Muhammad Shahid Shabbir , Aruba Saeed , Sidra Tariq , Naqash Shabbir , Rida Nasir , Huma Riaz
{"title":"Effects of segmental muscle vibration on flexor and extensor groups of the upper limb in enhancing functional recovery after stroke: A randomized trial","authors":"Muhammad Shahid Shabbir , Aruba Saeed , Sidra Tariq , Naqash Shabbir , Rida Nasir , Huma Riaz","doi":"10.1016/j.jbmt.2025.07.019","DOIUrl":"10.1016/j.jbmt.2025.07.019","url":null,"abstract":"<div><h3>Background</h3><div>Upper limb motor impairment is a common sequela of stroke, often leading to long-term functional limitations. Segmental vibration therapy (SVT) has been proposed to facilitate sensorimotor recovery by enhancing proprioceptive input and cortical excitability. However, its differential effects on upper limb flexor and extensor muscle groups remain underexplored.</div></div><div><h3>Objective</h3><div>The objective of this study was to determine the effects of segmental vibration on flexors and extensor muscle groups for upper limb functional ability, recovery, and spasticity in post-stroke patients.</div></div><div><h3>Methodology</h3><div>This two-arm, parallel-design, double-blinded randomized clinical trial was conducted at Zohra Institute of Health Sciences. A total of 62 patients were recruited using a non-probability convenience sampling technique and randomized into two groups through an online randomization tool. Group A received low-frequency segmental muscle vibration (41 Hz) applied over the flexor muscles of the upper limb, along with routine physical therapy. Group B received the same vibration frequency applied to the extensor muscles of the upper limb, in addition to routine physical therapy. Stroke patients with spasticity graded 1–3 on the Modified Ashworth Scale and who were 3–6 months post-stroke were included in the study. The intervention lasted for six weeks, comprising 18 sessions (three sessions per week). The Wolf Motor Function Test (WMFT) was used to assess upper extremity functional ability, while the Fugl-Meyer Assessment (FMA) evaluated motor function. Muscle spasticity was measured using the Modified Ashworth Scale (MAS), and motor recovery stages were assessed via the Brunnstrom scale. Data analysis was performed using SPSS version 26. An independent <em>t</em>-test was used for between-group comparisons, and a paired <em>t</em>-test was applied for within-group analysis.</div></div><div><h3>Results</h3><div>Post-intervention, WMFT scores improved in Group A (60.93 ± 6.12) compared to Group B (58.45 ± 7.66), though the difference was not statistically significant (<em>p</em> = 0.207). MAS scores decreased in Group A (0.56 ± 0.58) versus Group B (0.72 ± 0.74; <em>p</em> = 0.151). BSMR scores improved in both Group A (4.94 ± 1.19) and Group B (5.25 ± 1.23; <em>p</em> = 0.148). FMA scores increased in Group A (57.41 ± 3.97) compared to Group B (53.61 ± 4.89; <em>p</em> = 0.151). However, none of the between-group differences reached statistical significance.</div></div><div><h3>Conclusion</h3><div>The findings of this study suggest that segmental vibration therapy applied to both flexor and extensor muscles effectively improves upper limb function in post-stroke patients. However, no statistically significant difference was observed between the effects of vibration therapy on the two muscle groups.</div></div><div><h3>Trial registration</h3><div>The trial registration number for this study i","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zin May Kyaw, Duangporn Suriyaamarit, Soontharee Taweetanalarp
{"title":"Factors influencing the brief balance evaluation systems test (Brief-BESTest) in school-aged children between five to seven years old: A cross-sectional study","authors":"Zin May Kyaw, Duangporn Suriyaamarit, Soontharee Taweetanalarp","doi":"10.1016/j.jbmt.2025.07.014","DOIUrl":"10.1016/j.jbmt.2025.07.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Postural control is essential for maintaining stability during movement and plays a key role in children's physical development, enabling daily activities. The brief balance evaluation systems test (Brief-BESTest) assesses six key components of postural control through eight items and has proven reliable and valid for pediatric populations. However, research on factors affecting Brief-BESTest scores in school-aged children remains limited. Recognizing these factors supports early balance issue detection and targeted pediatric physiotherapy.