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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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| Published in: | Disability and rehabilitation 2024-03, Vol.ahead-of-print (ahead-of-print), p.1-11 |
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| creator | Panahi, Fatemeh Ebrahimi, Samaneh Rojhani-Shirazi, Zahra Shakibafard, Alireaza Hemmati, Ladan |
| description | 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 |
| doi_str_mv | 10.1080/09638288.2023.2190168 |
| format | article |
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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 < 0.01). However, these changes were significantly higher in the intervention group (p < 0.01) except for spasticity. Moreover, a significant improvement was seen in all outcomes measured one-month after the end of the treatment in the intervention group (p < 0.01).
Dry needling plus neurorehabilitation could decrease muscle thickness, spasticity and reflex torque and improve upper-extremity motor performance and dexterity in chronic stroke patients. These changes were lasted one-month after treatment.Trial Registration Number: IRCT20200904048609N1
IMPLICATION FOR REHABILITATION
Upper extremity spasticity is one of the stroke consequences which interfere with motor function and dexterity of patient hand in activity of daily living
Applying the dry needling accompanied with neurorehabilitation program in post-stroke patients with muscle spasticity can reduce the muscle thickness, spasticity and reflex torque and improve upper extremity functions</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.1080/09638288.2023.2190168</identifier><identifier>PMID: 36970837</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>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</subject><ispartof>Disability and rehabilitation, 2024-03, Vol.ahead-of-print (ahead-of-print), p.1-11</ispartof><rights>2023 Informa UK Limited, trading as Taylor & Francis Group 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-425456a428ed3afc79721bf25481a807cba1f39d13da45f9050b5bef544d51b13</citedby><cites>FETCH-LOGICAL-c366t-425456a428ed3afc79721bf25481a807cba1f39d13da45f9050b5bef544d51b13</cites><orcidid>0000-0001-9330-3104 ; 0000-0002-6187-4591</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36970837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Panahi, Fatemeh</creatorcontrib><creatorcontrib>Ebrahimi, Samaneh</creatorcontrib><creatorcontrib>Rojhani-Shirazi, Zahra</creatorcontrib><creatorcontrib>Shakibafard, Alireaza</creatorcontrib><creatorcontrib>Hemmati, Ladan</creatorcontrib><title>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</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>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 < 0.01). However, these changes were significantly higher in the intervention group (p < 0.01) except for spasticity. Moreover, a significant improvement was seen in all outcomes measured one-month after the end of the treatment in the intervention group (p < 0.01).
Dry needling plus neurorehabilitation could decrease muscle thickness, spasticity and reflex torque and improve upper-extremity motor performance and dexterity in chronic stroke patients. These changes were lasted one-month after treatment.Trial Registration Number: IRCT20200904048609N1
IMPLICATION FOR REHABILITATION
Upper extremity spasticity is one of the stroke consequences which interfere with motor function and dexterity of patient hand in activity of daily living
Applying the dry needling accompanied with neurorehabilitation program in post-stroke patients with muscle spasticity can reduce the muscle thickness, spasticity and reflex torque and improve upper extremity functions</description><subject>Adult</subject><subject>Aged</subject><subject>dry needling</subject><subject>Humans</subject><subject>Ischemic Stroke - complications</subject><subject>Middle Aged</subject><subject>Muscle Spasticity</subject><subject>Muscle, Skeletal</subject><subject>Neurological Rehabilitation</subject><subject>Percutaneous Collagen Induction</subject><subject>Physical Functional Performance</subject><subject>Reflex</subject><subject>reflex torque</subject><subject>Stroke</subject><subject>Stroke Rehabilitation - methods</subject><subject>Torque</subject><subject>Treatment Outcome</subject><subject>ultrasonography</subject><subject>Upper