Evidence map›Paper›PMID 34525901›Full record

Trial reportThe Journal of manual & manipulative therapy2022

Effect of dry needling on lumbar muscle stiffness in patients with low back pain: A double blind, randomized controlled trial using shear wave elastography.

Shane L Koppenhaver, Amelia M Weaver, Tyler L Randall, Ryan J Hollins, Brian A Young, Jeffrey J Hebert, Laurel Proulx, Cesar Fernández-de-Las-Peñas

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of manual & manipulative therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06687889 completednot on this mapstarted 2024, after this paper: background citation

The Effect of Abdominal and Lumbar Muscle Stiffness Assessed by Elastography on Vertebral Fractures: A Cross-Sectional Study in Women Over 60

TypeobservationalSponsorAnkara City Hospital BilkentRan2024 to 2025Enrolled81ConditionsOsteoporosis in Post-menopausal Women, Vertebral Body Fractures, Balance, PosturalArmsElastography Measurements, Bone Mineral Density Measurement (DEXA), Berg balance scale, Functional reach test, Timed Up and Go Test
NCT07550933 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Dry Needling for Releasing the Sacrotuberous Ligament on Pain Intensity, Functional Disability, and Biomechanical Changes in Patients With Sacroiliac Joint Dysfunctions

TypeinterventionalSponsorUniversity of Social Welfare and Rehabilitation ScienceRan2026 to 2026Enrolled60ConditionsSacroiliac Joint DysfunctionArmsGroup A: Dry Needling, Group B: Sham Dry Needling
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

Shane L KoppenhaverPhysical Therapy Department, Baylor University Doctoral Program in Physical Therapy, Waco, Texas, USA.
Amelia M WeaverArmy Medical Center of Excellence, U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, Texas, USA.
Tyler L RandallArmy Medical Center of Excellence, U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, Texas, USA.
Ryan J HollinsArmy Medical Center of Excellence, U.S. Army-Baylor University Doctoral Program in Physical Therapy, San Antonio, Texas, USA.
Brian A YoungPhysical Therapy Department, Baylor University Doctoral Program in Physical Therapy, Waco, Texas, USA.
Jeffrey J HebertUniversity of New Brunswick, Faculty of Kinesiology, Fredericton, New Brunswick, CAN.
Laurel ProulxMurdoch University, Scholl of Psychology and Exercise Science, Murdoch, Western Australia, Australia.
Cesar Fernández-de-Las-PeñasDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (Urjc), Alcorcón, Madrid, Spain.
Baylor University · USRegis University · USUnited States Army Medical Command · USUniversidad Rey Juan Carlos · ESUniversity of New Brunswick · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDry needling treatment focuses on restoring normal muscle function in patients with musculoskeletal pain; however, little research has investigated this assertion. Shear wave elastography (SWE) allows quantification of individual muscle function by estimating both resting and contracted muscle stiffness.

objectiveTo compare the effects of dry needling to sham dry needling on lumbar muscle stiffness in individuals with low back pain (LBP) using SWE.

methodsSixty participants with LBP were randomly allocated to receive one session of dry needling or sham dry needling treatment to the lumbar multifidus and erector spinae muscles on the most painful side and spinal level. Stiffness (shear modulus) of the lumbar multifidus and erector spinae muscles was assessed using SWE at rest and during submaximal contraction before treatment, immediately after treatment, and 1 week later. Treatment effects were estimated using linear mixed models.

resultsAfter 1 week, resting erector spinae muscle stiffness was lower in individuals who received dry needling than those that received sham dry needling. All other between-groups differences in muscle stiffness were similar, but non-significant.

conclusionDry needling appears to reduce resting erector spinae muscle following treatment of patients with LBP. Therefore, providers should consider the use of dry needling when patients exhibit aberrant stiffness of the lumbar muscles.

Indexed as

Dry NeedlingElasticity Imaging TechniquesLow Back PainHumansLumbosacral RegionParaspinal MusclesDry needlingelastographylow back painmuscleultrasound

Identifiers

PMID34525901
PMCPMC9255226
OpenAlexW3201380010

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.