INTRODUCTION: The efficacy of exercises targeting sensorimotor functions in treatment of neck pain is increasingly acknowledged. To further develop this type of exercises we have designed a novel device (patent pending) and method for neck coordination training. The purpose of this study was to obtain indications of the usability of the method and its effects on sensorimotor functions, pain and functioning in neck pain patients. METHODS: Subjects with non-traumatic chronic neck pain (n=14) participated in this uncontrolled clinical trial. The neck exercise was an open skills task with adjustable difficulty. With visual feedback, subjects had to control the movement of a metal ball on a flat surface with a rim which was strapped on the subjects’ head. Before and after the intervention (eight sessions), pain ratings, postural sway and jerkiness-, range-, position sense-, movement time- and velocity of cervical rotation were assessed. At six-month follow up self rated pain, health and functioning was collected. RESULTS: Patients were overall positive to the exercise. A significant reduction in postural sway and jerkiness of cervical rotation was revealed after the training. The six-month follow up showed decreased disability and fear of movement, as well as increased general health and well being. CONCLUSION: The results support the clinical applicability of the method. The improved sensorimotor functions suggest transfer from the exercise to more general, non-task specific motor functions. The follow up may indicate a long term beneficial effect.