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Manual Therapy vs Exercise for Chronic Neck Pain: Role of Adherence
September 2025
Manual Therapy vs Exercise for Chronic Neck Pain: Role of Adherence
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Manual therapy and neck-specific exercise are equally effective for treating non-specific neck pain but only when exercise adherence is maximised: A randomised controlled trial.
Musculoskelet Sci Pract . 2025 Jun:77:103319.Synopsis
Sixty-five patients with non-specific chronic neck pain were randomized to receive manual therapy (n=30) or a progressive neck-specific exercise program (n=29), each delivered once weekly for four weeks. The primary outcome was a composite “responder” status (meeting MCID in ≥2 of: 24-h pain, Neck Disability Index, and global rating of change). Secondary outcomes included pain intensity (24-h and ...
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