Effects of dry needling and exercise therapy on post-stroke spasticity and motor function– protocol of randomized clinical trial

Ansari, Noureddin Nakhostin; Ghotbi, Nastaran; Naghdi, Soofia; Haeri, Seyed Mohammad Jafar; Shaw, Brandon S.; Shaw, Ina

doi:10.1016/j.conctc.2022.100921

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…pwMS present a great variability in symptomatology, degree of disability and disease progression, which makes a large sample size necessary to avoid these biases. Nevertheless, other similar studies in neurological populations also present limited samples [52][53][54][55][56][57] and this pilot study builds the framework for future studies focused on the management of gait disorders in pwMS, allowing us to use the values obtained for future sample size calculation. On the other hand, another aspect that may have affected the study population is that the experimental part of the study was carried out in summer, with extremely high temperatures, since it has been observed that this can significantly affect physical and mental abilities of pwMS [58,59].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of a Single Dry Needling Session on Gait and Quality of Life in Multiple Sclerosis: A Double-Blind Randomized Sham-Controlled Pilot Trial

Javier-Ormazábal,

González-Platas,

Jiménez-Sosa

et al. 2023

Healthcare

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Introduction: Gait disorders are a major cause of disability and reduced health-related quality of life in people with multiple sclerosis (pwMS). Dry needling (DN) has demonstrated positive results to improve gait parameters in patients with stroke. The main aim of this study was to evaluate the effect of a single session of DN in the gait performance of pwMS. Methods: A double-blind parallel randomized sham-controlled pilot trial was conducted. Study participants received a single session of active DN or sham DN in the gastrocnemius medialis muscle. Pre-treatment and immediately post-treatment measurements were taken, as well as at one and four weeks after the intervention. Outcomes related to gait performance (Timed 25-Foot Walk), self-perceived walking capacity (Multiple Sclerosis Walking Scale), risk of falls (Timed Up and Go test), disability level (Expanded Disability Status Score) and quality of life (Multiple Sclerosis Quality of Life-54 questionnaire and Analogic Quality of Life scale) were evaluated. Results: 18 patients who had multiple sclerosis participated in the study. The group who received active DN showed within-group significant statistical differences immediately after treatment for gait performance (p = 0.008) and risk of falls (p = 0.008), as well as for self-perceived walking capacity at one week (p = 0.017) and four weeks (p = 0.011) and quality of life at four weeks (p = 0.014). Regarding the comparison between groups, only significant results were obtained in the physical domain of the quality of life at four weeks (p = 0.014). Conclusions: DN seems to be a promising therapeutic tool for the treatment of gait disorders in pwMS. However, when results were compared with sham DN, no differences were found.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of a Single Dry Needling Session on Gait and Quality of Life in Multiple Sclerosis: A Double-Blind Randomized Sham-Controlled Pilot Trial

Javier-Ormazábal,

González-Platas,

Jiménez-Sosa

et al. 2023

Healthcare

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“…Right leg plantar flexor spasticity was assessed by the Persian version of modified modified Ashworth scale (MMAS), a valid and reliable scale that rates the intensity of spasticity on a scale of 0–4 [ 22 , 23 ]. With patient in a supine position and the legs extended, the physiotherapist passively moved the ankle from maximal plantarflexion to maximal dorsiflexion during 1 second counting one thousand and one and scored the resistance to passive stretch.…”

Section: Case Presentationmentioning

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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Immediate Neurophysiological effect of electrical stimulation via dry needling on H-reflex in post stroke spasticity

Amin

Ali

Saab

et al. 2023

Physiotherapy Theory and Practice

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Effects of dry needling and exercise therapy on post-stroke spasticity and motor function– protocol of randomized clinical trial

Cited by 6 publications

References 29 publications

The Effectiveness of a Single Dry Needling Session on Gait and Quality of Life in Multiple Sclerosis: A Double-Blind Randomized Sham-Controlled Pilot Trial

The Effectiveness of a Single Dry Needling Session on Gait and Quality of Life in Multiple Sclerosis: A Double-Blind Randomized Sham-Controlled Pilot Trial

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

Immediate Neurophysiological effect of electrical stimulation via dry needling on H-reflex in post stroke spasticity

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