两种入路在尸体中针对臀中肌骨腱连接处的干针置入准确率的比较。

IF 1.9 Q2 REHABILITATION
Bryan Dinh, James Dunning, Gary A Kearns, Laura Thorp, Casey Charlebois, Ian Young
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引用次数: 0

摘要

目的:本研究的目的是比较两种干针(DN)技术在防腐尸体上的准确性,这两种技术通常用于靶向臀中肌骨腱连接处(OTJ)。方法:将7具尸体标本平卧放置。技术1使用一针插入点,使用供体指宽测量大转子(GT)顶点内侧上2指宽和后3指宽。技术2的针头插入点包括定位GT尖端和骶尾骨裂孔之间的一条线,并估计到GT的距离的三分之一。使用每种技术的切入点,然后将干针以前外侧夹角插入每个身体,直到与骨背景接触。然后进行髋关节后肌解剖,以二元决定(是/否)确认针尖位于臀中肌OTJ。结果:在防腐尸体中,使用技术1的针尖到达臀中肌OTJ的准确率(9 / 10,90%)显着提高(卡方检验,Yates校正= 9.800;p = 0.0017)高于技术2(1 / 10,10%)。讨论/结论:体表触诊骨标记和定向指宽测量是一种合适的方法,可以找到大转子上内侧的正确针点,以达到臀中肌OTJ,准确率为90%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A comparison of dry needle placement accuracy rates between two approaches targeting the gluteus medius osteotendinous junction in cadavers.

Objective: The purpose of this study was to compare the accuracy of two dry needling (DN) techniques in embalmed cadavers that are commonly used to target the gluteus medius osteotendinous junction (OTJ).

Methods: Seven embalmed cadaveric specimens were placed in prone. Technique 1 used a needle insertion point that was measured 2 fingerbreadths superior and 3 fingerbreadths posteromedial to the greater trochanter (GT) apex using the donor's fingerbreadths. The needle insertion point for technique 2 involved locating a line between the GT apex and the sacro-coccygeal hiatus and estimating one-third of the distance from the GT. Using the entry point for each technique, a dry needle was then inserted in each body with an anterior and inferolateral angulation until contact with a boney backdrop was achieved. Dissections of the posterior hip muscles were then performed to confirm with a binary decision (yes/no) the needle tip location at the gluteus medius OTJ.

Results: In embalmed cadavers, the accuracy rate of the needle tip reaching the gluteus medius OTJ using Technique 1 (9 out of 10, 90%) was significantly higher (chi-squared test with Yates' correction = 9.800; p = 0.0017) than Technique 2 (1 out of 10, 10%).

Discussion/conclusion: Surface palpation of bony landmarks and a direction-specific fingerbreadth measurement is an appropriate method to locate the correct needle insertion point superomedial to the greater trochanter to reach the gluteus medius OTJ with a 90% accuracy rate.

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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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