Effects of Dry Needling on Connectivity of Corticospinal Tract, Spasticity, and Function of Upper Extremity in People with Stroke: Study Protocol for a Randomized Controlled Trial.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE

Journal of Acupuncture and Meridian Studies Pub Date : 2021-12-31 DOI:10.51507/j.jams.2021.14.6.238

Masoome Ebrahimzadeh, Noureddin Nakhostin Ansari, Iraj Abdollahi, Behnam Akhbari, Saeideh Monjezi

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引用次数: 1

Abstract

Background: Spasticity is a common motor disorder in adult stroke patients. Injury to the corticospinal tract (CST) is associated with spasticity. Dry needling (DN) has positive impacts on spasticity reduction and improvement in the range of motion (ROM) in stroke patients. This study aims to investigate the effectiveness of DN on the connectivity of the CST and the level of spasticity in adult stroke patients.

Methods: This double-blind randomized controlled trial will enroll and randomly assign stroke patients to either the experimental group, for receiving three sessions of DN for the spastic wrist flexors, or the control group, for sham needling. The primary outcome measures will be diffusion tensor imaging and the Modified Modified Ashworth Scale score to assess CST connectivity and wrist flexor spasticity, respectively. The Box and Block Test and standard goniometry are the secondary outcome measures to assess hand dexterity and active and passive wrist ROM, respectively. Measurements will be taken both before and after the intervention.

Discussion: The results of this study will provide important evidence of the effects of DN on CST connectivity, spasticity, and arm function in adult stroke patients.

Trial registration: This trial is registered in the Iranian Registry of Clinical Trials (IRCT) (https://www.irct.ir; IRCT20191208045649N1).

查看原文本刊更多论文

干针对脑卒中患者皮质脊髓束连通性、痉挛和上肢功能的影响:一项随机对照试验的研究方案

背景:痉挛是成人脑卒中患者常见的运动障碍。皮质脊髓束(CST)损伤与痉挛有关。干针(DN)对脑卒中患者痉挛缓解和活动范围(ROM)改善有积极影响。本研究旨在探讨DN对成年脑卒中患者CST连通性和痉挛水平的影响。方法:这项双盲随机对照试验将招募并随机分配脑卒中患者，实验组接受三次针对痉挛腕屈肌的DN治疗，对照组接受假针刺治疗。主要结果测量将是弥散张量成像和改良改良Ashworth量表评分，分别评估CST连通性和腕屈肌痉挛。盒块试验和标准角度测量法是评估手灵巧度和主动和被动手腕ROM的次要指标。在干预之前和之后都要进行测量。讨论:本研究结果将为DN对成年脑卒中患者CST连通性、痉挛和手臂功能的影响提供重要证据。试验注册:该试验已在伊朗临床试验注册中心(IRCT)注册(https://www.irct.ir;IRCT20191208045649N1)。

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.