A randomized trial of chiropractic manipulation and mobilization for patients with neck pain: clinical outcomes from the UCLA neck-pain study

Am J Public Health. 2002 Oct;92(10):1634-41. doi: 10.2105/ajph.92.10.1634.


Objectives: This study compared the relative effectiveness of cervical spine manipulation and mobilization for neck pain.

Methods: Neck-pain patients were randomized to the following conditions: manipulation with or without heat, manipulation with or without electrical muscle stimulation, mobilization with or without heat, and mobilization with or without electrical muscle stimulation.

Results: Of 960 eligible patients, 336 enrolled in the study. Mean reductions in pain and disability were similar in the manipulation and mobilization groups through 6 months.

Conclusions: Cervical spine manipulation and mobilization yield comparable clinical outcomes.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • California
  • Chiropractic / methods*
  • Combined Modality Therapy
  • Disability Evaluation
  • Electric Stimulation Therapy*
  • Female
  • Health Maintenance Organizations
  • Hot Temperature / therapeutic use*
  • Humans
  • Male
  • Manipulation, Chiropractic*
  • Middle Aged
  • Neck Pain / classification
  • Neck Pain / therapy*
  • Pain Measurement
  • Treatment Outcome