</div></div><div><h3>Objective</h3><div>To identify factors influencing Brief-BESTest scores in children aged five to seven years.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 90 typically developing children (42 boys, 48 girls; mean age 76.21 ± 9.62 months). Anthropometric measurements were collected, and postural control was evaluated using the Brief-BESTest. Univariate analyses identified significant variables, which were further examined through multilinear regression to determine predictors of Brief-BESTest scores, with a p-value of 0.05 considered significant.</div></div><div><h3>Results</h3><div>The final regression model accounted for 40 % of the variance in Brief-BESTest scores. Age and BMI emerged as significant predictors, summarized by the equation: Brief-BESTest score = 8.75 + (0.17 × Age) – (0.15 × BMI). Older children demonstrated better balance scores, while higher BMI was linked to poorer postural control.</div></div><div><h3>Conclusion</h3><div>Age and BMI are key factors influencing balance in young children. These findings can assist pediatric physiotherapists in tailoring interventions based on individual characteristics. Future research should explore additional variables such as socioeconomic status, cognitive function, muscle strength, physical activity, and cultural or environmental influences on postural control.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 797-801"},"PeriodicalIF":1.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gina Olívia Brigido da Costa Curi, Franciele Dias Costa, Victor de Souza Medeiros, Vinícius Dias Barbosa, Thiago Ribeiro Teles Santos, Valdeci Carlos Dionisio
{"title":"Effect of core muscle fatigue on the performance, kinematics, and electromyography of horizontal hop in recreational runners with and without dynamic knee valgus","authors":"Gina Olívia Brigido da Costa Curi, Franciele Dias Costa, Victor de Souza Medeiros, Vinícius Dias Barbosa, Thiago Ribeiro Teles Santos, Valdeci Carlos Dionisio","doi":"10.1016/j.jbmt.2025.07.011","DOIUrl":"10.1016/j.jbmt.2025.07.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Runners experience fatigue during training and competition, and core endurance is crucial for maintaining trunk and lower limb stability during dynamic and functional tasks, such as the single-leg hop test for distance, which simulates the challenges of running. This study aimed to compare performance, kinematic, and electromyographic parameters between recreational runners with and without dynamic knee valgus during a single-leg hop test for distance before and after a core fatigue protocol.</div></div><div><h3>Methods</h3><div>Thirty-eight recreational runners were divided into groups with (valgus group: n = 17) and without dynamic knee valgus (non-valgus group: n = 21). During the single-leg hop test for distance, we measured performance, kinematics, and electromyographic activity.</div></div><div><h3>Results</h3><div>After fatigue, the runners showed lower performance, greater hip abduction, knee adduction, trunk displacement towards the supporting lower limb, and reduced biceps femoris EMG during the preparatory phase. The valgus group showed greater vastus lateralis and semitendinosus EMG in the preparatory phase than the non-valgus group.</div></div><div><h3>Conclusion</h3><div>Core fatigue affects the single-leg hop test for distance performance and influences the kinematic and electromyographic strategies adopted by recreational runners. Regardless of core fatigue, runners with dynamic knee valgus recruit more muscles that cross the knee, possibly contributing to the stability needed before the hop.