{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:52:48Z","timestamp":1793123568724,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,5,5]],"date-time":"2017-05-05T00:00:00Z","timestamp":1493942400000},"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":["PM&amp;R"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The application of dry needling usually is associated with postneedling\u2010induced pain. A postneedling intervention to reduce this adverse event is needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the effectiveness of low\u2010load exercise on reducing postneedling\u2010induced pain after dry needling of active trigger points (TrPs) in the infraspinatus muscle in subacromial pain syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A 72\u2010hour follow\u2010up, single\u2010blind randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Urban hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Individuals with subacromial pain syndrome (n = 90, 52% female, mean age: 35 \u00b1 13 years) with active TrPs in the infraspinatus muscle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>All individuals received dry needling into the infraspinatus active TrP. Then, they were divided randomly into an experimental group, which received a single bout of low\u2010load exercise of shoulder muscles; a placebo group, which received inactive ultrasound for 10 minutes; and a control group, which did not receive any intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome Measures<\/jats:title><jats:p>Numerical Pain Rating Scale (0\u201010 point) was administered postneedling, immediately postintervention (2 minutes), and 24, 48, and 72 hours after needling. Shoulder pain (Numerical Pain Rating Scale, 0\u201010) and disability (Disabilities of the Arm, Shoulder and Hand; Shoulder Pain and Disability Index) were assessed before and 72 hour after needling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 5 \u00d7 3 analysis of covariance showed that the exercise group demonstrated a larger decrease in postneedling\u2010induced pain immediately after (<jats:italic>P<\/jats:italic> = .001), 24 hours (<jats:italic>P<\/jats:italic> = .001), and 48 hours after (<jats:italic>P<\/jats:italic> = .006) than placebo or control groups. No differences were found at 72 hours (<jats:italic>P<\/jats:italic> = .03). Similar improvements in shoulder pain (<jats:italic>P<\/jats:italic> &lt; .001) and related disability (Disabilities of the Arm, Shoulder and Hand: <jats:italic>P<\/jats:italic> &lt; .001; Shoulder Pain and Disability Index: <jats:italic>P<\/jats:italic> &lt; .001) were observed 72 hours after needling, irrespective of the treatment group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Low\u2010load exercise was effective for reducing postneedling\u2010induced pain on active TrPs in the infraspinatus muscle 24 and 48 hours after needling. The application of a postneedling intervention did not influence short\u2010term pain and disability changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>I<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2017.04.012","type":"journal-article","created":{"date-parts":[[2017,5,5]],"date-time":"2017-05-05T20:22:57Z","timestamp":1494015777000},"page":"1208-1216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Effects of Low\u2010Load Exercise on Postneedling\u2010Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain 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