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Titre : | Accuracy of rib palpation for dry needling of deep periscapular musculature, measured with ultrasound (2021) |
Auteurs : | Daniel Cushman ; Linda Vernon Scholl ; Monica Ludlow ; Shellie Cunningham ; Masaru Teramoto |
Type de document : | Article |
Dans : | Journal of Bodywork and Movement Therapies (Vol. 26, April 2021) |
Article en page(s) : | p. 7-11 |
Note générale : | https://doi.org/10.1016/j.jbmt.2020.10.008 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Confort du patient ; Kinésithérapie (spécialité) ; Muscles superficiels du dos ; Pneumothorax ; Puncture kinésithérapique par aiguille sèche ; Thérapie par acupuncture |
Résumé : |
Introduction
Dry needling of the periscapular musculature is a procedure commonly performed by physical therapists. Needling of the deep musculature may be challenging, and use of a thoracic rib as a backstop is often applied to prevent inadvertent puncture of the pleura. The aim of this study was to: 1) To examine the accuracy rate of experienced physical therapists in identifying a mid-scapular thoracic rib using palpation, 2) to understand patient characteristics that affect the accuracy rate, and 3) to examine if therapist confidence levels were associated with palpatory accuracy. Methods Two experienced physical therapists attempted to palpate a thoracic rib in the mid-scapular region of healthy participants (n = 101 subjects, 202 ribs), and self-reported their level of confidence in an accurate palpation. Their accuracy was verified with ultrasonography. Results The two physical therapists were accurate on 73.3% of palpations and did not differ in accuracy (72.0% vs. 75.0%, p = 0.747). The only ultrasonographic or subject characteristic measurement that correlated with improved accuracy was a reduced muscle thickness (p = 0.032). Therapists self-reported confidence levels did not correlate to actual accuracy (p = 0.153). Discussion Physical therapists should be aware that palpation of a thoracic rib may not be as accurate as it may seem. The greater thickness of muscle in the area reduces the accuracy of accurate palpation. Conclusion Dry needling of the periscapular muscles should be done with caution if using a rib as a blocking technique. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1360859220301893 |