Blind Needling Accuracy in Lumbar Muscles

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

Status

Not yet recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07074249

Enrollment

Registered

2025-07-20

Start date

2025-09-28

Completion date

2025-09-30

Last updated

2025-09-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dry Needling Lumbar Paraspinal Muscles

Keywords

dry needling, ultrasound guidance

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.

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

PROCEDUREAnatomical 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.

Study design

Allocation

RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

DIAGNOSTIC

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 65 Years

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame	Description
Anatomical Accuracy of Blind Dry Needling Procedures on the Lumbar Paraspinal Muscles: An Ultrasonography-Assisted Observational Study	2 week	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.

Contacts

Primary Contactnurmuhammet tas, dr.

nu_mu_ta@hotmail.com+905323380237

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026