“A randomized clinical
trial of exercise and spinal manipulation for chronic
neck pain" G
Bronfort, DC, PhD, Roni Evans, DC, BW
Nelson, MD, PD
Aker, DC, MSc, CH Goldsmith, PhD, H Vernon, DC. Spine
26(7):788-799, 2001.
Key Findings:
Chronic neck pain patients
were randomized to three groups, one receiving
chiropractic only, one chiropractic plus aggressive exercise, and one
aggressive exercise only (PNBC). Of the six outcome measures, the PNBC
patients were rated best in four, tied for best in one, and second in
another (patient satisfaction).
Chiropractic alone finished
last in all outcome categories. The study
shows that adding passive modalities to aggressive exercise contributes
nothing to the outcome but does add a layer of cost.