Chiropractic Adjustment for LBP of University Students v1

Background: Low back pain (LBP), a common musculoskeletal disorderamong university students, is often associated with prolonged sitting, poorposture, and academic stress. Chiropractic adjustment has emerged as anon-invasive intervention designed to improve spinal alignment and reduce pain;however, its effectiveness in student populations remains insufficientlyexplored. Objective: The study aimed to determinethe effectiveness of chiropractic adjustment in reducing pain intensity andimproving functional outcomes among university students with low back pain. Methods:This study will employ an interdisciplinary, Double-blind,randomized controlled trial design involving university students between 18 and25 years of age with non-specific low back pain. Participants will recruit 92randomly assigned (1:1) to either an intervention group receiving chiropracticadjustments or a control group receiving conventional physiotherapy orexercise-based management. The intervention will be delivered 2–3 sessions perweek over a period of 4 weeks. Primary outcome measures will include painintensity assessed using the Visual Analog Scale (VAS) and Brief Pain InventoryScale. Secondary outcomes will include Functional disability measured by theRoland Morris Disability Questionnaire (RMDQ), quality of life by the GlobalRating of Change Scale (GROC), and patient satisfaction. Baseline andpost-intervention data will be collected and analyzing using paired t-tests andindependent t-tests or ANOVA tests (if multiple time points) with asignificance level set at p < 0.05. Discussion: The study hypothesizes that chiropractic adjustment willlead to statistically significant reductions in pain intensity and improvementsin functional outcomes among participants, compared with a control group.Chiropractic adjustment appears to be an effective and safe intervention forreducing low back pain and improving functional outcomes among universitystudents. It is anticipated that the results of this study will enhance theintegration of chiropractic care in student health services and advanceevidence-based clinical practice. Including chiropractic care in student healthprograms could be a good way to manage lower back pain. Conclusion: Chiropractic adjustment isanticipated to be a safe, effective, and non-invasive approach for managing lowback pain among university students. Future large-scale, Bangladesh-specificclinical trials are recommended to strengthen the evidence base and supportpolicy-level integration of chiropractic care into student healthcare systems.