Abstract： Objective To investigate the clinical effect of tendon-regulating and bone-setting manipulation combined with exer-cise in the treatment of cervical-type cervical spondylosis.Methods A total of 60 patients with cervical-type cervical spondylo-sis were randomly divided into treatment group and control group,with 30 patients in each group.The patients in the treatment group were given tendon-regulation and bone-setting manipulation combined with exercise,and those in the control group were given traction therapy combined with exercise.Before and after treatment,a hand-held tenderness instrument was used to meas-ure the tenderness threshold at the site of neck pain;a joint angle ruler was used to measure the joint range of motion of the cervical vertebra;the integrated electromyogram(iEMG)of surface electromyography was collected for neck muscles to calcu-late the co-contraction ratio(CCR)of the muscles in forward flexion,back extension,and lateral flexion of the neck;neck dys-function index(NDI)was used to evaluate the degree of functional improvement;clinical outcome was evaluated finally.Results After treatment,both groups had alleviation of pain,an increase in the range of motion of cervical vertebra,a reduc-tion in the CCR of neck muscles,and a reduction in NDI(P＜0.05),and compared with the control group,the treatment group had significantly greater improvements in pain,the range of motion of cervical vertebra,the CCR of neck muscles,and NDI(P＜0.05).The treatment group had a significantly better clinical outcome than the control group(P＜0.05).Conclusion For patients with cervical-type cervical spondylosis,tendon-regulating and bone-setting manipulation combined with exercise can effectively alleviate pain and improve joint activity,neck muscle coordination,and dysfunction,with a better clinical effect than traction therapy combined with exercise.