Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle
Abstract Objective The aim of this study was to determine if a needle is able to reach the cervical multifidus during the application of dry needling or acupuncture. Methods Dry needling and ultrasound imaging of cervical multifidi was conducted on 5 patients (age: 32 ± 5 years) with mechanical neck...
Gespeichert in:
Veröffentlicht in: | Journal of manipulative and physiological therapeutics 2017-06, Vol.40 (5), p.365-370 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 370 |
---|---|
container_issue | 5 |
container_start_page | 365 |
container_title | Journal of manipulative and physiological therapeutics |
container_volume | 40 |
creator | Fernández-de-las-Peñas, César, PT, PhD Mesa-Jiménez, Juan A., PT, MSc Paredes-Mancilla, Jose A., MD, PhD Koppenhaver, Shane L., PT, PhD Fernández-Carnero, Samuel, PT, MSc |
description | Abstract Objective The aim of this study was to determine if a needle is able to reach the cervical multifidus during the application of dry needling or acupuncture. Methods Dry needling and ultrasound imaging of cervical multifidi was conducted on 5 patients (age: 32 ± 5 years) with mechanical neck pain and on 2 fresh cadavers (age: 64 ± 1 years). Dry needling was done using a needle of 40 mm in length inserted perpendicular to the skin about 1 cm lateral to the spinous process at C3-C4. The needle was advanced from a posterior to anterior direction into the cervical multifidus with a slight inferior-medial angle (approximately 10°) to reach the vertebra lamina. For the cadaveric study, the multifidus was isolated by carefully resecting the superficial posterior cervical muscles: trapezius, splenius, and semispinalis. For the ultrasonographic study, a convex transducer was placed transversely over C3-C4 after the insertion of the needle into the muscle. Results The results of both the cadaveric and ultrasonic studies found that the needle does pierce the cervical multifidus muscle during insertion and that the tip of the needle rests properly against the vertebral laminae, thereby guarding the sensitive underlying spinal structures from damage. Conclusion This anatomical and ultrasound imaging study supports that dry needling of the cervical multifidus could be conducted clinically. |
doi_str_mv | 10.1016/j.jmpt.2017.03.002 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1888957958</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0161475417300660</els_id><sourcerecordid>1888957958</sourcerecordid><originalsourceid>FETCH-LOGICAL-c455t-c395dcdb90aa2e41cc068886d2ac83023e2051c619a6b2efcdc16518687f20a33</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi1ERbeFF-CAcuSSMLZjx5EQEloBRWoLEpSr5bUnrYOTbO1kpb49jrZw4NCTR9b3_9J8Q8hrChUFKt_1VT_s54oBbSrgFQB7RjZUcFZKoeRzsskQLetG1KfkLKUeAFreqhfklKmackrVhpitceaA0dvCjK64CXM0aRqn22j2d_nzlwnemdlPYzF1xTWiC368Lb4HY3HAcS78WMx3WGwxHrw1obhawuw775aUx2QDviQnnQkJXz2-5-Tm86ef24vy8tuXr9uPl6WthZhLy1vhrNu1YAzDmloLUiklHTNWcWAcGQhqJW2N3DHsrLNUCqqkajoGhvNz8vbYu4_T_YJp1oNPFkMwI05L0jS3taJphcooO6I2TilF7PQ--sHEB01Br2p1r1e1elWrgeusNofePPYvuwHdv8hflxl4fwQwb3nwGHWyHkeLzke0s3aTf7r_w39xm1WvTn_jA6Z-WuKY_WmqE9Ogf6zHXW9LGw4gJfA_TdSfwg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1888957958</pqid></control><display><type>article</type><title>Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Fernández-de-las-Peñas, César, PT, PhD ; Mesa-Jiménez, Juan A., PT, MSc ; Paredes-Mancilla, Jose A., MD, PhD ; Koppenhaver, Shane L., PT, PhD ; Fernández-Carnero, Samuel, PT, MSc</creator><creatorcontrib>Fernández-de-las-Peñas, César, PT, PhD ; Mesa-Jiménez, Juan A., PT, MSc ; Paredes-Mancilla, Jose A., MD, PhD ; Koppenhaver, Shane L., PT, PhD ; Fernández-Carnero, Samuel, PT, MSc</creatorcontrib><description>Abstract Objective The aim of this study was to determine if a needle is able to reach the cervical multifidus during the application of dry needling or acupuncture. Methods Dry needling and ultrasound imaging of cervical multifidi was conducted on 5 patients (age: 32 ± 5 years) with mechanical neck pain and on 2 fresh cadavers (age: 64 ± 1 years). Dry needling was done using a needle of 40 mm in length inserted perpendicular to the skin about 1 cm lateral to the spinous process at C3-C4. The needle was advanced from a posterior to anterior direction into the cervical multifidus with a slight inferior-medial angle (approximately 10°) to reach the vertebra lamina. For the cadaveric study, the multifidus was isolated by carefully resecting the superficial posterior cervical muscles: trapezius, splenius, and semispinalis. For the ultrasonographic study, a convex transducer was placed transversely over C3-C4 after the insertion of the needle into the muscle. Results The results of both the cadaveric and ultrasonic studies found that the needle does pierce the cervical multifidus muscle during insertion and that the tip of the needle rests properly against the vertebral laminae, thereby guarding the sensitive underlying spinal structures from damage. Conclusion This anatomical and ultrasound imaging study supports that dry needling of the cervical multifidus could be conducted clinically.