British Medical Journal        

Manipulation of the cervical spine should not be abandoned. Recently, an international multidisciplinary task force endorsed manipulation as one of several firstline treatments for neck pain, whiplash and related headaches based on a systematic review of randomized clinical trials of interventions and research on adverse events. They also published an original decision analysis model examining drugs, exercise, mobilization and manipulation for neck pain, including summary estimates on benefits and harms, and incorporating patient preferences using the standard gamble method. Overall, there was no clear winner when the objective was to maximize quality adjusted life.

Abstract avaible here.