Extremity</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kktv1TAQhQMC0UuBfwDykkVT7DhPVqCqPKRKbGBtOfaYmDp2sB21l1_P5N5blqwysb4553g8RfGa0UtGe_qODi3vq76_rGjFLys2UNb2j4sdq9u6bFjbPCl2G1Nu0FnxPKVflFLGu_pZccbboaM973aPXl0bAyonEgzxsMYQYZKjdTbLbIMndzZPRHp9KMKaiY57BEE763-SDGry9vcKBNF5TcoByZNVtx5SuiARjIN7kkNE5IKkRaZslc37g6JZvdo8pCMLRBPiLL0CYj1RUwzeKmKTmmDGIuUYboEsmAk8hj2kOsmRdcF2Avc5IovaxxzpPZFkxJQaNInoF2b7B8s0yblUwaOic_ivELEKM-RopXtRPDXSJXh5-p4XPz5df7_6Ut58-_z16uNNqXjb5rKumrppZV31oLk0qhu6io0GT3sme9qpUTLDB824lnVjBtrQsRnBNHWtGzYyfl68PeouMeBsUhYzXhackx7CmkTVDayjqL-hzRFVMaSEIxVLtLOMe8Go2FZBPKyC2FZBnFYB-96cLNZxBv2v6-HtEfhwBKw_DP8uRKdFlnsXosGJKZsE_7_HX7uFy9s</recordid><startdate>20240312</startdate><enddate>20240312</enddate><creator>Panahi, Fatemeh</creator><creator>Ebrahimi, Samaneh</creator><creator>Rojhani-Shirazi, Zahra</creator><creator>Shakibafard, Alireaza</creator><creator>Hemmati, Ladan</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9330-3104</orcidid><orcidid>https://orcid.org/0000-0002-6187-4591</orcidid></search><sort><creationdate>20240312</creationdate><title>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</title><author>Panahi, Fatemeh ; Ebrahimi, Samaneh ; Rojhani-Shirazi, Zahra ; Shakibafard, Alireaza ; Hemmati, Ladan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-425456a428ed3afc79721bf25481a807cba1f39d13da45f9050b5bef544d51b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>dry needling</topic><topic>Humans</topic><topic>Ischemic Stroke - complications</topic><topic>Middle Aged</topic><topic>Muscle Spasticity</topic><topic>Muscle, Skeletal</topic><topic>Neurological Rehabilitation</topic><topic>Percutaneous Collagen Induction</topic><topic>Physical Functional Performance</topic><topic>Reflex</topic><topic>reflex torque</topic><topic>Stroke</topic><topic>Stroke Rehabilitation - methods</topic><topic>Torque</topic><topic>Treatment Outcome</topic><topic>ultrasonography</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Panahi, Fatemeh</creatorcontrib><creatorcontrib>Ebrahimi, Samaneh</creatorcontrib><creatorcontrib>Rojhani-Shirazi, Zahra</creatorcontrib><creatorcontrib>Shakibafard, Alireaza</creatorcontrib><creatorcontrib>Hemmati, Ladan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Panahi, Fatemeh</au><au>Ebrahimi, Samaneh</au><au>Rojhani-Shirazi, Zahra</au><au>Shakibafard, Alireaza</au><au>Hemmati, Ladan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>2024-03-12</date><risdate>2024</risdate><volume>ahead-of-print</volume><issue>ahead-of-print</issue><spage>1</spage><epage>11</epage><pages>1-11</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><abstract>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 < 0.01). However, these changes were significantly higher in the intervention group (p < 0.01) except for spasticity. Moreover, a significant improvement was seen in all outcomes measured one-month after the end of the treatment in the intervention group (p < 0.01).
Dry needling plus neurorehabilitation could decrease muscle thickness, spasticity and reflex torque and improve upper-extremity motor performance and dexterity in chronic stroke patients. These changes were lasted one-month after treatment.Trial Registration Number: IRCT20200904048609N1
IMPLICATION FOR REHABILITATION
Upper extremity spasticity is one of the stroke consequences which interfere with motor function and dexterity of patient hand in activity of daily living
Applying the dry needling accompanied with neurorehabilitation program in post-stroke patients with muscle spasticity can reduce the muscle thickness, spasticity and reflex torque and improve upper extremity functions</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>36970837</pmid><doi>10.1080/09638288.2023.2190168</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9330-3104</orcidid><orcidid>https://orcid.org/0000-0002-6187-4591</orcidid></addata></record> |
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| identifier | ISSN: 0963-8288 |
| ispartof | Disability and rehabilitation, 2024-03, Vol.ahead-of-print (ahead-of-print), p.1-11 |
| issn | 0963-8288 1464-5165 |
| language | eng |
| recordid | cdi_pubmed_primary_36970837 |
| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| 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 |
| title | 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 |
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