</description><identifier>ISSN: 0161-4754</identifier><identifier>EISSN: 1532-6586</identifier><identifier>DOI: 10.1016/j.jmpt.2017.03.002</identifier><identifier>PMID: 28413118</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acupuncture Therapy - methods ; Cadaver ; Cervical Vertebrae ; Humans ; Lumbosacral Region - diagnostic imaging ; Lumbosacral Region - innervation ; Musculoskeletal Manipulations ; Neck Muscles ; Paraspinal Muscles - diagnostic imaging ; Paraspinal Muscles - physiology ; Physical Medicine and Rehabilitation ; Spine ; Ultrasonography</subject><ispartof>Journal of manipulative and physiological therapeutics, 2017-06, Vol.40 (5), p.365-370</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-c395dcdb90aa2e41cc068886d2ac83023e2051c619a6b2efcdc16518687f20a33</citedby><cites>FETCH-LOGICAL-c455t-c395dcdb90aa2e41cc068886d2ac83023e2051c619a6b2efcdc16518687f20a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmpt.2017.03.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28413118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernández-de-las-Peñas, César, PT, PhD</creatorcontrib><creatorcontrib>Mesa-Jiménez, Juan A., PT, MSc</creatorcontrib><creatorcontrib>Paredes-Mancilla, Jose A., MD, PhD</creatorcontrib><creatorcontrib>Koppenhaver, Shane L., PT, PhD</creatorcontrib><creatorcontrib>Fernández-Carnero, Samuel, PT, MSc</creatorcontrib><title>Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle</title><title>Journal of manipulative and physiological therapeutics</title><addtitle>J Manipulative Physiol Ther</addtitle><description>Abstract Objective The aim of this study was to determine if a needle is able to reach the cervical multifidus during the application of dry needling or acupuncture. Methods Dry needling and ultrasound imaging of cervical multifidi was conducted on 5 patients (age: 32 ± 5 years) with mechanical neck pain and on 2 fresh cadavers (age: 64 ± 1 years). Dry needling was done using a needle of 40 mm in length inserted perpendicular to the skin about 1 cm lateral to the spinous process at C3-C4. The needle was advanced from a posterior to anterior direction into the cervical multifidus with a slight inferior-medial angle (approximately 10°) to reach the vertebra lamina. For the cadaveric study, the multifidus was isolated by carefully resecting the superficial posterior cervical muscles: trapezius, splenius, and semispinalis. For the ultrasonographic study, a convex transducer was placed transversely over C3-C4 after the insertion of the needle into the muscle. Results The results of both the cadaveric and ultrasonic studies found that the needle does pierce the cervical multifidus muscle during insertion and that the tip of the needle rests properly against the vertebral laminae, thereby guarding the sensitive underlying spinal structures from damage. Conclusion This anatomical and ultrasound imaging study supports that dry needling of the cervical multifidus could be conducted clinically.</description><subject>Acupuncture Therapy - methods</subject><subject>Cadaver</subject><subject>Cervical Vertebrae</subject><subject>Humans</subject><subject>Lumbosacral Region - diagnostic imaging</subject><subject>Lumbosacral Region - innervation</subject><subject>Musculoskeletal Manipulations</subject><subject>Neck Muscles</subject><subject>Paraspinal Muscles - diagnostic imaging</subject><subject>Paraspinal Muscles - physiology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Spine</subject><subject>Ultrasonography</subject><issn>0161-4754</issn><issn>1532-6586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi1ERbeFF-CAcuSSMLZjx5EQEloBRWoLEpSr5bUnrYOTbO1kpb49jrZw4NCTR9b3_9J8Q8hrChUFKt_1VT_s54oBbSrgFQB7RjZUcFZKoeRzsskQLetG1KfkLKUeAFreqhfklKmackrVhpitceaA0dvCjK64CXM0aRqn22j2d_nzlwnemdlPYzF1xTWiC368Lb4HY3HAcS78WMx3WGwxHrw1obhawuw775aUx2QDviQnnQkJXz2-5-Tm86ef24vy8tuXr9uPl6WthZhLy1vhrNu1YAzDmloLUiklHTNWcWAcGQhqJW2N3DHsrLNUCqqkajoGhvNz8vbYu4_T_YJp1oNPFkMwI05L0jS3taJphcooO6I2TilF7PQ--sHEB01Br2p1r1e1elWrgeusNofePPYvuwHdv8hflxl4fwQwb3nwGHWyHkeLzke0s3aTf7r_w39xm1WvTn_jA6Z-WuKY_WmqE9Ogf6zHXW9LGw4gJfA_TdSfwg</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Fernández-de-las-Peñas, César, PT, PhD</creator><creator>Mesa-Jiménez, Juan A., PT, MSc</creator><creator>Paredes-Mancilla, Jose A., MD, PhD</creator><creator>Koppenhaver, Shane