{"id":"W4389719484","doi":"10.1016/j.spinee.2023.12.002","title":"Spinal manipulation and electrical dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis: a multi-center randomized clinical trial","year":2023,"lang":"en","type":"article","venue":"The Spine Journal","topic":"Myofascial pain diagnosis and treatment","field":"Biochemistry, Genetics and Molecular Biology","cited_by":16,"is_retracted":false,"has_abstract":true,"ca_institutions":"Orthopaedic Innovation Centre","funders":"","keywords":"Medicine; Dry needling; Adjunct; Lumbar spinal stenosis; Physical therapy; Randomized controlled trial; Spinal stenosis; Manual therapy; Spinal manipulation; Modalities; Lumbar; Neurogenic claudication; Acupuncture; Physical medicine and rehabilitation; Low back pain; Surgery; Alternative medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002920956,0.001298446,0.003906441,0.000598634,0.000706134,0.001114708,0.001028943,0.002032249,0.005239041],"category_scores_gemma":[0.002910994,0.0008623005,0.001948952,0.0006214722,0.001422654,0.001077743,0.0006961093,0.002093416,0.000592856],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000775595,"about_ca_system_score_gemma":0.001987329,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0009022592,"about_ca_topic_score_gemma":0.0021309,"domain_scores_codex":[0.9982198,0.0009954878,0.0001907922,0.0002641566,0.0001687165,0.0001611182],"domain_scores_gemma":[0.9978998,0.0006054013,0.0005698947,0.0001534726,0.0001782399,0.0005932475],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9881902,0.006486626,0.0004472705,0.0002984411,0.0004146198,0.00001430149,0.00002350243,0.00008008912,0.0006044171,0.00002003112,0.00009073668,0.003329651],"study_design_scores_gemma":[0.9443236,0.05402973,0.0009875047,0.0000193363,0.0002920027,0.000009437063,0.000009356374,0.000137184,0.00008730591,0.00002195462,0.00007724621,0.000005224863],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.989976,0.002443854,0.0004143402,0.0003979783,0.0003982498,0.00534859,0.0003056199,0.00004719666,0.0006680817],"genre_scores_gemma":[0.9841427,0.001685707,0.001895266,0.0006958572,0.0007804733,0.009413233,0.0003955562,0.000007367454,0.0009838878],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.005239041,"threshold_uncertainty_score":0.01752633,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03499261724199196,"score_gpt":0.3497409782974443,"score_spread":0.3147483610554523,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}