BACKGROUND CONTEXT: @entity4048 is a common musculoskeletal complaint responsive to manual therapies. Doctors of chiropractic commonly use manual cervical distraction, a mobilization procedure, to treat @entity4048 @entity1 . However, it is unknown if clinicians can consistently apply standardized cervical traction forces, a critical step toward identifying an optimal therapeutic dose. PURPOSE: To assess clinicians' proficiency in delivering manually applied traction forces within specified ranges to @entity4048 @entity1 . STUDY DESIGN: An observational study nested within a randomized clinical trial. SAMPLE: Two research clinicians provided study interventions to 48 @entity1 with @entity4048 . OUTCOME MEASURES: Clinician proficiency in delivering cervical traction forces within three specified ranges (low force, less than 20 N; medium force, 21-50 N; and high force 51-100 N). METHODS: @entity1 were randomly allocated to three force-based treatment groups. @entity1 received five manual cervical distraction treatments over 2 weeks while lying prone on a treatment table instrumented with force sensors. Two clinicians delivered manual traction forces according to treatment groups. Clinicians treated @entity1 first without real-time visual feedback displaying traction force and then with visual feedback. Peak traction force data were extracted and descriptively analyzed. RESULTS: Clinicians delivered manual cervical distraction treatments within the prescribed traction force ranges 75% of the time without visual feedback and 97% of the time with visual feedback. CONCLUSIONS: This study demonstrates that doctors of chiropractic can successfully deliver prescribed traction forces while treating @entity4048 @entity1 , enabling the capability to conduct force-based dose response clinical studies.

Clinician proficiency in delivering manual treatment for XXXX within specified force ranges.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'Participants'] @entity4048 :: ('MESH:D019547', 'Disease') :: ['neck pain', 'Neck pain']
@entity4048 :: (MESH:D019547,Disease) :: ['neck pain']
