Survey on Needle Depth and Angle at Jianzhongshu Acupoint With Ultrasound Guidance Targeting the Levator Scapulae Attachment

The levator scapulae muscle is one of the most common muscles involved in chronic neck and shoulder pain. Acupuncture has been widely recognized as an effective and safe treatment for neck pain, with trigger point acupuncture showing significant potential in pain management. In clinical practice, trigger points are often identified at the origin or insertion of the affected muscle. For the levator scapulae, one notable trigger point is located at its insertion point on the superior angle of the scapula. Jianzhongshu (SI15) has been identified as a potential acupuncture point corresponding to this trigger point.

This observational study aims to investigate the anatomical relationship between Jianzhongshu (SI15) and the insertion point of the levator scapulae muscle by assessing the depth and angle of needle insertion using ultrasound and electronic goniometry. The study will recruit healthy adult volunteers aged 18 years and older. Ultrasound imaging will be utilized to measure the needle insertion depth from the skin surface to the insertion point of the levator scapulae muscle. Additionally, an electronic goniometer will be used to assess two specific angles of needle insertion: the angle relative to the skin surface and the angle relative to the longitudinal axis of the body.

The primary objective of this study is to provide anatomical data on the needle insertion depth and angles when needling Jianzhongshu (SI15) toward the insertion point of the levator scapulae muscle. This data will serve as an essential reference for clinical applications, particularly in the treatment of neck and shoulder pain associated with the levator scapulae muscle and SI15.

Secondary objectives include assessing individual variations in needle depth and trajectory, as well as analyzing the influence of demographic factors such as age, gender, and BMI on these parameters.

By integrating ultrasound imaging and an electronic goniometer, this study aims to improve the accuracy and safety of acupuncture needling at SI15. The findings will contribute to a deeper understanding of acupuncture techniques and provide essential reference data for clinical practice, particularly in the management of neck and shoulder pain related to the levator scapulae muscle.