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Eric L. Hurwitz, DC, PhD, Hal Morgenstern, PhD, Philip Harber, MD, MPH, Gerald F. Kominski, PhD, Fei Yu, PhD and Alan H. Adams, DC, MS

Eric L. Hurwitz and Hal Morgenstern are with the Department of Epidemiology, School of Public Health, University of California, Los Angeles, and the Southern California University of Health Sciences, Whittier. Philip Harber is with the School of Medicine, University of California, Los Angeles. Gerald F. Kominski is with the Department of Health Services, School of Public Health, University of California, Los Angeles. Fei Yu is with the Department of Epidemiology, School of Public Health, University of California, Los Angeles. Alan H. Adams is with the Southern California University of Health Sciences.

Correspondence: Requests for reprints should be sent to Eric L. Hurwitz, DC, PhD, UCLA School of Public Health, Department of Epidemiology, Box 951772, Los Angeles, CA 90095-1772 (e-mail: ehurwitz{at}ucla.edu).

Objectives. This study compared the relative effectiveness of cervical spine manipulation and mobilization for neck pain.

Methods. Neck-pain patients were randomized to the following conditions: manipulation with or without heat, manipulation with or without electrical muscle stimulation, mobilization with or without heat, and mobilization with or without electrical muscle stimulation.

Results. Of 960 eligible patients, 336 enrolled in the study. Mean reductions in pain and disability were similar in the manipulation and mobilization groups through 6 months.

Conclusions. Cervical spine manipulation and mobilization yield comparable clinical outcomes.

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