Leaver and colleagues conducted a randomized controlled trial to compare the effectiveness
of manipulation and mobilization in the treatment of nonspecific neck pain. Analysis
of 182 patients with recent onset neck pain revealed that participants treated with
neck manipulation did not undergo a more rapid recovery than those treated with mobilization.
Statistical analysis revealed no statistical significance between those receiving
manipulation and those mobilization in terms of pain, disability, function, global
perceived effect, or health-related quality of life. The authors conclude that manipulation
is not appreciably more effective than mobilization and that the choice to use one
over the other cannot be justified on the basis of superior effectiveness. • SEE PAGE 1313
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© 2010 Published by Elsevier Inc. All rights reserved.
