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Validation of the range of dry needling with the fascial winding technique in the carpal tunnel using ultrasound

机译:利用超声验证腕管中肉体绕组技术的干针系列

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ObjectivesTo use ultrasound imaging to show how the needles in dry needling applied in the carpal tunnel can reach the transverse carpal ligament, acting on it in the form of traction-stretching when the fascial winding technique is performed. The potential associated risks are also assessed. DesignValidation study. ParticipantsHealthy volunteers (n?=?18). MethodsFour dry needling needles were applied to the carpal tunnel, only using anatomical references, according to the original approach known as “four-pole carpal dry needling”, and manipulating the needles following the so-called fascial winding technique according to the authors, in the form of unidirectional rotation. An ultrasound recording of the distance reached was then performed, and compared with the mechanical action achieved on the transverse carpal ligament. Results93.1% of the needles placed came into contact with the transverse carpal ligament with traction-stretching of the ligament observed when the needles were manipulated with the fascial winding technique in 80.6%. The mean distance from the tip of the needle to the median nerve was 3.75?mm, with CI95% [3.10, 4.41] and it was 7.78?mm with CI95% [6.64, 8.91] to the ulnar artery. Pain immediately after the technique concluded was of mild intensity, almost nil 10?min later, and non-existent after one week. ConclusionDry needling with fascial winding technique in the carpal tunnel using the four-pole carpal dry needling approach is valid for reaching and traction of the transverse carpal ligament, and may stretch it and relax it. It is also safe with regard to the median nerve and ulnar artery, with a very mild level of pain.
机译:ObjectiveSto使用超声成像来展示如何在腕管中施加的干针中的针可以到达横向腕部韧带,当进行荧光绕组技术时,以牵引力的形式作用。还评估了潜在的相关风险。 DesignValidation研究。与会者的健康志愿者(n?=?18)。方法对腕管施加干针针,仅使用解剖学参考,根据称为“四极腕骨干针头”的原始方法,并根据作者根据作者操纵所谓的筋划技术,单向旋转的形式。然后进行达到达到的距离的超声记录,并与横向脑韧带上达到的机械作用进行比较。结果93.1%的针占据了用筋膜缠绕技术以80.6%以80.6%操纵时观察到韧带的横向腕韧带与横向腕韧带接触。从针尖端到中位神经的平均距离为3.75Ωmm,CI95%[3.10,4.41],尺寸为7.78毫米[6.64,8.91]至ulnar动脉。在技​​巧结束后立即疼痛温和,强度轻微,几乎氮气10?分钟后,一周后不存在。结论使用四极腕管在腕管中的鉴定缠绕技术,使用四极腕骨干刺刺方法是有效的,可用于达到横向腕骨韧带,并可伸展并放松它。关于神经和尺骨动脉的安全性也是安全的,具有非常轻微的疼痛。

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