Physiotherapy Dry Needling Accuracy
Reducing Dangerous Placement of Needles by Physiotherapists Who Use Dry Needling (DN) by Introducing Cadaver Anatomy Review: a Randomized Control Trial Assessing Needle Placement Accuracy and Confidence
1 other identifier
interventional
60
1 country
1
Brief Summary
The goal of this clinical trial is to learn if the addition of cadaver review improves:
- the accuracy of physiotherapists who practice dry needling.
- the perceived safety of dry needling by physiotherapists. Researchers will compare the effects of an anatomy review using cadaver material to that of an educational intervention not related to anatomy to see if the anatomy review improves the needling accuracy and safety of physiotherapist who practice dry needling as compared to the control intervention of education not related to anatomy. Participants will:
- Needle three muscles related to safety and/or accuracy using ultrasound imaging to gather accuracy and safety measurements.
- Take an initial knowledge exam capturing their knowledge on needling safety.
- Be randomized into a control group or intervention group.
- The control group will receive an online educational session not related to anatomy.
- The intervention group will receive a cadaver anatomy review class focused on high-risk area.
- Re-take a knowledge exam after their course (either cadaver lab or on-line education) to capture any change.
- Needle the same three muscles again using ultrasound to capture accuracy and safety measurements. If reviewing anatomy using cadaver materials improve physiotherapists needling accuracy and safety, then this educational intervention could be recommended to be added to dry needling course instruction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2025
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 13, 2025
CompletedFirst Posted
Study publicly available on registry
February 25, 2025
CompletedStudy Start
First participant enrolled
April 10, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2027
May 6, 2026
May 1, 2026
2 years
February 13, 2025
May 4, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Dry needling accuracy
The distance in millimeters between the end of the needle tip when the physiotherapist states that they believe that the needle is positioned mid-belly of the target tissue measured to the actual mid belly location of the target tissue.
This measurement will be taken initially when the subject enrolls in the study (Baseline) and again within two weeks of having received the intervention (either control or experimental) (Follow-up).
Secondary Outcomes (4)
Dry needling safety
This measurement will be taken initially when the subject enrolls in the study (Baseline) and again within two weeks of having received the intervention (either control or experimental) (Follow-up).
Self-reported Confidence in needle placement
This measurement will be taken initially when the subject enrolls in the study (Baseline) and again within two weeks of having received the intervention (either control or experimental) (Follow-up).
Knowledge exam score (anatomy)
This measurement will be taken initially when the subject enrolls in the study (Baseline) and again within two weeks of having received the intervention (either control or experimental) (Follow-up).
Knowledge exam score (Dry Needling)
This measurement will be taken initially when the subject enrolls in the study (Baseline) and again within two weeks of having received the intervention (either control or experimental) (Follow-up).
Study Arms (2)
Education: dry needling theory
SHAM COMPARATORA two hour on-line synchronous educational model focused on dry needling theory.
Education: Cadaver anatomy review
EXPERIMENTALA two hour cadaver lab review course focused on high risk areas for dry needling.
Interventions
Education relating to the theory of dry needling by physiotherapists
Educational instruction regarding the safe implementation of dry needling by physiotherapists using cadaver material.
Eligibility Criteria
You may qualify if:
- Physiotherapy volunteers: Physiotherapists who are in good standing with their regulatory College and licensed to practice dry needling.
- Needling volunteers (those who will be needled) must be able to provide informed consent
You may not qualify if:
- Physiotherapy volunteers: Physiotherapists who are not in good standing with their regulatory College or not licensed to practice dry needling or have taken a cadaver review class post-graduation from their entry to practice physiotherapy program.
- Needling volunteers (those who will be needled): Anyone who posses any contraindications to dry needling or not within normal BMI measurements
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Alberta
Edmonton, Alberta, T6G2B7, Canada
Study Officials
- PRINCIPAL INVESTIGATOR
Eric Parent, PhD
University of Alberta
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2025
First Posted
February 25, 2025
Study Start
April 10, 2025
Primary Completion (Estimated)
March 31, 2027
Study Completion (Estimated)
March 31, 2027
Last Updated
May 6, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will share
Anonymized participant data will be shared either as supplement when publishing the results or deposited in the ERA (online thesis repository at University of Alberta) with the PHD thesis completed during this project.