This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database.

This study aims to assess the effectiveness of spinal manipulation on chronic neck pain.

We found no randomised controlled trials comparing spinal manipulation with placebo or no treatment for chronic neck pain. We were, therefore, unable to draw conclusions about the effects of spinal manipulation relative to the natural progression of this condition.

We found some evidence that spinal manipulation is equivalent to physiotherapy, intensive neck and shoulder training, and that spinal manipulation plus exercise may be more effective than spinal manipulation alone in reducing pain.