skip navigation
Welcome! Orthopedics Resources Neurology Resources #PTDOS Physical Therapy Pulse Contributors Store

Clinical Prediction Rules

Immediate positive treatment effect of cervical manipulation in patients with neck pain


89% chance of success with a cervical manipulation if 4 of the 6 criteria are met:

  • Initial scores on Neck Disability Index < 11.50
  • Bilateral involvement pattern
  • Not performing sedentary work > 5 hours/day
  • Feeling better while moving the neck
  • Does not feel worse while extending neck
  • Diagnosis of spondylosis without radiculopathy


Tseng YL, Want WT, Chen WY, et al. Predictors for the immediate responders to cervical manipulation in patients with neck pain. Man Ther, 2006;11(4):306-315.