Effect of Dry Needling Treatment on Tibial Musculature in Combination with Neurorehabilitation Treatment in Stroke Patients: Randomized Clinical Study

• Published in: International journal of environmental research and public health 2022-09, Vol.19 (19), p.12302
• Main Authors: Sánchez Milá, Zacarías, Velázquez Saornil, Jorge, Campón Chekroun, Angélica, Barragán Casas, José Manuel, Frutos Llanes, Raúl, Castrillo Calvillo, Arantxa, López Pascua, Cristina, Rodríguez Sanz, David
• Format: Article
• Language: English
• Subjects: Dry Needling; Extracellular matrix; Gait; Humans; Informed consent; Intervention; Muscle Spasticity - etiology; Muscle Spasticity - therapy; Neurological Rehabilitation; Neurology; Older people; Patients; Pretreatment; Quality assessment; Range of motion; Rehabilitation; Single-Blind Method; Spasticity; Stroke; Stroke - therapy; Treatment Outcome; Ultrasonic imaging; Ultrasound
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph191912302

(1) Background: Introducing ultrasound-guided dry needling to neurorehabilitation treatments increases the beneficial effects of therapy. The aim of this study was to compare the effects of including an ultrasound-guided dry needling session in neurorehabilitation treatment on spasticity and gait-balance quality versus neurorehabilitation treatment in subjects who had suffered a stroke. (2) Methods: A single-blind, randomized clinical trial was conducted. Thirty-six patients who had suffered a stroke in the right middle cerebral artery signed the informed consent for participation in the study. Twenty patients finally participated and were randomly assigned to the control group (neurorehabilitation treatment) or experimental group (neurorehabilitation treatment plus ultrasound-guided dry needling). Pre-treatment and post-treatment data were collected on the same day. The experimental group (n = 10) first underwent an ultrasound-guided dry needling intervention on the tibialis anterior and tibialis posterior musculature, followed by neurorehabilitation treatment; the control group (n = 10) underwent their corresponding neurorehabilitation without the invasive technique. Pre-treatment and post-treatment measurements were taken on the same day, assessing the quality of balance-gait using the "Up and Go" test and the degree of spasticity using the Modified Modified Ashworth Scale. (3) Results: The patients who received neurorehabilitation treatment plus ultrasound-guided dry needling showed a greater decrease in spasticity in the tibial musculature after the neurorehabilitation treatment session ( < 0.001), improving balance and gait ( < 0.001). (4) Conclusions: An ultrasound-guided dry needling session combined with neurorehabilitation treatment reduced spasticity and improved balance and gait in stroke patients.