SMT and Exercise for Seniors with Chronic Neck Pain
Written by Editor   
Wednesday, September 03, 2014 10:53 AM

Neck pain, common among the elderly population, has considerable implications on health and quality of life. Evidence supports the use of spinal manipulative therapy (SMT) and exercise to treat neck pain.  A recent study sought to assess the relative effectiveness of SMT and supervised rehabilitative exercise, both in combination with and compared to home exercise (HE) alone for neck pain in individuals ages 65 years or older.

After 12 weeks of treatment,

  • the SMT with home exercise group demonstrated a 10% greater decrease in pain compared with the HE-alone group, and 5% change over supervised plus home exercise.
  • A decrease in pain favoring supervised plus HE over HE alone did not reach statistical significance.
  • Compared with the HE group, both combination groups reported greater improvement at week 12 and more satisfaction at all time points.

Multivariate longitudinal analysis incorporating primary and secondary patient-rated outcomes showed that the SMT with HE group was superior to the HE-alone group in both the short- and long-term. 

SMT with HE resulted in greater pain reduction after 12 weeks of treatment compared with both supervised plus HE and HE alone. Supervised exercise sessions added little benefit to the HE-alone program.