Dry Needling Plus Manual Therapy and Exercise for Subacromial Pain Syndrome: A Sham-Controlled Randomized Clinical Trial

J Orthop Sports Phys Ther. 2026 Jan;56(1):50-63. doi: 10.2519/jospt.2025.13460. ABSTRACT 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). DESIGN: Three-arm randomized trial involving 121 participants with SAPS. METHODS: Participants were randomized […]