Effects of dry needling plus exercise therapy on post-stroke spasticity and motor function: A case report

Ansari, Noureddin Nakhostin; Ghotbi, Nastaran; Naghdi, Soofia; Mansouri, Korosh; Khanmohammadi, Mohammadreza; Haeri, Seyed Mohammad Jafar

doi:10.1016/j.ctcp.2021.101520

Cited by 10 publications

(5 citation statements)

References 18 publications

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“…Except at 5 Hz, latencies at T2 were also significantly different compared to T1 ( Figure 4B ). This result is similar to the data reported at 3 weeks after DN in the wrist flexor by Babazadeh-Zavieh et al 25 Although we did not measure latencies at 3 weeks, an increase in latencies was observed in our study at 7 weeks between T1 and T2-T3. Babazadeh-Zavieh et al suggested a decrease in alpha motor neuron excitability, although changes in the spinal circuitry should not be discarded as evidenced by our results in the mean RDD.…”

Section: Discussionsupporting

confidence: 93%

Effects of Dry Needling on Spasticity in Multiple Sclerosis Evaluated Through the Rate-Dependent Depression of the H Reflex: A Case Report

León,

Manzo,

Kababie

et al. 2023

IMCRJ

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Background Spasticity is a common symptom of multiple sclerosis (MS) which affects mobility. Dry Needling (DN) has shown a reduction in spasticity in neuromuscular conditions such as stroke and spinal cord injury although the mechanism of action is still unclear. In spastic individuals, the Rate-Dependent Depression (RDD) of the H reflex is decreased as compared to controls and analyzing the effects of DN in the RDD may help to understand its mechanism of action. Objective To evaluate the effect of Dry Needling on spasticity measured by the Rate-dependent Depression (RDD) of the H reflex in an MS patient. Methods Three time points were evaluated: Pre-intervention (T1), Post-intervention assessments were carried out in the seventh week at two-time points: Before DN (T2) and After DN (T3). Main outcomes included the RDD and latency of the H reflex in the lower limbs at stimulation frequencies of 0.1, 1, 2, and 5 Hz in a five consecutive pulses protocol. Results An impairment of the RDD of the H reflex at frequencies ≥1 Hz was found. Statistically significant differences were found when comparing the mean RDD of the H reflex in Pre-intervention compared to Post-intervention at 1, 2, and 5 Hz stimulation frequencies. Mean latencies were statistically lower when comparing Pre- vs Post-intervention. Conclusion Results suggest a partial reduction in spasticity represented by decrease of the excitability of the neural elements involved in the RDD of the H reflex following DN. The RDD of the H reflex could be implemented as an objective tool to monitor changes in spasticity in larger DN trials.

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Section: Discussionsupporting

confidence: 93%

Effects of Dry Needling on Spasticity in Multiple Sclerosis Evaluated Through the Rate-Dependent Depression of the H Reflex: A Case Report

León,

Manzo,

Kababie

et al. 2023

IMCRJ

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“…Patients in the DN + exercise therapy group will receive four sessions of deep DN (once a week) in Flexor Carpi Radialis (FCR) and Flexor Carpi Ulnaris (FCU) muscles on the affected upper limb and exercise therapy. Since the FCR and FCU are commonly affected by spasticity after stroke and needled in previous studies [ 8 , 9 , 17 ], DN will be used for these muscles. Participants in the DN group will only receive DN in target muscles for four sessions (once a week).…”

Section: Methodsmentioning

confidence: 99%

“…Exercise therapy has been shown to be effective in improving motor function and increasing range of motion (ROM) [ 14 ]. There is only a case report that showed the positive effects of DN and exercise therapy on improving spasticity and ROM [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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

Ansari

Ghotbi

Naghdi

et al. 2022

Contemporary Clinical Trials Communications

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“…These drugs act directly on the spinal cord or muscle fibers to reduce muscle hyperexcitability and promote relaxation. Non-pharmacological interventions [ 159 ] include acupuncture techniques [ 44 , 160 ], which are effective in improving spasticity enhancement and motor function; rehabilitation techniques [ 44 , 161 ], including stretching exercises, passive range of motion exercises, and functional training, which can help control spasticity and neuromuscular electrical stimulation [ 162 , 163 ], which can reduce spasticity and improve range of motion in patients with PSS. Assistive devices [ 164 ]: The use of assistive devices can provide external support and improve functional abilities in individuals with spastic paresis.…”

Section: Clinical Treatment Of Post-stroke Spasticitymentioning

confidence: 99%

Corticospinal tract: a new hope for the treatment of post-stroke spasticity

Huang,

Yi,

Huang

et al. 2023

Acta Neurol Belg

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Stroke is the third leading cause of death and disability worldwide. Post-stroke spasticity (PSS) is the most common complication of stroke but represents only one of the many manifestations of upper motor neuron syndrome. As an upper motor neuron, the corticospinal tract (CST) is the only direct descending motor pathway that innervates the spinal motor neurons and is closely related to the recovery of limb function in patients with PSS. Therefore, promoting axonal remodeling in the CST may help identify new therapeutic strategies for PSS. In this review, we outline the pathological mechanisms of PSS, specifically their relationship with CST, and therapeutic strategies for axonal regeneration of the CST after stroke. We found it to be closely associated with astroglial scarring produced by astrocyte activation and its secretion of neurotrophic factors, mainly after the onset of cerebral ischemia. We hope that this review offers insight into the relationship between CST and PSS and provides a basis for further studies.

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Effects of dry needling plus exercise therapy on post-stroke spasticity and motor function: A case report

Cited by 10 publications

References 18 publications

Effects of Dry Needling on Spasticity in Multiple Sclerosis Evaluated Through the Rate-Dependent Depression of the H Reflex: A Case Report

Effects of Dry Needling on Spasticity in Multiple Sclerosis Evaluated Through the Rate-Dependent Depression of the H Reflex: A Case Report

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

Corticospinal tract: a new hope for the treatment of post-stroke spasticity

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