HelpDesk AnswersIs spinal manipulation therapy more effective than home exercise as a treatment for neck pain?Scott, Ryan DO; Satre, Thomas MD Author Information University of Minnesota St. Cloud, MN Evidence-Based Practice 18(3):p 10-11, March 2015. | DOI: 10.1097/01.EBP.0000540919.34109.f4 Buy Metrics Abstract Evidence-Based Answer No, spinal manipulation is no more effective than home exercise for relief of acute or subacute neck pain (SOR: B, single RCT). For chronic neck pain in patients older than 65 years, the combination of spinal manipulation and home exercise may be more effective in the short term than home exercise alone, but this difference disappears in the long term (SOR: B, small RCTs). No studies used sham manipulation as a control. © Copyright 2015 Family Physicians Inquiries Network, Inc.