Arnal Gómez, AnnaFuentes Aparicio, LauraMarques Sule, ElenaMonzani, LucasCogollos de la Peña, RocíoPavlu, DagmarEspí López, Gemma Victoria2025-11-052025-11-052025Arnal-Gómez, A., Fuentes-Aparicio, L., Marqués-Sulé, E., Monzani, L., Cogollos-de-la-Peña, R., Pavlu, D., & Espí-López, G. V. (2025). Comparative effectiveness of manual therapy and band exercises combined with high-intensity walking for pain, posture, and cardiorespiratory health in older adults: A randomised clinical trial. Frontiers in Medicine, 12, 1654670. https://doi.org/10.3389/fmed.2025.16546702296-858Xhttps://hdl.handle.net/11268/16439Musculoskeletal pain and cardiovascular and pulmonary disorders affect the growing population of older adults. Manual therapy has proven to be effective, however, research using elastic bands is still scarce. The aim of this manuscript is to compare the effects of elastic band program training versus a manual therapy protocol, both combined with high-intensity walking, on agerelated health parameters, such as pain, posture, and cardiorespiratory variables. Both protocols reduce pain. Manual therapy helps with nonspecific back pain and improves acromion-to-table posture, while elastic band treatment enhances trapezius pressure threshold and upper thoracic expansion. Neither improved lower thoracic mobility or respiratory variables.engAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/journal article10.3389/fmed.2025.1654670open accessCiencias médicasRehabilitación médicaPersonal paramédicoGoal 3: Ensure healthy lives and promote well-being for all at all agesGoal 4: Quality educationGoal 10: Reduce inequality within and among countries