Sistema de Salut de Catalunya
[Rodríguez-Sanz J, Pérez-Bellmunt A] Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya, Sant Cugat del Vallés, Spain. ACTIUM Functional Anatomy Research Group, Universitat Internacional de Catalunya (UIC), Sant Cugat del Vallés, Spain. [Fernández-de-las-Peñas C, Arias-Buría JL] Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos (URJC), Alcorcón, Spain. [Borrella-Andrés S] Departamento de Fisiatría y Enfermería, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain. [López-de-Celis C] ] Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya, Sant Cugat del Vallés, Spain. ACTIUM Functional Anatomy Research Group, Universitat Internacional de Catalunya (UIC), Sant Cugat del Vallés, Spain. Fundació Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
Departament de Salut
2025-08-01T08:58:47Z
2025-08-01T08:58:47Z
2025-04-05
Cadaver; Needling; Obliquus capitis inferior
Oblic capitis inferior; Ecografia; Palpació
Oblicuo capitis inferior; Ecografía; Palpación
Needling of obliquus capitis inferior (OCI) muscle could be an important intervention for individuals with upper cervical pain; however, precision is important due to its sensitive location. The aim was to assess the accuracy, safety and performance of needling OCI using palpation versus ultrasound-guidance in a cadaveric model. A cross-sectional anatomical study was conducted. Five therapists each performed a series of 20 needle insertion tasks (n = 100) on 10 anatomical samples. Distance from the needle tip to the target, if the OCI muscle belly was reached (accuracy), surrounding sensitive structures targeted (safety), time needed, number of needles passes, and the length of the needle remaining outside the skin were assessed. The ultrasound-guided procedure was associated with significantly greater accuracy and safety (p < 0.001). The ultrasound-guided procedure achieved 100% accuracy of reaching the OCI compared to 40% with the palpation-guided procedure, with a shorter distance from the needle tip to the target. In the palpation-guided procedure, potentially sensitive structures were pierced in 38% of cases compared to only 4% with the ultrasound-guided approach. However, the palpation-guided procedure required less time and fewer passes. Our findings suggest that ultrasound-guided procedure showed greater accuracy and safety than palpation-guided procedures for properly targeted the OCI muscle belly.
Article
Published version
English
Ecografia; Anatomia quirúrgica i topogràfica; Agulles hipodèrmiques; Injeccions - Administració; Medicaments - Modes d'administració; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Ultrasonography; Other subheadings::Other subheadings::/methods; DISCIPLINES AND OCCUPATIONS::Natural Science Disciplines::Biological Science Disciplines::Anatomy::Anatomy, Cross-Sectional; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Equipment and Supplies::Needles; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Drug Therapy::Drug Administration Routes::Injections::Injections, Spinal; Other subheadings::Other subheadings::/methods; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::ecografía::ecoendoscopia; Otros calificadores::Otros calificadores::/métodos; DISCIPLINAS Y OCUPACIONES::disciplinas de las ciencias naturales::disciplinas de las ciencias biológicas::anatomía::anatomía de cortes transversales; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::equipos y suministros::agujas; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::farmacoterapia::vías de administración de medicamentos::inyecciones::inyecciones espinales; Otros calificadores::Otros calificadores::/métodos
Nature
Scientific Reports;15(1)
https://www.doi.org/10.1038/s41598-025-96225-x
Attribution-NonCommercial 4.0 International
https://creativecommons.org/licenses/by-nc-nd/4.0/
