical practice.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →