Evidence map›Paper›PMID 39930809›Full record

Trial reportThe Journal of manual & manipulative therapy2025

The effects of dry needling on muscle blood flow of the infraspinatus muscle in individuals with shoulder pain - a randomized clinical trial.

Jace Brown, Gary Kearns, Kelli Brizzolara, Mark Weber, Sharon Wang-Price

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of manual & manipulative therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

5 authors.

Jace BrownSchool of Physical Therapy, Texas Woman's University, Dallas, TX, USA.ORCID 0009-0002-3645-9828
Gary KearnsDepartment of Rehabilitation Sciences, School of Health Professions, Texas Tech University Health Sciences Center, Lubbock, TX, USA.ORCID 0000-0002-6530-2611
Kelli BrizzolaraSchool of Physical Therapy, Texas Woman's University, Dallas, TX, USA.ORCID 0000-0003-1612-8132
Mark WeberSchool of Physical Therapy, Texas Woman's University, Dallas, TX, USA.ORCID 0000-0001-8826-2029
Sharon Wang-PriceSchool of Physical Therapy, Texas Woman's University, Dallas, TX, USA.ORCID 0000-0002-6873-3310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with shoulder pain have a higher occurrence of myofascial trigger points (MTrPs). In the past decade, dry needling (DN) has been used in physical therapy practice to treat MTrPs. Impaired blood flow is proposed as an underlying mechanism of MTrPs in neck-shoulder pain. However, whether DN would improve muscle blood flow in individuals with shoulder pathology has not been examined. Therefore, the primary purpose of this study was to use color Doppler imaging to examine the effects of DN on the blood flow of the infraspinatus muscle in individuals with shoulder pain. The secondary purpose was to examine the effects of DN on sensitivity to pressure and shoulder range of motion (ROM) of the infraspinatus muscle in individuals with shoulder pain.

methodThis randomized comparison trial utilized a sham-controlled design. Forty individuals with nonspecific shoulder pain and at least one MTrP in the infraspinatus muscle were randomly assigned to a real DN group or a sham DN group. Outcome measures, including blood flow parameters, ROMs of shoulder internal rotation and external rotation, and pressure pain threshold (PPT) were collected before and immediately after a single session of DN.

resultsThe repeated measure ANOVA results revealed that real DN significantly decreased peak systolic velocity (PSV) and increased shoulder internal and external rotation ROM more than sham DN (

conclusionThe results indicated that participants who received real DN exhibited a significant reduction in PSV, suggesting improved blood flow to the infraspinatus muscle. Participants who received real DN exhibited improvements in shoulder ROM but showed no reductions in sensitivity to pressure. These results may provide clinicians with evidence for the use of DN for individuals with shoulder pain.

Indexed as

Dry NeedlingMuscle, SkeletalMyofascial Pain SyndromesShoulder PainAdultFemaleHumansMaleMiddle AgedPain ThresholdRange of Motion, ArticularRegional Blood FlowUltrasonography, Doppler, Colorcolor DopplerMyofascial paintender pointstrigger points

Identifiers

PMID39930809
PMCPMC12281648

What OpenQuestion holds

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Registered trials

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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.