Journal of Manipulative and Physiological Therapeutics
TITLE
Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain
56 Experts, 50 Statements
SOURCE
https://pubmed.ncbi.nlm.nih.gov/31870638/
REFERENCE
144
NICE
REFERENCE
123
organisation
Journal of Manipulative and Physiological Therapeutics
TITLE
Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain
56 Experts, 50 Statements
SOURCE
https://pubmed.ncbi.nlm.nih.gov/31870638/
DISC COMMENTARY
A panel of experienced chiropractors reached formal expert consensus on best-practice recommendations for assessing and treating adult neck pain, covering both recent and long-standing cases through a structured, multi-round agreement process led by a national steering committee of clinicians and researchers.
What was studied?
A steering committee drafted 50 statements from current clinical guidelines, then 56 practising chiropractors rated them using a modified Delphi consensus process, reaching agreement on every statement within three rounds of review.
What did they find?
For recent neck pain, the panel recommended manual therapy, education and exercise, typically 6-12 visits at 3 or more times weekly. For long-standing neck pain, they recommended individualised combined care reviewed every 6-12 visits.
Why it matters
It gives a formally developed, expert-consensus guideline specifically for neck pain, one of the most common reasons patients seek chiropractic care, based on evidence rather than habit or financial incentive.
Why we included it
It illustrates a wider best-practice principle: combining hands-on treatment with exercise and education, reviewing progress regularly, and moving patients toward independence rather than long-term passive treatment reliance.
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What was studied?
A steering committee drafted 50 statements from current clinical guidelines, then 56 practising chiropractors rated them using a modified Delphi consensus process, reaching agreement on every statement within three rounds of review.
What did they find?
For recent neck pain, the panel recommended manual therapy, education and exercise, typically 6-12 visits at 3 or more times weekly. For long-standing neck pain, they recommended individualised combined care reviewed every 6-12 visits.
Why it matters
It gives a formally developed, expert-consensus guideline specifically for neck pain, one of the most common reasons patients seek chiropractic care, based on evidence rather than habit or financial incentive.
Why we included it
It illustrates a wider best-practice principle: combining hands-on treatment with exercise and education, reviewing progress regularly, and moving patients toward independence rather than long-term passive treatment reliance.