Effect of Dry Needling Plus Static Stretching on Plantar Flexors Spasticity in Chronic Stroke Patients.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Mahdi Esmaeeli, Nastaran Ghotbi, Kazem Malmir, Noureddin Nakhostin Ansari, Pablo Herrero, Shohreh Jalaei, Elham Loni, Sajede Mazidi
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引用次数: 0

Abstract

Importance: Stroke is a leading cause of disability worldwide and is often accompanied by complications such as spasticity. Static stretching (SS) is a common physiotherapy intervention for reducing spasticity, whereas dry needling (DN) is a novel approach. However, the combined effects of DN and SS on spasticity have not been thoroughly investigated. Given the pivotal effect of spasticity on daily activities, mitigating spasticity can significantly contribute to restoring patient independence.

Objective: This study will explore the impact of DN plus SS on spasticity, alpha motor neuron excitability, overall function, and quality of life in patients with chronic stroke.

Design, setting, and population: A double-blind, randomized, sham-controlled trial will be conducted in patients with post-stroke spasticity in the plantar flexor muscles. Twentyeight participants will be randomly assigned to either an intervention or control group. The intervention group will receive DN (60s × 3 days/week; 1 week) plus SS (20 min × 5 days/ week; 1 week). The control group will undergo sham DN (60s × 3 days/week; 1 week) and SS (20 min × 5 days/week; 1 week).

Exposures: DN plus SS or sham DN plus SS.

Main outcomes and measures: Both groups will be assessed at baseline, immediately post-treatment, and after 1 week of follow-up. Outcome measures will include the Modified Modified Ashworth Scale, H-reflex latency, Hmax/Mmax ratio, active and passive ankle dorsiflexion range of motion, timed up and go test, and the EuroQol questionnaire.

Results: Results from this randomized, sham-controlled study will provide evidence for the effectiveness of DN in combination with SS for spasticity.

Conclusions and relevance: The additional impact of DN in conjunction with SS, a widely used method for reducing muscle tone, remains unclear and warrants investigation. This study, with a high level of evidence, aims to address this knowledge gap.

干针疗法加静态拉伸对慢性中风患者足底屈肌痉挛的影响
重要性:中风是全球致残的主要原因之一,通常伴有痉挛等并发症。静态拉伸(SS)是缓解痉挛的常用物理治疗干预方法,而干针疗法(DN)则是一种新方法。然而,干针疗法和静态拉伸疗法对痉挛的综合影响尚未得到深入研究。鉴于痉挛对日常活动的关键影响,减轻痉挛可大大有助于恢复患者的独立性:本研究将探讨 DN 加 SS 对慢性中风患者痉挛、α 运动神经元兴奋性、整体功能和生活质量的影响:将对中风后足底屈肌痉挛患者进行双盲、随机、假对照试验。28 名参与者将被随机分配到干预组或对照组。干预组将接受 DN(60 秒×3 天/周;1 周)加 SS(20 分钟×5 天/周;1 周)治疗。对照组将接受假 DN(60 秒×3 天/周;1 周)和 SS(20 分钟×5 天/周;1 周):主要结果和测量:两组都将在基线、治疗后立即和随访 1 周后进行评估。结果测量包括改良的修正阿什沃斯量表、H反射潜伏期、Hmax/Mmax比值、主动和被动踝关节背屈活动范围、定时起立和走动测试以及EuroQol问卷调查:这项随机假对照研究的结果将为 DN 与 SS 联合治疗痉挛的有效性提供证据:DN 与 SS(一种广泛用于降低肌张力的方法)联合使用的额外效果仍不明确,值得研究。本研究具有较高的证据水平,旨在填补这一知识空白。
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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
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.
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