Evidence map›Paper›PMID 41247237›Full record

Observational studyThe Journal of manual & manipulative therapy2026

Reference values for muscle stiffness and asymmetry using myotonometry: a pilot study.

Seth Spicer, Adam Friedman, Dan Yacubovich, Alexander King

Abstract readObservational Study
In one paragraph

Observational study in The Journal of manual & manipulative therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Seth SpicerRowan-Virtua School of Osteopathic Medicine, Sewell, NJ, USA.
Adam FriedmanRowan-Virtua School of Osteopathic Medicine, Sewell, NJ, USA.ORCID 0009-0007-7646-8610
Dan YacubovichRowan-Virtua School of Osteopathic Medicine, Sewell, NJ, USA.
Alexander KingRowan-Virtua School of Osteopathic Medicine, Sewell, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish preliminary reference values for resting muscle stiffness and bilateral asymmetry in healthy young adults, and to explore associations with sex, age, BMI, and weekly exercise.

designCross-sectional observational pilot study.

settingOsteopathic medical school facilities.

participantsTwenty-six healthy individuals aged 18-29 years, 19 males and 7 females.

main outcome measuresResting muscle stiffness and left-right asymmetry across seven muscle groups, measured using the MyotonPRO. Associations with sex, age, BMI, and weekly exercise were analyzed.

resultsSex was the only significant predictor of muscle stiffness overall, model F(4,21) = 2.88,

conclusionsThis study demonstrates the feasibility of defining reference ranges for muscle stiffness and asymmetry using the MyotonPRO. These reference values may support musculoskeletal assessments in osteopathic and sports medicine and may help identify clinically meaningful deviations in tissue properties. Larger and more diverse cohorts are needed to refine intervals and to link stiffness to changes in patient outcomes.

Indexed as

Muscle, SkeletalMuscle TonusAdolescentAdultBody Mass IndexCross-Sectional StudiesFemaleHumansMalePilot ProjectsReference ValuesSex FactorsYoung Adultmuscle stiffnessmusculoskeletal assessmentMyotonometrysex differences

Identifiers

PMID41247237
PMCPMC13182142

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.