Navigating the layers of concern for safe dry needling of the rectus abdominis: a cadaveric study.

IF 1.6 Q2 REHABILITATION Journal of Manual & Manipulative Therapy Pub Date : 2024-10-01 Epub Date: 2024-05-20 DOI:10.1080/10669817.2024.2355007
Ryan C McConnell, Christi L Williams, Christian R Falyar
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Abstract

Objectives: To assess needle placement accuracy in the rectus abdominis (RA) muscle during dry needling (DN) without entering the peritoneum.

Methods: Two physical therapists performed DN on a cadaver, making 10 attempts each to needle the RA without entering the peritoneum. Techniques followed two common DN approaches. Ultrasound verified needle depth and safety.

Results: Seventy percent of attempts were recorded as safe needle placement, while 30% were unsafe. Accurate RA needle placement without peritoneal entry occurred in 55% of attempts.

Discussion/conclusion: Inadvertent peritoneal needle placement during RA DN poses risks regardless of experience. Ultrasound guidance may enhance safety and precision in clinical practice.

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腹直肌安全干针疗法的注意事项:尸体研究。
目的:评估干针疗法(DN)在不进入腹膜的情况下在腹直肌上置针的准确性:评估在不进入腹膜的情况下进行干针疗法(DN)时腹直肌(RA)针刺位置的准确性:方法:两名物理治疗师在一具尸体上进行干针治疗,每人尝试 10 次,在不进入腹膜的情况下针刺腹直肌。技术遵循两种常见的 DN 方法。超声波验证了针刺深度和安全性:结果:70%的尝试被记录为安全进针,30%为不安全进针。在 55% 的尝试中,准确放置 RA 针而未进入腹膜:讨论/结论:无论经验如何,RA DN 过程中腹膜置针时的疏忽都会带来风险。超声引导可提高临床实践的安全性和精确性。
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来源期刊
CiteScore
2.50
自引率
20.00%
发文量
55
期刊介绍: The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician
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