{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T16:56:28Z","timestamp":1774630588996,"version":"3.50.1"},"reference-count":93,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background: The aim of this study was to derive and internally validate a prescriptive clinical prediction rule (CPR) for identifying baseline factors associated with short-term clinical improvement in patients with neck pain (NP) undergoing a manual therapy (MT)-based physiotherapy program. Methods: A prospective cohort study was conducted, including 71 patients with NP (18\u201365 years). Participants received six MT-based sessions over three weeks. Baseline assessments included Pain Intensity Numeric Rating Scale (PI-NRS), Neck Disability Index (NDI), Body Mass (BM), Body Mass Index (BMI), International Physical Activity Questionnaire-Short Form (IPAQ-SF), Hospital Anxiety and Depression Scale (HADS), Minnesota Satisfaction Questionnaire-Short Form (MSQ), and Craniovertebral Angle (CVA). Clinical improvement was defined using the Global Perceived Effect Scale (GPES-7). Univariate analyses, receiver operating characteristic (ROC) curve analysis, and forward stepwise logistic regression were performed to derive the predictive model. Results: Fifty-six participants (78.9%) reported moderate to complete improvement. BM \u2265 76.5 kg and MSQ score \u2264 42.5 were retained in the final regression model. When both predictors were present, the probability of clinical improvement increased to 96.43% (positive likelihood ratio = 7.58). The model demonstrated adequate fit (Nagelkerke R2 = 0.247; Hosmer\u2013Lemeshow p = 0.804). Internal validation yielded an optimism-corrected AUC of 0.741, suggesting minimal overfitting. Conclusions: Higher BM and lower MSQ score were associated with greater short-term improvement following MT in patients with NP. These findings highlight the relevance of integrating physical and psychosocial factors in prescriptive rehabilitation approaches. External validation of this CPR is required before clinical implementation.<\/jats:p>","DOI":"10.3390\/reports9020098","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T15:45:42Z","timestamp":1774626342000},"page":"98","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive Factors for Clinical Improvement Following a Manual Therapy-Based Program in Patients with Neck Pain: A Prescriptive Clinical Prediction Rule Derivation Study"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1552-010X","authenticated-orcid":false,"given":"Emmanouil","family":"Kapernaros","sequence":"first","affiliation":[{"name":"Master\u2019s Degree Program \u201cNew Methods in Physiotherapy\u201d, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7014-892X","authenticated-orcid":false,"given":"Maria","family":"Moutzouri","sequence":"additional","affiliation":[{"name":"Master\u2019s Degree Program \u201cNew Methods in Physiotherapy\u201d, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"},{"name":"Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4760-6766","authenticated-orcid":false,"given":"Georgios","family":"Krekoukias","sequence":"additional","affiliation":[{"name":"Master\u2019s Degree Program \u201cNew Methods in Physiotherapy\u201d, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"},{"name":"Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Chrysagis","sequence":"additional","affiliation":[{"name":"Master\u2019s Degree Program \u201cNew Methods in Physiotherapy\u201d, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"},{"name":"Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7709-2802","authenticated-orcid":false,"given":"George A.","family":"Koumantakis","sequence":"additional","affiliation":[{"name":"Master\u2019s Degree Program \u201cNew Methods in Physiotherapy\u201d, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"},{"name":"Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.mayocp.2014.09.008","article-title":"Epidemiology, diagnosis, and treatment of neck pain","volume":"90","author":"Cohen","year":"2015","journal-title":"Mayo Clin. 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