Please select the eligibility criteria that correspond to the clinical trial below.
Title: Chiropractic Care, Medication, and Self-Care for Neck Pain
Brief Summary: This study will compare the effectiveness of chiropractic care, medications, and self-care on neck pain, a very common condition. The broad, long-term objective of this study is to identify effective therapies for neck pain sufferers and to increase understanding of neck pain conditions.


Options:
A: Exclusion Criteria:

* Pregnant women, due to use of diagnostic procedures (x-rays) and study treatments (NSAIDs and narcotic medications)
B: Inclusion Criteria:

* 65 years of age and older
* independent ambulation and community dwelling
* stable medication plan
* neck-related disability (minimal score of 10% on Neck Disability Index)
* back-related disability (minimal score of 10% on Oswestry Disability Index)
* minimum combined disability score (above) of 25% at first baseline screening
* at least 12 week duration of neck and back related disability

Exclusion Criteria:

* moderate or severe cognitive impairment
* untreated clinical depression
* surgical spinal fusion or multiple incidents of spinal surgery
* contraindications to spinal manipulation or exercise
* ongoing, non-pharmacological treatment for a spinal condition
C: Inclusion Criteria:

* Chronic neck pain (Defined as current episode more than 12 weeks duration.)
* Quebec Task Force classifications 1, 2, 3 and 4. This includes patients with neck pain, stiffness or tenderness, with or without musculoskeletal and neurological signs.
* 65 years of age and older
* Independent ambulation
* Community dwelling (residency outside nursing home)
* Score of 20 or more on Folstein Mini-Mental State Examination
* Stable prescription medication plan (no changes in prescription medications that affect musculoskeletal pain in previous month)

Exclusion Criteria:

* Referred neck pain from local joint lesions of the upper extremities or from visceral diseases
* Significant infectious disease
* Ongoing treatment for neck pain by other health care providers
* Mean neck pain score of less than 20 percentage points
* Contraindications to exercise Determined by history or by referral to supplementary diagnostic tests (i.e., uncontrolled arrhythmias, third degree heart block, recent ECG changes, unstable angina, acute myocardial infarction, acute congestive heart failure, cardiomyopathy, valvular heart disease, poorly controlled blood pressure, uncontrolled metabolic disease)
* Contraindications to spinal manipulation (i.e. Progressive neurological deficits, blood clotting disorders, severe osteoporosis, infectious and non-infectious inflammatory or destructive tissue changes of the spine)
D: Inclusion Criteria:

* Dutch speaking
* Willing to participate
* At least 18 years old
* Combination of headache and neck pain
* Headache since at least two months and at least twice a month
* A combination of migraine, tension type headache and cervicogenic headache

Exclusion Criteria:

* Clusterheadache
* Trigeminusneuralgia
* Peripheral neuropathy
* A history with neck surgery
* Comorbidity with chronic muskuloskeletal pain like fibromyalgia
* Radicular pain in the upper extremity
* Osteoarthritis
* Down Syndroom
* Physio/ manual therapy treatment in the last 12 months for this headache complaint.
* The use of prescribed medication (like NSAIDs and triptans) for this headache complaint during the last two months
* Pregnancy
* Red flags as described in the Dutch General Practitioners Headache Guideline

Answer: A