Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 20
- 主要终点
- "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"
研究概览
简要总结
The aim of this study is to evaluate the accuracy of blinded invasive interventions (dry needling) on the deep paraspinal muscles of the lumbar region (iliocostalis lumborum, longissimus thoracis, and multifidus) to reach the anatomical target. The accuracy of the interventions will be evaluated observationally with ultrasonography after the procedure.
详细描述
*Method:*
- All interventions will be performed by a physical medicine and rehabilitation specialist with clinical experience.
- After each intervention, the needle tip position will be evaluated by a second specialist with *high-resolution linear probe ultrasound*.
- Targeted muscles:
- *Iliocostalis lumborum (ICL)*
- *Longissimus thoracis (LT)*
- *Multifidus (M)*
- Interventions will be performed from the right side, between the L2-L5 levels.
- A total of *three different dry needling applications* will be performed for these three muscles for each participant.
- When a total of *20 participants* is planned, *60 injection attempts* will be analyzed.
- Will be used only for post-hoc observational validation purposes.
- No pharmacological agent will be administered during the intervention, only dry needling will be performed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18-65
- •Individuals with nonspecific low back or back pain and planned physical therapy
- •Individuals with suspected MPS, especially in the paraspinal muscles
- •Individuals with indications for dry needling
- •Those who can cooperate with the procedure and give written consent
排除标准
- •* Anticoagulant use
- •History of spine surgery, deformity, severe scoliosis
- •Regional skin lesion or infection
- •Patients who cannot cooperate
- •Pregnancy
- •Serious systemic diseases such as malignancy or neurological disease
研究组 & 干预措施
Blind Dry Needling Lumbar Paraspinal Muscles
All interventions will be performed by a physical medicine and rehabilitation specialist with clinical experience.
- Targeted muscles:
- *Iliocostalis lumborum (ICL)*
- *Longissimus thoracis (LT)*
- *Multifidus (M)*
- Interventions will be performed from the right side, between the L2-L5 levels.
- A total of *three different dry needling applications* will be performed for these three muscles for each participant.
干预措施: "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study" (Procedure)
Ultrasound-Guided Needle Location Verification
All interventions will be performed by a physical medicine and rehabilitation specialist with clinical experience. * Targeted muscles: * *Iliocostalis lumborum (ICL)* * *Longissimus thoracis (LT)* * *Multifidus (M)* * Interventions will be performed from the right side, between the L2-L5 levels. * A total of *three different dry needling applications* will be performed for these three muscles for each participant. After the needling procedure, a second clinician evaluates the needle's location in the muscle using ultrasonography.
干预措施: "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study" (Procedure)
结局指标
主要结局
"Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"
时间窗: 2 week
Correct placement rates will be calculated for each muscle. The agreement between the ultrasound and verification results of the blinded applications will be evaluated with Kappa statistics. Chi-square test or McNemar test will be used for differences between muscles.
次要结局
未报告次要终点
研究者
nurmuhammet tas
dr.
Erzurum Regional Training & Research Hospital