Effects of neurorehabilitation with and without dry needling technique on muscle thickness, reflex torque, spasticity and functional performance in chronic ischemic stroke patients with spastic upper extremity muscles: a blinded randomized sham-controlled clinical trial

Evaluation the effects of dry needling on sonographic, biomechanical and functional parameters of spastic upper extremity muscles. Twenty-four patients (35-65 years) with spastic hand were randomly allocated into two equal groups: intervention and sham-controlled groups. The treatment protocol was 1...

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Bibliographic Details
Published in:Disability and rehabilitation 2024-03, Vol.ahead-of-print (ahead-of-print), p.1-11
Main Authors: Panahi, Fatemeh, Ebrahimi, Samaneh, Rojhani-Shirazi, Zahra, Shakibafard, Alireaza, Hemmati, Ladan
Format: Article
Language:English
Subjects:
Adult
Aged
dry needling
Humans
Ischemic Stroke - complications
Middle Aged
Muscle Spasticity
Muscle, Skeletal
Neurological Rehabilitation
Percutaneous Collagen Induction
Physical Functional Performance
Reflex
reflex torque
Stroke
Stroke Rehabilitation - methods
Torque
Treatment Outcome
ultrasonography
Upper Extremity
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Summary:Evaluation the effects of dry needling on sonographic, biomechanical and functional parameters of spastic upper extremity muscles. Twenty-four patients (35-65 years) with spastic hand were randomly allocated into two equal groups: intervention and sham-controlled groups. The treatment protocol was 12-sessions neurorehabilitation for both groups and 4-sessions dry needling or sham-needling for the intervention group and sham-controlled group respectively on wrist and fingers flexor muscles. The outcomes were muscle thickness, spasticity, upper extremity motor function, hand dexterity and reflex torque which were assessed before, after the 12th session, and after one-month follow-up by a blinded assessor. The analysis showed that there was a significant reduction in muscle thickness, spasticity and reflex torque and a significant increment in motor function and dexterity in both groups after treatment (p 
ISSN:0963-8288
1464-5165
DOI:10.1080/09638288.2023.2190168