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Cervical Spine Manual Therapy for Aging and Older Adults
Topics in Geriatric Rehabilitation
  • Frank Tudini, Sacred Heart University
  • Kevin Chui, Sacred Heart University
  • Jason Grimes, Sacred Heart University
  • Rachel Laufer, Sacred Heart University
  • Sean Kim, Sacred Heart University
  • Sheng-Che Yen, Northeastern University
  • Victor G. Vaughan, Sacred Heart University
Document Type
Peer-Reviewed Article
Publication Date
Physical Therapy

Neck pain is a common problem in aging and older adults. This narrative review synthesizes recent literature on manual therapy to the cervical spine and adjacent regions. Emphasis has been placed on summarizing high-quality randomized clinical trials, systematic reviews with a narrative synthesis or meta-analysis, and clinical practice guidelines. The synthesis suggests that although there is limited high-quality evidence, a multimodal approach including manual therapy and exercise seems safe and effective, especially in the short term, for improving outcomes in aging and older adults with neck pain. The results for cervicogenic dizziness and headache were too varied to arrive at a firm conclusion. Additional research using consistent outcome measures is needed to establish the optimal manual therapy techniques and parameters for these common cervical conditions.


Published Ahead of Print, Post Author Corrections: July 31, 2015.

Citation Information

Tudini, F., Chui, K., Grimes, J., Laufer, R., Kim, S., Yen, S., & Vaughan, V. "Cervical Spine Manual Therapy for Aging and Older Adults." Topics in Geriatric Rehabilitation. Published Ahead of Print, Post Author Corrections: July 31, 2015. Accessed 11 November 2015 DOI: 10.1097/TGR.0000000000000075