Evidence map›Paper›PMID 42723892›Full record

ArticleFrontiers in pediatrics2026

Adjunctive dry needling reduces spasticity and improves functional outcomes in children with cerebral palsy: a single-blind randomized controlled trial.

Nouf H Alkhamees, Osama R Abdelraouf, Mohamed A Abdel Ghafar, Zizi M Ibrahim, Eman M Harraz, Mohamed K Seyam, Walaa E Morsy, Mohamed M Ahmed

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nouf H AlkhameesDepartment of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Osama R AbdelraoufPhysical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Mohamed A Abdel GhafarPhysical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Zizi M IbrahimDepartment of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Eman M HarrazDepartment of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Mansoura University, Dakahlia, Egypt.
Mohamed K SeyamDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.
Walaa E MorsyPhysical Therapy Department, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Mohamed M AhmedPhysical Therapy Department, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spastic cerebral palsy is the most prevalent motor disability in childhood, and the alleviation of spasticity has been a primary rehabilitation objective with the view of improving the outcomes of functional recovery. Dry needling (DN) has demonstrated some efficacy in adult neurology, but controlled evidence is limited in children. This study tested the hypothesis that incorporating DN into traditional physical therapy is effective in improving spasticity, gross motor functions, and functional mobility in ambulant children with spastic cerebral palsy. Methods: Forty-eight children with spastic diplegia cerebral palsy, ages 6-12 years, were randomly allocated to either a DN group (DN plus traditional therapy) or a traditional rehabilitation (TR) group (traditional therapy alone). Interventions lasted 12 weeks. Outcome measures included the Modified Ashworth Scale (MAS), Gross Motor Function Measure (GMFM-88; dimensions D and E), and Timed Up and Go (TUG) test. Results: MANOVA analyses showed that both groups significantly improved across all outcomes ( Conclusion: Dry needling in combination with traditional physical therapy was associated with greater improvements in spasticity, motor function, and mobility than traditional therapy alone. DN was tolerable and could be a safe and effective additional intervention for ambulatory children with mild-to-moderate spastic cerebral palsy.

Indexed as

dry needlingfunctional mobilitygross motor functionneuromuscular rehabilitationspastic cerebral palsy

Identifiers

PMID42723892
PMCPMC13558145

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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.