Blind Needling Accuracy in Lumbar Muscles
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study", "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study".
- Who it may be relevant to
- Registry conditions: Dry Needling Lumbar Paraspinal Muscles. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study
Overview
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.
Detailed description
\*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.
Interventions
- Procedure "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"
* 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. - Procedure "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study"
\*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
Primary outcome measures
- "Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study" [Time frame: 2 week]
Eligibility criteria
Inclusion criteria
- 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
Exclusion criteria
- \* 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Diagnostic
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07074249 · erzurum rtrh3