Both Instrumental and Manual Manipulation Effective

Thirty patients diagnosed with neck pain were studied to determine the effect of cervical manipulations delivered by means of a hand-held instrument in comparison with traditional manual-delivered thrust cervical manipulations. The study found both treatment methods had a positive effect on outcome measures, with no significant difference being observed between the two groups. Both forms of manipulation were found to have beneficial effects associated with reducing pain and disability and improving cervical range of motion in this patient population.