000145038 001__ 145038
000145038 005__ 20240926122721.0
000145038 0247_ $$2doi$$a10.51507/j.jams.2024.17.4.141
000145038 0248_ $$2sideral$$a139903
000145038 037__ $$aART-2024-139903
000145038 041__ $$aeng
000145038 100__ $$aEsmaeeli, Mahdi
000145038 245__ $$aEffect of Dry Needling Plus Static Stretching on Plantar Flexors Spasticity in Chronic Stroke Patients
000145038 260__ $$c2024
000145038 5060_ $$aAccess copy available to the general public$$fUnrestricted
000145038 5203_ $$amportance: 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.
000145038 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000145038 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000145038 700__ $$aGhotbi, Nastaran
000145038 700__ $$aMalmir, Kazem
000145038 700__ $$aAnsari, Noureddin Nakhostin
000145038 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza
000145038 700__ $$aJalaei, Shohreh
000145038 700__ $$aLoni, Elham
000145038 700__ $$aMazidi, Sajede
000145038 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000145038 773__ $$g17, 4 (2024), 141-148$$tJAMS Journal of Acupuncture and Meridian Studies$$x2005-2901
000145038 8564_ $$s4664061$$uhttps://zaguan.unizar.es/record/145038/files/texto_completo.pdf$$yVersión publicada
000145038 8564_ $$s2889333$$uhttps://zaguan.unizar.es/record/145038/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000145038 909CO $$ooai:zaguan.unizar.es:145038$$particulos$$pdriver
000145038 951__ $$a2024-09-26-10:58:12
000145038 980__ $$aARTICLE