Prespecified Internal Pilot and Feasibility Framework for a Pragmatic Randomized Controlled Trial Comparing Mechanical Diagnosis and Therapy Versus Generalized Exercise in Surgeons With Chronic Spinal Pain: A Protocol
This protocol outlines a prespecified internal pilot and feasibility framework designed to assess recruitment, adherence, and retention challenges before proceeding with a full-scale pragmatic randomized controlled trial comparing Mechanical Diagnosis and Therapy versus generalized exercise for surgeons with chronic spinal pain.