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dc.contributor.authorFernández de las Peñas, César
dc.contributor.authorMesa Jiménez, Juan A.
dc.contributor.authorParedes Mancilla, Jose A.
dc.contributor.authorShane L., Koppenhaver
dc.contributor.authorFernández Carnero, Samuel 
dc.date.accessioned2017-04-21T09:47:23Z
dc.date.available2017-04-21T09:47:23Z
dc.date.issued2017
dc.identifier.issn1532-6586
dc.identifier.urihttp://hdl.handle.net/10641/1293
dc.description.abstractObjective: 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 cmlateral to the spinous process at C3-C4. The needlewas 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. (J Manipulative Physiol Ther 2017;xx:0-6)eng
dc.language.isoengspa
dc.publisherJournal of Manipulative and Physiological Therapeuticsspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectEspina dorsalspa
dc.subjectVértebra cervicalspa
dc.subjectUltrasonografíaspa
dc.subjectMusculaturaspa
dc.subjectCuellospa
dc.titleCadaveric and ultrasonographic validation of needling placement in the cervical multifidus musclespa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent800 KBspa


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Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España