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 775-783"},"PeriodicalIF":1.2,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of high-power static ultrasound combined with dry cupping therapy on pain and functional outcomes in patients with trapezius myofascial trigger points: A comparative study","authors":"Nassab Toufayli , Hussein Ziab , Behrouz Attarbashi Moghadam , Siamak Bashardoust Tajali","doi":"10.1016/j.jbmt.2025.06.031","DOIUrl":"10.1016/j.jbmt.2025.06.031","url":null,"abstract":"<div><h3>Background</h3><div>Myofascial pain syndrome (MPS) is a widespread musculoskeletal disorder often associated with trapezius myofascial trigger points (MTrPs), resulting to chronic neck pain, disability, and reduced quality of life. While high-power static ultrasound (HPSU) and dry cupping therapy (DC) have shown efficacy as standalone treatments, their combined effects remain unexplored.</div></div><div><h3>Objective</h3><div>This study aims to evaluate the combined effect of HPSU and DC compared to DC alone and standard medical care (SMC) in improving pain, range of motion (ROM), functional capacity, and disability in patients with chronic neck pain due to trapezius MTrPs.</div></div><div><h3>Methods</h3><div>This single-blind randomized clinical trial included 45 patients aged 25–50 years with persistent neck pain (≥3 months) and 5–10 active trapezius MTrPs. Participants were randomized into three groups: (A) HPSU + DC + SMC, (B) DC + SMC, and (C) SMC alone. Interventions consisted of eight sessions over four weeks. Pain (VAS), ROM, functional capacity (Functional Capacity Evaluation), and disability (Neck Disability Index) were assessed at baseline, after the fourth session, and post-intervention. Statistical analysis included repeated measures ANOVA with post-hoc tests and effect size interpretation.</div></div><div><h3>Results</h3><div>All groups showed significant improvements in pain, ROM, and disability over time (p < 0.05). DC-based interventions (groups A and B) demonstrated better outcomes compared to SMC alone, particularly in ROM (e.g., η<sup>2</sup> = 0.63 for cervical extension). However, no significant differences has been detected between HPSU + DC and DC-alone groups, indicating that HPSU did not provide additional benefits when combined with DC. Functional capacity improvements were significant in DC-based groups but limited in the SMC group.</div></div><div><h3>Conclusion</h3><div>Dry cupping therapy alone improves pain, ROM, functional capacity, and disability in patients with trapezius MTrPs. The addition of HPSU does not enhance therapeutic outcomes, underscoring the sufficiency of DC as a standalone treatment. These findings offer practical guidance for clinicians by emphasizing resource-efficient and accessible interventions for managing chronic neck pain. Future research should optimize cupping parameters and explore the effects of combined modalities in diverse populations.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 789-796"},"PeriodicalIF":1.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacob Marten Switters , Krista Wonka , Erich Hohenauer
{"title":"Corrigendum to “Musculoskeletal interventions of the spine for treating chronic scrotal pain: A scoping review” [J. Bodyw. Mov. Ther. 43 (2025) 300-309]","authors":"Jacob Marten Switters , Krista Wonka , Erich Hohenauer","doi":"10.1016/j.jbmt.2025.07.007","DOIUrl":"10.1016/j.jbmt.2025.07.007","url":null,"abstract":"","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Page 729"},"PeriodicalIF":1.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tom Pinder, Ashley Jones, Isobel Jacob, James Milligan
{"title":"A critical review of dysfunctional breathing","authors":"Tom Pinder, Ashley Jones, Isobel Jacob, James Milligan","doi":"10.1016/j.jbmt.2025.07.009","DOIUrl":"10.1016/j.jbmt.2025.07.009","url":null,"abstract":"<div><div>Dysfunctional breathing (DB) refers to various abnormalities breathing patterns. Whilst a formal definition exists, subsequent research has inconsistently applied or omitted it. As interest in breathing techniques grows among both healthcare professionals and the public, it is important to reach a consensus on DB's definition to ensure effective assessment and treatment. This critical review explores how DB is currently defined and applied within respiratory and musculoskeletal health. A lack of consistency in the literature identified the need for a more comprehensive framework of DB. To address this, a new model of DB is proposed that includes three subcategories: biomechanical, biochemical and psychophysiological DB. This revised model offers a foundation for future research and clinical application.