Perceptions and experiences following multiple sessions of simulated or genuine high velocity, low amplitude (HVLA) manual chiropractic adjustments
Eligibility Questionnaire
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What is your preferred method of communication?
Phone
Email
Are you between the ages of 18 and 60
*
Yes
No
Do you have a history of stroke or transient ischemic attacks (TIAs) or current symptoms that include dizziness and vertigo, ringing in the ears, and visual, sensory, or muscle problems?
*
Yes
No
Do you have any new headache complaints?
*
Yes
No
Have you had a whiplash injury within the past 3 months?
*
Yes
No
Do you have a spinal fracture or dislocation?
*
Yes
No
Do you have spinal problems with symptoms radiating to the arms or legs?
*
Yes
No
Do you have severe arthritis?
*
Yes
No
Do you have a connective tissue disorder?
*
Yes
No
Do you have primary fibromyalgia?
*
Yes
No
Do you have metabolic or metaplastic bone disease?
*
Yes
No
Do you have a history of spinal surgery?
*
Yes
No
Do you have uncontrolled high blood pressure or blood vessel disease?
*
Yes
No
Are you currently taking medications that prevent your blood from clotting?
*
Yes
No
Are you currently pregnant?
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Yes
No
Do you currently take short-acting benzodiazepines which include midazolam or triazolam?
*
Yes
No
For any prescription medications you are taking other than short-acting benzodiazepines, have you been on a stable dose for at least 6 weeks with no intention to change during the study? (If you are not taking any medications, please select "Yes")
*
Yes
No
Are you able to walk unassisted on a treadmill (e.g., you do not need to hold onto the rails)?
*
Yes
No
Have you been diagnosed with any condition that causes fainting during postural changes (e.g., POTS or orthostatic hypotension)?
*
Yes
No
Do you have a pacemaker or a known heart condition that can influence the electrical or mechanical function of your heart, such as severe heart valve disease?
*
Yes
No
When was the last time you received chiropractic care?*
*
Are you a Doctor of Chiropractic (DC) or a DC student in 4th quarter or above?
*
Yes
No
How did you hear about this study?
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please provide available times for each day you would be willing to come in. (Ex: 11am-1pm)
Rows
Available times from 9AM-6PM
Monday
Tuesday
Thursday
Friday
If you have any questions, please reach out to the Center for Chiropractic Research at research.studies@life.edu.
Please verify that you are human
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