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There was a significant group-by-time inter-action effect in active cervical range of motion flexion\/extension where the NSEIT group improved to 3-month follow-up, but the NSE group did not. Both groups were significantly improved over time in all other outcomes (p\u2009&lt;\u20090.001) at 3- and 15-month follow-ups, with effect size between 0.64 and 1.35 in active cervical range of motion, cranio-cervical flexion test, dorsal neck muscle endurance, and neck pain, and effect size between 0.22 and 0.42 in ventral neck muscle endurance.\nConclusion: Both NSE and NSEIT led to improved neck function. 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