Blind Needling Accuracy in Lumbar Muscles

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorErzurum Regional Training & Research Hospital

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

* Anticoagulant use

History of spine surgery, deformity, severe scoliosis

Regional skin lesion or infection

Patients who cannot cooperate

Trial design

Design model

Single group

Treatments tested in this trial

  • "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"

    Procedure/Surgery

    * 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.

  • "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"

    Procedure/Surgery

    \*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 each intervention, the needle tip position will be evaluated by a second specialist with \*high-resolution linear probe ultrasound\*.

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Blind Dry Needling Lumbar Paraspinal MusclesExperimental treatment 1 intervention
Group B: Ultrasound-Guided Needle Location VerificationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

"Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"

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.

Time frame
2 week

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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