The overall aims of this line of research is to determine the prevalence of non-cardiac chest pain in patients admitted to a university hospital cardiology department, to evaluate the reliability and validity of a diagnois of musculoskeletal chest pain, and to assess the effectiveness of a manipulation-based chiropractic treatment compared to a minimal intervention in patients diagnosed with musculoskeletal chest pain.

The specific aims are   
• To determine the prevalence of non-cardiac chest pain in patients admitted to a university hospital cardiology department using a retrospective file review
• To determine the reliability of a standardized examination protocol used to diagnose musculoskeletal chest pain
• To construct a decision tree for the diagnosis of musculoskeletal chest pain using stepwise, recursive procedures for construction of classification trees
• In a randomized clinical trial to determine the effectiveness of a manipulation-based chiropractic treatment performed in four community-based chiropractic clinics when this is compared to a minimal intervention consisting of a 15 minute consultation with advice to remain active 

Projektdeltagere:
Mette Jensen Stochkendahl
, Jan Hartvigsen, University of Southern Denmark and Nordic Institute of Chiropractic and Clinical Biomechanics
Henrik Wulff Christensen, Nordic Institute of Chiropractic and Clinical biomechanics
Mads Hostrup Brunse, University of Southern Denmark
Poul Flemming Høilund-Carlsen, Torben Haghfelt, Odense University Hospital
Werner Vach, University Medical Center Freiburg, Germany