Effects of dry needling session frequency on wrist flexor spasticity and motor recovery after stroke: a single-blind randomized clinical trial

Nakhostin Ansari, Noureddin; Hasheminasab-Zavareh, Fatemeh-Sadat; Naghdi, Soofia; Dommerholt, Jan

doi:10.1080/09593985.2023.2254827

Physiotherapy Theory and Practice

2023

DOI: 10.1080/09593985.2023.2254827

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Effects of dry needling session frequency on wrist flexor spasticity and motor recovery after stroke: a single-blind randomized clinical trial

Noureddin Nakhostin Ansari,

Fatemeh-Sadat Hasheminasab-Zavareh,

Soofia Naghdi

et al.

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Cited by 2 publications

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Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient

Ebrahimzadeh,

Nakhostin Ansari,

Abdollahi

et al. 2024

Case Reports in Neurological Medicine

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Background. Dry needling (DN) is a technique employed to mitigate spasticity and enhance functionality in stroke patients. We report the impact of DN on both corticospinal tract (CST) consistency and wrist flexors spasticity of an individual affected by stroke. Case. The participant was a 57‐year‐old male who had experienced an ischemic stroke 9 months prior. The primary outcome measures included fractional anisotropy (FA), asymmetry FA (aFA), ratio FA (rFA), and Modified Modified Ashworth Scale (MMAS). Additionally, secondary outcomes encompassed wrist extension range of motion (ROM) and performance in the box and block test (BBT). These measurements were taken both before and after the administration of DN treatment. Results. After the application of DN, the mean FA of the ipsilesional CST increased from 0.35 to 0.39, concomitantly with a decline in aFA from 0.18 to 0.13. Notably, the rFA exhibited a pre‐DN value of 0.69, which subsequently rose to 0.76 post‐DN. Moreover, a significant reduction in MMAS scores was detected, from a score of “3” prior to DN application to a post‐DN score of “1”. In terms of wrist mobility, both active and passive extension ROM exhibited favorable improvements, with an increase of 12° for active extension and 16° for passive extension. Furthermore, there was a substantial improvement in the BBT score, an indicator of manual dexterity, ascending from 12 to 24. Conclusion. Enhancements in CST consistency suggest it as a potential mechanism contributing to the observed improvements following DN in this stroke case.

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Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient

Ebrahimzadeh,

Nakhostin Ansari,

Abdollahi

et al. 2024

Case Reports in Neurological Medicine

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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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Effects of dry needling session frequency on wrist flexor spasticity and motor recovery after stroke: a single-blind randomized clinical trial

Cited by 2 publications

References 50 publications

Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient

Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient

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

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