Analysis and rehabilitation of balance and gait in a patient with multiple sclerosis

Luque-Moreno, Carlos; Garvey-Canivell, Gonzalo; Cano-Bravo, Fátima

doi:10.1016/j.sedeng.2018.06.001

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Spasticity is one of the most common symptoms in patients with multiple sclerosis (MS) [ 1 ]. It has been reported that approximately 97% of patients with MS have lower extremity spasticity, especially in the hip flexors and adductors, as well as in the knee flexors and ankle plantar flexors [ 2 , 3 ]. Among the muscles of the lower extremities, several studies have shown that the triceps surae has an important function in balance and gait [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of dry needling on spasticity, cortical excitability, and range of motion in a patient with multiple sclerosis: a case report

Choobsaz,

Ghotbi,

Ansari

2024

J Med Case Reports

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Background Dry needling is an intervention used by physiotherapists to manage muscle spasticity. We report the effects of three sessions of dry needling on ankle plantar flexor muscle spasticity and cortical excitability in a patient with multiple sclerosis. Case presentation The patient was a 40-year-old Iranian woman with an 11-year history of multiple sclerosis. The study outcomes were measured by the modified modified Ashworth scale, transcranial magnetic stimulation parameters, and active and passive ankle range of motion. They were assessed before (T0), after three sessions of dry needling (T1), and at 2-week follow-up (T2). Our result showed: the modified modified Ashworth scale was improved at T2 from, 2 to 1. The resting motor threshold decreased from 63 to 61 and 57 at T1 and T2, respectively. The single test motor evokes potential increased from 76.2 to 78.3. The short intracortical inhibition increased from 23.6 to 35.4 at T2. The intracortical facilitation increased from 52 to 76 at T2. The ankle active and passive dorsiflexion ROM increased ~ 10° and ~ 6° at T2, respectively. Conclusion This case study presented a patient with multiple sclerosis who underwent dry needling of ankle plantar flexors with severe spasticity, and highlighted the successful use of dry needling in the management of spasticity, ankle dorsiflexion, and cortical excitability. Further rigorous investigations are warranted, employing randomized controlled trials with a sufficient sample of patients with multiple sclerosis. Trial registration IRCT20230206057343N1, registered 9 February 2023, https://en.irct.ir/trial/68454

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Section: Introductionmentioning

confidence: 99%

Effects of dry needling on spasticity, cortical excitability, and range of motion in a patient with multiple sclerosis: a case report

Choobsaz,

Ghotbi,

Ansari

2024

J Med Case Reports

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Multiple sclerosis treatment: dry needling, new therapeutic frontiers

Luque-Moreno

Granja-Domínguez

Heredia-Rizo

et al. 2020

JAHC

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Due to high prevalence of spasticity in Multiple Sclerosis (MS) and functional limitations that pain and gait alterations cause, is necessary to investigate possible benefits of Dry Needling (DN) in this pathology. A case study of a 35 years old Secondary Progressive MS woman with 6,5 points on Expanded Disability Status Scale by performing deep DN intervention on Rectus Femoris (RF) and Gastronecmius Medialis (GM) muscles of higher spasticity lower limb was carried out. Spasticity level, perceived pain, range of motion (ROM) and superficial electromyography activity of this lower limb, together with functional capacity, life quality and Spatial-Temporal Gait parameters before and after intervention were evaluated. After intervention, spasticity decrease (especially on RF) and gait speed increase was noticed. Also, less muscle activity on walking and less delay time of step execution was observed. Our results suggest a functional improvement of the patient’s gait motion, but conclusive changes were not objectified in pain perception and ROM. More research studies about the effect of DN in MS must be necessary in order to obtain better evidence.

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Analysis and rehabilitation of balance and gait in a patient with multiple sclerosis

Cited by 2 publications

References 9 publications

Effects of dry needling on spasticity, cortical excitability, and range of motion in a patient with multiple sclerosis: a case report

Effects of dry needling on spasticity, cortical excitability, and range of motion in a patient with multiple sclerosis: a case report

Multiple sclerosis treatment: dry needling, new therapeutic frontiers

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