Blind Needling Accuracy in Lumbar Muscles

NCT ID: NCT07074249

Last Updated: 2025-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-28

Study Completion Date

2025-09-30

Brief Summary

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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

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\*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.

Conditions

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Dry Needling Lumbar Paraspinal Muscles

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

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

Intervention Type PROCEDURE

* 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"

Intervention Type PROCEDURE

\*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\*.

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.

Group Type EXPERIMENTAL

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

Intervention Type PROCEDURE

* 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"

Intervention Type PROCEDURE

\*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\*.

Interventions

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"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.

Intervention Type 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 by a second specialist with \*high-resolution linear probe ultrasound\*.

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erzurum Regional Training & Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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nurmuhammet tas

dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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nurmuhammet tas, dr.

Role: CONTACT

+905323380237

Other Identifiers

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erzurum rtrh3

Identifier Type: -

Identifier Source: org_study_id

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