Blind Needling Accuracy in Lumbar Muscles

NCT07074249 | Not Yet Recruiting

• 1 other identifier: erzurum rtrh3
• Study Type: interventional
• Target: 20
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Dry Needling Lumbar Paraspinal Muscles

Keywords

dry needling; ultrasound guidance

Outcome Measures

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.

  2 week

Study Arms (2)

Blind Dry Needling Lumbar Paraspinal Muscles

EXPERIMENTAL

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"

Ultrasound-Guided Needle Location Verification

EXPERIMENTAL

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.

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

Interventions

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

Blind Dry Needling Lumbar Paraspinal Muscles; Ultrasound-Guided Needle Location Verification

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• \* 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

Sponsors & Collaborators

• Erzurum Regional Training & Research Hospital: lead

Central Study Contacts

nurmuhammet tas, dr.

CONTACT

+905323380237; nu_mu_ta@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: dr.

Study Record Dates

• First Submitted: June 23, 2025
• First Posted: July 20, 2025
• Study Start: September 28, 2025
• Primary Completion: September 30, 2025
• Study Completion: September 30, 2025
• Last Updated: September 19, 2025

Record last verified: 2025-09