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 770-774"},"PeriodicalIF":1.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validation of breathing exercises and diaphragm manual therapy protocol in sports PLAYERS: A Delphi study","authors":"Imma Vergara-Busquets , Xantal Borràs-Boix PhD , Cristina Lidón-Moyano PhD.MsC , Caritat Bagur-Calafat PhD","doi":"10.1016/j.jbmt.2025.07.008","DOIUrl":"10.1016/j.jbmt.2025.07.008","url":null,"abstract":"<div><h3>Background</h3><div>Core stability is maintained mainly by abdominal and lumbar function, including the diaphragm muscle, connecting trunk's muscle activity and lower limbs movement. However, the diaphragm training is not frequently included in <em>core</em> training sessions, especially in sports injury prevention and treatment.</div></div><div><h3>Objective</h3><div>The aim of the study is designing and validating a protocol of rib cage mobility, using the Delphi Method.</div></div><div><h3>Methods</h3><div>A clinical practice protocol was designed based on breathing exercise and diaphragm and ribs manual therapy, twice a week for eight weeks. Delphi Method was used to validate the protocol by a committee of eight experts on manual therapy and breathing rehabilitation, who rated the exercises. Then, the coefficient of variation of the answers was calculated, and the questionnaire repeated until the consensus was reached.</div></div><div><h3>Results</h3><div>In the second round of questions, the 87,5 % (n = 7) of the experts were “Totally agree” in 4 out of the 5 exercises described. Consensus was determined as the coefficient of variation of the answers decreased after two rounds, and the validation was concluded.</div></div><div><h3>Conclusions</h3><div>The clinical protocol of breathing exercises and manual therapy of the ribs and muscle diaphragm has been designed and later successfully validated using the Delphi method.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 750-755"},"PeriodicalIF":1.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jill M. Treacy , Joseph D. Ostrem , Brenda L. Davies
{"title":"Improved shoulder flexion in older females following an 8-week daily exercise program on a 36-inch foam roller","authors":"Jill M. Treacy , Joseph D. Ostrem , Brenda L. Davies","doi":"10.1016/j.jbmt.2025.06.028","DOIUrl":"10.1016/j.jbmt.2025.06.028","url":null,"abstract":"<div><h3>Purpose</h3><div>Older females with thoracic hyperkyphosis (HPK) are at risk of limited shoulder range of motion (ROM). The purpose of this eight-week study was to determine whether a daily 20-min training protocol with a 36-inch foam roller would improve shoulder flexion ROM in older females with mild HPK.</div></div><div><h3>Methods</h3><div>Eleven females (average age: 63.5 ± 8.1 years) completed the study. During the initial screening, a PAR-Q+, a physical activity rating scale, height, weight, and shoulder flexion measurements were collected. Participants were provided with a 20-min YouTube tutorial video to guide them through the daily exercises, which progressed in intensity throughout the eight weeks. At the end of the eight weeks, height, weight, and shoulder flexion measures were reassessed.</div></div><div><h3>Results</h3><div>The average compliance to daily practice of the program was 85.5 %. Shoulder flexion ROM significantly improved after the intervention (148.54 ± 6.4° vs. 155.06 ± 4.9°, p = 0.002) with a large effect size (d = 1.31, 95 % CI [2.96, 10.07]). There were no statistically significant changes in height or weight (p > 0.05).</div></div><div><h3>Conclusion</h3><div>A 20-min exercise protocol on a foam roller can improve shoulder flexion ROM in older females with HPK suggesting that spinal alignment may have been improved following the intervention. Future research should evaluate the influence of a daily 20-min foam roller intervention on measured kyphotic curvature.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 714-719"},"PeriodicalIF":1.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Conrado Guerra de Sá , Flavio de Souza Araujo , Lucas Rocha Eliziario da Silva , Alexandre Brandão Teixeira de Figueiredo , Lucas Vinícius Ferreira Vieira de Oliveira , Fabíola Bertú Medeiros , Rodrigo Gustavo da Silva Carvalho
