000131292 001__ 131292
000131292 005__ 20240207154753.0
000131292 0247_ $$2doi$$a10.1080/10749357.2018.1460946
000131292 0248_ $$2sideral$$a120007
000131292 037__ $$aART-2018-120007
000131292 041__ $$aeng
000131292 100__ $$aHadi, S.
000131292 245__ $$aThe effect of dry needling on spasticity, gait and muscle architecture in patients with chronic stroke: A case series study
000131292 260__ $$c2018
000131292 5203_ $$aObjectives: The objective of this study was to assess the short-term effects of dry needling on spasticity, gait, and muscle architecture of patients with chronic stroke.
Methods: A case series study was designed; and six chronic stroke patients with ankle spasticity and gait impairment received a single session of dry needling for gastrocnemius medialis, lateralis, and soleus muscles. The main outcome measures were the Modified Modified Ashworth Scale (MMAS), and Timed Up and Go test (TUG). In addition, ultrasonography measurements (e.g. thickness, pennation angle, and fascicle length) were performed for gastrocnemius medialis at baseline (T0), immediately after intervention (T1) and 30 min after intervention (T2), while the MMAS and TUG Test were only measured at T0 and T2.
Results: Based on the TUG test, there was a significant improvement in gait function (p = 0.023). Furthermore, the MMAS results (p = 0.014) showed a decrease in resistance to passive movements from plantar flexor muscles. Furthermore, a significant decrease in pennation angle (p = 0.014) and muscle thickness (p = 0.001), and also a significant increase in fascicle length of gastrocnemius medialis (p = 0.001) were observed after dry needling.
Discussion & conclusions: Based on the outcomes of this study, dry needling application seems to have short term effects in terms of reducing spasticity, improving gait, and muscle architecture of gastrocnemius medialis in patients with chronic stroke. The changes of muscle architecture may be interpreted as the positive effects of dry needling on the physical properties of hypertonic muscles.
000131292 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000131292 590__ $$a1.964$$b2018
000131292 591__ $$aREHABILITATION$$b22 / 65 = 0.338$$c2018$$dQ2$$eT2
000131292 592__ $$a0.701$$b2018
000131292 593__ $$aCommunity and Home Care$$c2018$$dQ1
000131292 593__ $$aRehabilitation$$c2018$$dQ1
000131292 593__ $$aNeurology (clinical)$$c2018$$dQ1
000131292 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000131292 700__ $$aKhadijeh, O.
000131292 700__ $$aHadian, M.
000131292 700__ $$aNiloofar, A.Y.
000131292 700__ $$aOlyaei, G.
000131292 700__ $$aHossein, B.
000131292 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo, S.
000131292 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo
000131292 773__ $$g25, 5 (2018), 326-332$$pTopics in Stroke Rehabilitation$$tTopics in Stroke Rehabilitation$$x1074-9357
000131292 8564_ $$s1112217$$uhttps://zaguan.unizar.es/record/131292/files/texto_completo.pdf$$yVersión publicada
000131292 8564_ $$s1135807$$uhttps://zaguan.unizar.es/record/131292/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000131292 909CO $$ooai:zaguan.unizar.es:131292$$particulos$$pdriver
000131292 951__ $$a2024-02-07-14:37:32
000131292 980__ $$aARTICLE