A Clinical Trial Protocol to Compare the Effect of Dry Needling and Acupoint Dry Needling on Wrist Flexor Spasticity after Stroke.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE

Journal of Acupuncture and Meridian Studies Pub Date : 2022-08-31 DOI:10.51507/j.jams.2022.15.4.273

Najmeh Nazari, Noureddin Nakhostin Ansari, Soofia Naghdi, Pablo Herrero Gallego, Roshanak Honarpisheh

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引用次数: 1

Abstract

Background: Stroke is the leading cause of disability in adults worldwide, with spasticity after stroke being one of the more common complications. Dry needling (DN) has been demonstrated to decrease spasticity in stroke patients, although its effects on improving function remain unclear. The purpose of this study protocol is to compare the short-term effects of DN versus acupoint DN on wrist flexor spasticity and upper extremity function in patients with stroke.

Methods: A double-blind, randomized clinical trial will be conducted to include patients with stroke and upper extremity spasticity and functional disability. Twenty-four patients with stroke will be randomly assigned to either the DN or acupoint DN (DNap) group. These groups will receive three DN sessions during a one-week period of the wrist flexor muscles or at the LI4 & TE5 acupoints, respectively. The primary outcome measure is the Modified Modified Ashworth Scale (MMAS) of spasticity. The secondary outcomes are the Fugl-Meyer Assessment of motor function (FMA) and the goniometry to assess the active and passive range of motion of the wrist. Data will be collected at baseline, immediately after the end of three sessions DN, and at a one-week follow-up visit.

Discussion: The results of this comparative study will help to determine the more effective method for reducing spasticity and improving motor function in patients with stroke.

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比较干针与穴位干针治疗中风后腕屈肌痉挛疗效的临床试验方案。

背景:中风是全世界成年人致残的主要原因，中风后痉挛是最常见的并发症之一。干针(DN)已被证明可以减少中风患者的痉挛，尽管其对改善功能的影响尚不清楚。本研究方案的目的是比较DN与穴位DN对脑卒中患者腕屈肌痉挛和上肢功能的短期影响。方法:采用双盲随机临床试验，纳入脑卒中合并上肢痉挛及功能障碍患者。24例脑卒中患者随机分为DN组和穴位DN组(DNap)。这些组将在一周的时间内分别接受三次腕屈肌或LI4和TE5穴位的DN疗程。主要预后指标是痉挛的改良改良Ashworth量表(MMAS)。次要结果是Fugl-Meyer运动功能评估(FMA)和角形测量来评估手腕的主动和被动运动范围。数据将在基线、三个疗程DN结束后立即收集，并在一周的随访中收集。讨论:本比较研究的结果将有助于确定卒中患者减少痉挛和改善运动功能的更有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

1.50

自引率

10.00%

发文量

审稿时长

12 weeks

期刊介绍： The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.