{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:54:57Z","timestamp":1787025297002,"version":"build-2736575974"},"reference-count":39,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"1","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>OBJECTIVE: To determine the effect on Shoulder Pain and Disability Index (SPADI) scores of adding dry needling to a program of exercise and manual therapy in individuals with subacromial pain syndrome (SAPS).<\/jats:p>\n                  <jats:p>DESIGN: Three-arm randomized trial involving 121 participants with SAPS.<\/jats:p>\n                  <jats:p>METHODS: Participants were randomized to physical therapy (PT) treatment (PT Only), PT and sham dry needling (PT+SDN), or PT and dry needling (PT+DN) groups. The primary outcome was the SPADI at 1 year. Secondary measures included the Physical Function and Pain Interference subscales from the PROMIS-57, the Patient Acceptable Symptom State (PASS), and self-reported shoulder-related health care use. Linear marginal models and generalized estimating equations were used to identify differences between groups at each follow-up. Logistic regression was used to determine differences in health care use between groups at 1 year.<\/jats:p>\n                  <jats:p>RESULTS: Differences (95% confidence interval) in SPADI scores at 1 year between the PT+DN and PT Only (\u22127.51 [\u221216.57, 1.54]) and the PT+DN and PT+SDN (\u22129.85 [\u221218.98, 0.73]) groups did not reach statistical significance. Differences in the percentage of \u201cyes\u201d responses to the PASS were significant at 6 months between the PT+DN and PT Only groups (34% [14%\u201355%]) and the PT+DN and PT+SDN groups (24% [4%\u201345%]) and at 1 year between the PT+DN and PT+SDN groups (28% [7%\u201349%]). Participants in the PT+DN group were less likely to receive additional care for their shoulder in the year following enrollment ( OR = 0.35 [0.13, 0.95]).<\/jats:p>\n                  <jats:p>CONCLUSION: Adding dry needling to a standard PT program did not result in greater improvements in SPADI scores at 1 year. Improvements in secondary outcomes and patient-perceived symptom acceptability may suggest potential clinical value. J Orthop Sports Phys Ther 2026;56(1):50-63. 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