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Correlation between Anthropometric and Ultrasound Measurement for Dry Needling of The Iliocostalis Lumborum Muscle with a Safety Protocol: A Cross-Sectional Observational Study

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Correlation between Anthropometric and Ultrasound Measurement for Dry Needling of The Iliocostalis Lumborum Muscle with a Safety Protocol: A Cross-Sectional Observational Study

dc.contributor.author	López-Castellanos, Raquel
dc.contributor.author	Ruiz-Astasio, Enrique
dc.contributor.author	Cortés-Campos, Antonio
dc.contributor.author	Fernández-Carnero, Samuel
dc.contributor.author	Cuenca-Zaldivar, Nicolás
dc.contributor.author	Pecos-Martin, Daniel
dc.contributor.author	Selva, Francisco
dc.contributor.author	Nunez-Nagy, Susana
dc.date.accessioned	2022-12-12T10:54:08Z
dc.date.available	2022-12-12T10:54:08Z
dc.date.issued	2022
dc.identifier.citation	López-Castellanos, Raquel Ruiz-Astasio, Enrique Cortés-Campos, Antonio Fernández-Carnero, Samuel Cuenca-Zaldivar, Nicolás Pecos-Martin, Daniel Selva, Francisco Nunez-Nagy, Susana 2022 Correlation between Anthropometric and Ultrasound Measurement for Dry Needling of The Iliocostalis Lumborum Muscle with a Safety Protocol: A Cross-Sectional Observational Study Healthcare 10 2470
dc.identifier.uri	https://hdl.handle.net/10550/84718
dc.description.abstract	Introduction: the management of musculoskeletal pain through the application of dry needling (DN) is effective. The application of this technique can carry very infrequent major risks on muscles, such as on the iliocostalis lumborum due to its proximity to the kidney and the peritoneum. It is important to establish a DN protocol based on the different anthropometric variables of the subjects. Main objective: the main objective of this study was to investigate the correlation between different anthropometric variables and the skin-kidney and skin-peritoneum distances to establish the size of the needle that could perform DN in the iliocostalis lumborum muscle without risk. Design: a cross-sectional observational study was conducted. Methodology: a total of 68 healthy subjects were evaluated. Demographic and anthropometric data, such as age, gender, weight, height, body mass index (BMI), chest (xiphoid process and axilla) and abdomen circumferences, and skinfold thickness were collected. The measurements of skin-upper and lower edge of the iliocostalis lumborum muscle and the skin-peritoneum and/or kidney in the regions of L2 and L4, and on both sides, were assessed using ultrasound imaging. Results: a multiple linear regression analysis was performed, confirming that, in L2 without compression, gender significantly predicted the distance, with the distance being greater in women than in men. The measurement without compression increased with age up to 50 years, and it also increased with higher measurements for the chest-triceps, iliac crest, and thigh skinfold thickness, and decreased with higher measurement for the abdominal circumference. It was verified that the measurement with compression in L2 decreased as the neutral axillary circumference and the skinfold thickness in the abdomen-iliac crest increased, while the distance increased with larger measurements obtained in the neutral abdominal circumference and in the skinfold thickness of the chest-triceps. It was also verified that the measurement with compression in L4 increased up to a body mass index of 25 and then decreased even if the index increased further, and it decreased as the skinfold thickness in the abdomen-iliac crest decreased and increased as the measurements of the neutral abdominal circumference and the skinfold thickness in the chest-triceps increased. In L4 without compression, the gender variable significantly predicted changes in the measurement, with women tending to have a smaller distance compared to men. Conclusions: the measurements of the neutral abdominal circumference, chest-triceps, and abdomen-iliac crest skinfold thickness could help clinicians predict the skin-kidney and skin-peritoneum distances for dry needling of the iliocostalis lumborum with the methodology described.
dc.language.iso	eng
dc.relation.ispartof	Healthcare, 2022, vol. 10, p. 2470
dc.subject	Fisioteràpia
dc.title	Correlation between Anthropometric and Ultrasound Measurement for Dry Needling of The Iliocostalis Lumborum Muscle with a Safety Protocol: A Cross-Sectional Observational Study
dc.type	journal article	es_ES
dc.date.updated	2022-12-12T10:54:08Z
dc.identifier.doi	10.3390/healthcare10122470
dc.identifier.idgrec	155867
dc.rights.accessRights	open access	es_ES