Effects of dry needling on spasticity in multiple sclerosis evaluated through the rate-dependent depression of the H Reflex: a case report
León, Felix ; Manzo, Leticia ; Kababie, Rebeca ; Figueroa, Jimena ; Cuellar, Carlos ; Herrero, Pablo (Universidad de Zaragoza)
Resumen: Background: Spasticity is a common symptom of multiple sclerosis (MS) which affects mobility. Dry Needling (DN) has shown a reduction in spasticity in neuromuscular conditions such as stroke and spinal cord injury although the mechanism of action is still unclear. In spastic individuals, the Rate-Dependent Depression (RDD) of the H reflex is decreased as compared to controls and analyzing the effects of DN in the RDD may help to understand its mechanism of action. Objective: To evaluate the effect of Dry Needling on spasticity measured by the Rate-dependent Depression (RDD) of the H reflex in an MS patient. Methods: Three time points were evaluated: Pre-intervention (T1), Post-intervention assessments were carried out in the seventh week at two-time points: Before DN (T2) and After DN (T3). Main outcomes included the RDD and latency of the H reflex in the lower limbs at stimulation frequencies of 0.1, 1, 2, and 5 Hz in a five consecutive pulses protocol. Results: An impairment of the RDD of the H reflex at frequencies ≥ 1 Hz was found. Statistically significant differences were found when comparing the mean RDD of the H reflex in Pre-intervention compared to Post-intervention at 1, 2, and 5 Hz stimulation frequencies. Mean latencies were statistically lower when comparing Pre- vs Post-intervention.
Conclusion: Results suggest a partial reduction in spasticity represented by decrease of the excitability of the neural elements involved in the RDD of the H reflex following DN. The RDD of the H reflex could be implemented as an objective tool to monitor changes in spasticity in larger DN trials.
Idioma: Inglés
DOI: 10.2147/IMCRJ.S391201
Año: 2023
Publicado en: International Medical Case Reports Journal Volume 16 (2023), 293-302
ISSN: 1179-142X
Factor impacto CITESCORE: 1.4 - Medicine (all) (Q2)
Factor impacto SCIMAGO: 0.267 - Medicine (miscellaneous) (Q3)
Tipo y forma: Article (Published version)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Conclusion: Results suggest a partial reduction in spasticity represented by decrease of the excitability of the neural elements involved in the RDD of the H reflex following DN. The RDD of the H reflex could be implemented as an objective tool to monitor changes in spasticity in larger DN trials.
Idioma: Inglés
DOI: 10.2147/IMCRJ.S391201
Año: 2023
Publicado en: International Medical Case Reports Journal Volume 16 (2023), 293-302
ISSN: 1179-142X
Factor impacto CITESCORE: 1.4 - Medicine (all) (Q2)
Factor impacto SCIMAGO: 0.267 - Medicine (miscellaneous) (Q3)
Tipo y forma: Article (Published version)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2024-07-31-09:47:26)
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Record created 2023-07-12, last modified 2024-07-31