L., PT, PhD</creator><creator>Fernández-Carnero, Samuel, PT, MSc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle</title><author>Fernández-de-las-Peñas, César, PT, PhD ; Mesa-Jiménez, Juan A., PT, MSc ; Paredes-Mancilla, Jose A., MD, PhD ; Koppenhaver, Shane L., PT, PhD ; Fernández-Carnero, Samuel, PT, MSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-c395dcdb90aa2e41cc068886d2ac83023e2051c619a6b2efcdc16518687f20a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acupuncture Therapy - methods</topic><topic>Cadaver</topic><topic>Cervical Vertebrae</topic><topic>Humans</topic><topic>Lumbosacral Region - diagnostic imaging</topic><topic>Lumbosacral Region - innervation</topic><topic>Musculoskeletal Manipulations</topic><topic>Neck Muscles</topic><topic>Paraspinal Muscles - diagnostic imaging</topic><topic>Paraspinal Muscles - physiology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Spine</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernández-de-las-Peñas, César, PT, PhD</creatorcontrib><creatorcontrib>Mesa-Jiménez, Juan A., PT, MSc</creatorcontrib><creatorcontrib>Paredes-Mancilla, Jose A., MD, PhD</creatorcontrib><creatorcontrib>Koppenhaver, Shane L., PT, PhD</creatorcontrib><creatorcontrib>Fernández-Carnero, Samuel, PT, MSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of manipulative and physiological therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernández-de-las-Peñas, César, PT, PhD</au><au>Mesa-Jiménez, Juan A., PT, MSc</au><au>Paredes-Mancilla, Jose A., MD, PhD</au><au>Koppenhaver, Shane L., PT, PhD</au><au>Fernández-Carnero, Samuel, PT, MSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle</atitle><jtitle>Journal of manipulative and physiological therapeutics</jtitle><addtitle>J Manipulative Physiol Ther</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>40</volume><issue>5</issue><spage>365</spage><epage>370</epage><pages>365-370</pages><issn>0161-4754</issn><eissn>1532-6586</eissn><abstract>Abstract Objective The aim of this study was to determine if a needle is able to reach the cervical multifidus during the application of dry needling or acupuncture. Methods Dry needling and ultrasound imaging of cervical multifidi was conducted on 5 patients (age: 32 ± 5 years) with mechanical neck pain and on 2 fresh cadavers (age: 64 ± 1 years). Dry needling was done using a needle of 40 mm in length inserted perpendicular to the skin about 1 cm lateral to the spinous process at C3-C4. The needle was advanced from a posterior to anterior direction into the cervical multifidus with a slight inferior-medial angle (approximately 10°) to reach the vertebra lamina. For the cadaveric study, the multifidus was isolated by carefully resecting the superficial posterior cervical muscles: trapezius, splenius, and semispinalis. For the ultrasonographic study, a convex transducer was placed transversely over C3-C4 after the insertion of the needle into the muscle. Results The results of both the cadaveric and ultrasonic studies found that the needle does pierce the cervical multifidus muscle during insertion and that the tip of the needle rests properly against the vertebral laminae, thereby guarding the sensitive underlying spinal structures from damage. Conclusion This anatomical and ultrasound imaging study supports that dry needling of the cervical multifidus could be conducted clinically.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28413118</pmid><doi>10.1016/j.jmpt.2017.03.002</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0161-4754 |
ispartof | Journal of manipulative and physiological therapeutics, 2017-06, Vol.40 (5), p.365-370 |
issn | 0161-4754 1532-6586 |
language | eng |
recordid | cdi_proquest_miscellaneous_1888957958 |
source | MEDLINE; Access via ScienceDirect (Elsevier) |
subjects | Acupuncture Therapy - methods Cadaver Cervical Vertebrae Humans Lumbosacral Region - diagnostic imaging Lumbosacral Region - innervation Musculoskeletal Manipulations Neck Muscles Paraspinal Muscles - diagnostic imaging Paraspinal Muscles - physiology Physical Medicine and Rehabilitation Spine Ultrasonography |
title | Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T02%3A34%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cadaveric%20and%20Ultrasonographic%20Validation%20of%20Needling%20Placement%20in%20the%20Cervical%20Multifidus%20Muscle&rft.jtitle=Journal%20of%20manipulative%20and%20physiological%20therapeutics&rft.au=Fern%C3%A1ndez-de-las-Pe%C3%B1as,%20C%C3%A9sar,%20PT,%20PhD&rft.date=2017-06-01&rft.volume=40&rft.issue=5&rft.spage=365&rft.epage=370&rft.pages=365-370&rft.issn=0161-4754&rft.eissn=1532-6586&rft_id=info:doi/10.1016/j.jmpt.2017.03.002&rft_dat=%3Cproquest_cross%3E1888957958%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1888957958&rft_id=info:pmid/28413118&rft_els_id=S0161475417300660&rfr_iscdi=true |