The effects of dry needling and therapeutic exercise on sleep in individuals with chronic neck pain and sleep disturbance: a feasibility randomized clinical trial
Journal of Manual & Manipulative Therapy | October 28, 2025 | Volume: 34 | Issue: 3 | Pages: 217-229
Six patients treated by hyperselective neurectomy were assessed using preoperative dynamic electromyography and intraoperative force measurements. Patients with lower preoperative biceps dynamic electromyography activation had significantly reduced force production at operation, suggesting that these findings could guide and improve procedure selection. Level of evidence: IV