000153211 001__ 153211
000153211 005__ 20251017144630.0
000153211 0247_ $$2doi$$a10.1038/s41598-025-96225-x
000153211 0248_ $$2sideral$$a143695
000153211 037__ $$aART-2025-143695
000153211 041__ $$aeng
000153211 100__ $$aRodríguez-Sanz, Jacobo
000153211 245__ $$aAnatomical study of ultrasound vs landmark guidance for needle placement in the obliquus capitis inferior
000153211 260__ $$c2025
000153211 5060_ $$aAccess copy available to the general public$$fUnrestricted
000153211 5203_ $$aNeedling 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.
000153211 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000153211 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000153211 700__ $$aFernández-de-las-Peñas, César
000153211 700__ $$aBorrella-Andrés, Sergio
000153211 700__ $$aLópez-de-Celis, Carlos
000153211 700__ $$aArias-Buría, José L.
000153211 700__ $$aPérez-Bellmunt, Albert
000153211 700__ $$0(orcid)0000-0003-1292-3163$$aAlbarova-Corral, Isabel$$uUniversidad de Zaragoza
000153211 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, Miguel$$uUniversidad de Zaragoza
000153211 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000153211 773__ $$g15, 1 (2025), 11667 [7 pp.]$$pSci. rep. (Nat. Publ. Group)$$tScientific reports (Nature Publishing Group)$$x2045-2322
000153211 8564_ $$s1811460$$uhttps://zaguan.unizar.es/record/153211/files/texto_completo.pdf$$yVersión publicada
000153211 8564_ $$s2512020$$uhttps://zaguan.unizar.es/record/153211/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000153211 909CO $$ooai:zaguan.unizar.es:153211$$particulos$$pdriver
000153211 951__ $$a2025-10-17-14:25:59
000153211 980__ $$aARTICLE