{"title":"Muscle activation during horizontal leg press at different blood flow restriction pressures","authors":"Conrado Guerra de Sá , Flavio de Souza Araujo , Lucas Rocha Eliziario da Silva , Alexandre Brandão Teixeira de Figueiredo , Lucas Vinícius Ferreira Vieira de Oliveira , Fabíola Bertú Medeiros , Rodrigo Gustavo da Silva Carvalho","doi":"10.1016/j.jbmt.2025.06.036","DOIUrl":"10.1016/j.jbmt.2025.06.036","url":null,"abstract":"<div><div>The aim of this study was to compare muscle activation during leg press with or without blood flow restriction (BFR) at different percentages of pressure on the legs, for the low intensity and same volume of exercise. The sample was composed of sixteen sedentary young men (24 ± 2.0 years). These individuals were submitted to four randomized sessions of four series of 15 repetitions in the leg press with 40 % of one maximum repetition, with 30, 50 and 80 % of mmHg of the maximum occlusion (considered 100 %) of BFR and without restriction. Three electrodes were used to record muscles activity of the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM), dominant limb during the exercises in all the experimental sessions. Normalization was performed using the dynamic peak method with the numerical of the Root Mean Square (RMS) values of each muscle analyzed. The RMS values were significantly higher in sets 3 than in sets 1 for the VM, and higher in sets1 than in sets 2 for the RF muscle, both with 50 % BFR (p < 0.05). However, there was no significant difference between sessions with different percentages and without BFR (p > 0.05). It is concluded that similar muscle activation occurred between sessions without and with restriction different percentages of blood flow restriction at the same low intensity, in the leg press exercise.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 739-744"},"PeriodicalIF":1.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effectiveness of dry needling in patellofemoral pain syndrome patients: A systematic review and meta-analysis","authors":"Heewa Rashnavadi , Elham Madreseh , Nazanin Anaraki , Seyede Zahra Emami Razavi , M. Nastaran Maghbouli","doi":"10.1016/j.jbmt.2025.06.008","DOIUrl":"10.1016/j.jbmt.2025.06.008","url":null,"abstract":"<div><h3>Background</h3><div>Patellofemoral pain syndrome (PFPS) is a condition characterized by anterior knee pain and functional impairments. Dry Needling (DN) is a minimally invasive and studies on the effectiveness of DN in PFPS treatment have shown conflicting results, warranting further research.</div></div><div><h3>Methods</h3><div>The databases PubMed, Embase, Web of Science, Cochrane, and Google Scholar were searched. We followed the PICOS principle to develop the inclusion criteria. Eligibility criteria were applied to titles, abstracts, and full-texts. We used Cohen's d and random effects modeling to conduct a meta-analysis.</div></div><div><h3>Results</h3><div>Ten articles satisfied eligibility including 466 patients. Significant reduction in pain intensity compared to other interventions or no intervention was found (SMD = −0.53; 95 % CI: (−0.90; −0.15); P-value = 0.0059; I2: 85.2 %). In the mid-term follow-up, a significant improvement was demonstrated (SMD = −1.40; 95 % CI: (−2.39; −0.40); P-value = 0.006). Pain intensity reduction was significant in the Quadriceps and Gluteus Medius (SMD = −0.49 and −1.49; 95 % CI: (−0.92, −0.07) and (−2.16, −0.81); P-value = 0.024 and < 0.0001). Additionally, pain reduction was significant when punctuating 3 trigger points (SMD = −1.83; 95 % CI: (−2.34, −1.31); P-value< 0.0001; I2: 73.1 %). There was also a significant increase in Kujala score after DN, particularly in short-term and mid-term follow-up durations (SMD = 0.45 and 1.31; 95 % CI: (0.05, 0.84) and (0.48, 2.14); P-value = 0.026 and 0.002).</div></div><div><h3>Conclusions</h3><div>This study approved the effectiveness of dry needling on pain intensity and physical function in patients with patellofemoral PFPS especially in 1–3 months after intervention, administrating in 3 points and on Quadriceps and Gluteus Medius muscles.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Pages 756-769"},"PeriodicalIF":1.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}