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Effect of Dry Needling Plus Static Stretching on Plantar Flexors Spasticity in Chronic Stroke Patients.
Esmaeeli, Mahdi; Ghotbi, Nastaran; Malmir, Kazem; Ansari, Noureddin Nakhostin; Herrero, Pablo; Jalaei, Shohreh; Loni, Elham; Mazidi, Sajede.
Afiliación
  • Esmaeeli M; Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Ghotbi N; Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Malmir K; Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Ansari NN; Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Herrero P; Research Center for War-Affected People, Tehran University of Medical Sciences, Tehran, Iran.
  • Jalaei S; Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
  • Loni E; Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Mazidi S; Department of Physical Medicine and Rehabilitation, Rofaydeh Rehabilitation Hospital, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
J Acupunct Meridian Stud ; 17(4): 141-148, 2024 Aug 31.
Article en En | MEDLINE | ID: mdl-39205617
ABSTRACT
Importance Stroke is a leading cause of disability worldwide and is often accompanied by complications such as spasticity. Static stretching (SS) is a common physiotherapy intervention for reducing spasticity, whereas dry needling (DN) is a novel approach. However, the combined effects of DN and SS on spasticity have not been thoroughly investigated. Given the pivotal effect of spasticity on daily activities, mitigating spasticity can significantly contribute to restoring patient independence.

Objective:

This study will explore the impact of DN plus SS on spasticity, alpha motor neuron excitability, overall function, and quality of life in patients with chronic stroke. Design, Setting, and Population A double-blind, randomized, sham-controlled trial will be conducted in patients with post-stroke spasticity in the plantar flexor muscles. Twentyeight participants will be randomly assigned to either an intervention or control group. The intervention group will receive DN (60s × 3 days/week; 1 week) plus SS (20 min × 5 days/ week; 1 week). The control group will undergo sham DN (60s × 3 days/week; 1 week) and SS (20 min × 5 days/week; 1 week). Exposures DN plus SS or sham DN plus SS. Main Outcomes and

Measures:

Both groups will be assessed at baseline, immediately post-treatment, and after 1 week of follow-up. Outcome measures will include the Modified Modified Ashworth Scale, H-reflex latency, Hmax/Mmax ratio, active and passive ankle dorsiflexion range of motion, timed up and go test, and the EuroQol questionnaire.

Results:

Results from this randomized, sham-controlled study will provide evidence for the effectiveness of DN in combination with SS for spasticity. Conclusions and Relevance The additional impact of DN in conjunction with SS, a widely used method for reducing muscle tone, remains unclear and warrants investigation. This study, with a high level of evidence, aims to address this knowledge gap.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Ejercicios de Estiramiento Muscular / Punción Seca / Espasticidad Muscular Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Acupunct Meridian Stud Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación:
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Ejercicios de Estiramiento Muscular / Punción Seca / Espasticidad Muscular Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Acupunct Meridian Stud Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: