The Effect of Dry Needling on Lower Limb Dysfunction in Poststroke Survivors.


Journal

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 22 02 2020
revised: 09 03 2020
accepted: 13 03 2020
pubmed: 25 4 2020
medline: 30 9 2020
entrez: 25 4 2020
Statut: ppublish

Résumé

Spasticity is one of the main complications in poststroke survivors leading to difficulties in walking and standing resulting in high levels of disability. The aim of the study was to investigate the effects of deep dry needling on lower limb dysfunction in poststroke spastic patients. A randomized clinical trial conducted in poststroke survivors who were assigned to one of 2 groups: Deep dry needling (intervention group) and sham dry needling (control group). The primary outcome measures were Modified Modified Ashworth Scale (MMAS) and functional tests (timed up and go test, 10-meter walk test). Secondary outcome measures were active ankle dorsiflexion range of motion (AROM), passive ankle dorsiflexion range of motion (PROM), single leg stance test, and Barthel index. All measurements were assessed at baseline (T0), immediately after the third session 1 week later (T1), and 1 month after the end of the intervention (T2). We recruited 24 patients (71% male; mean age 57 ± 10 years; 26.4 ± 1.8 kg•m Deep dry needling decreases muscle spasticity and improves lower limb function and gait speed in poststroke survivors.

Sections du résumé

BACKGROUND BACKGROUND
Spasticity is one of the main complications in poststroke survivors leading to difficulties in walking and standing resulting in high levels of disability.
OBJECTIVE OBJECTIVE
The aim of the study was to investigate the effects of deep dry needling on lower limb dysfunction in poststroke spastic patients.
METHODS METHODS
A randomized clinical trial conducted in poststroke survivors who were assigned to one of 2 groups: Deep dry needling (intervention group) and sham dry needling (control group). The primary outcome measures were Modified Modified Ashworth Scale (MMAS) and functional tests (timed up and go test, 10-meter walk test). Secondary outcome measures were active ankle dorsiflexion range of motion (AROM), passive ankle dorsiflexion range of motion (PROM), single leg stance test, and Barthel index. All measurements were assessed at baseline (T0), immediately after the third session 1 week later (T1), and 1 month after the end of the intervention (T2).
RESULTS RESULTS
We recruited 24 patients (71% male; mean age 57 ± 10 years; 26.4 ± 1.8 kg•m
CONCLUSIONS CONCLUSIONS
Deep dry needling decreases muscle spasticity and improves lower limb function and gait speed in poststroke survivors.

Identifiants

pubmed: 32327366
pii: S1052-3057(20)30198-1
doi: 10.1016/j.jstrokecerebrovasdis.2020.104814
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

104814

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Shima Ghannadi (S)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Ardalan Shariat (A)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: ardalansh2002@gmail.com.

Noureddin Nakhostin Ansari (NN)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

Zahra Tavakol (Z)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Roshanak Honarpishe (R)

Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

Jan Dommerholt (J)

Bethesda Physiocare, Bethesda, Maryland; Myopain Seminars, Bethesda, Maryland.

Pardis Noormohammadpour (P)

Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Lee Ingle (L)

Sport, Health & Exercise Science, University of Hull, Kingston-upon-Hull, United Kingdom.

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Classifications MeSH