{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:10:25Z","timestamp":1792087825763,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T00:00:00Z","timestamp":1566864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Piriformis muscle syndrome (PMS) is a disorder that can lead to symptoms of buttock pain and limited hip\u2010joint mobility, and may have an impact on quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010two patients with PMS were randomized to the treatment group, which included three sessions of ultrasound\u2010guided dry needling (DN) of the piriformis muscle (n = 16), or a waitlist control group (n = 16). The primary outcome was pain intensity measured on the visual analog scale recorded at baseline and then at 72\u2009hours and 1\u2009week after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 1\u2010week follow\u2010up, pain intensity was significantly less in the DN group than in the waitlist control group (\u22122.16 [\u22121.01 to \u22123.32], <jats:italic>P<\/jats:italic> = .007) by an amount consistent with clinically meaningful improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The findings suggest that DN resulted in clinically meaningful short\u2010term improvement in pain intensity of patients with PMS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.26671","type":"journal-article","created":{"date-parts":[[2019,8,15]],"date-time":"2019-08-15T12:37:01Z","timestamp":1565872621000},"page":"558-565","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Ultrasound\u2010guided dry needling decreases pain in patients with piriformis syndrome"],"prefix":"10.1002","volume":"60","author":[{"given":"Abbas","family":"Tabatabaiee","sequence":"first","affiliation":[{"name":"Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail Ebrahimi","family":"Takamjani","sequence":"additional","affiliation":[{"name":"Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javad","family":"Sarrafzadeh","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Rehabilitation Sciences Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Salehi","sequence":"additional","affiliation":[{"name":"Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21318"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.10.069"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-017-2031-8"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.02.017"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.14260\/jemds\/568"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.30622"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(91)90227-O"},{"issue":"1","key":"e_1_2_9_9_1","article-title":"Rehab recommendations for piriformis syndrome","volume":"24","author":"Kim Christensen D","year":"2006","journal-title":"Dynamic Chiropractic"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-5-3"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s42399-018-0022-7"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(03)00105-6"},{"issue":"1","key":"e_1_2_9_13_1","first-page":"S54","article-title":"Piriformis syndrome: a narrative review of the anatomy, diagnosis, and treatment","volume":"11","author":"Probst D","year":"2019","journal-title":"PM R."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1179\/106698111X13129729552065"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2017.06.003"},{"key":"e_1_2_9_16_1","volume-title":"Trigger Point Dry Needling E\u2010Book: An Evidence and Clinical\u2010Based Approach","author":"Dommerholt J","year":"2018"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1179\/108331913X13844245102034"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.2478\/tperj-2013-0012"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1179\/2042618613Y.0000000044"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2018.05.007"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-002-0464-0"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000222141.61424.f7"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2013.12.006"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2017-0243"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2006.08.337"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.05.005"},{"key":"e_1_2_9_27_1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.36076\/ppj\/2015.18.163","article-title":"Piriformis syndrome: comparison of the effectiveness of local anesthetic and corticosteroid injections: a double\u2010blinded, randomized controlled study","volume":"18","author":"Misirlioglu TO","year":"2015","journal-title":"Pain Phys."},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.02.007"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0024338"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2018.04.002"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/10669817.2017.1346745"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199407000-00006"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200110000-00004"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2017.08.002"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.11.018"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-013-0348-5"},{"key":"e_1_2_9_37_1","first-page":"1","article-title":"Evaluation of neural therapy effect in patients with piriformis syndrome","volume":"2018","author":"Nazl\u0131kul H","journal-title":"J Back Musculoskel Rehabil."},{"key":"e_1_2_9_38_1","first-page":"307","article-title":"The muscle twitch in myofascial pain relief: effects of acupuncture and other needling methods","volume":"42","author":"Chu J","year":"2002","journal-title":"Electromyogr Clin Neurophysiol."},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2008.06.006"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00419.2005"},{"key":"e_1_2_9_41_1","first-page":"118","article-title":"The effects of dry needling in combination with physical therapy on improvement of pain and hip internal rotation range in patients with piriformis syndrome","volume":"3","author":"Jamaly A","year":"2018","journal-title":"J Clin Physiother Res."},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijri.IJRI_133_18"}],"container-title":["Muscle &amp; Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.26671","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.26671","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mus.26671","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.26671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T13:40:53Z","timestamp":1693748453000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.26671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,27]]},"references-count":41,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1002\/mus.26671"],"URL":"https:\/\/doi.org\/10.1002\/mus.26671","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,27]]},"assertion":[{"value":"2019-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}