97375 20230622083318.0 doi 10.3390/healthcare9010005 sideral 121382 ART-2020-121382 eng Ortín, José Antonio Effects of deep dry needling on tremor severity and functionality in stroke: A case report 2020 Access copy available to the general public Unrestricted This study aimed to determine the effect of one session of dry needling on the severity of tremor, motor function and skills, and quality of life of a 39-year-old woman with post-stroke tremor. Myofascial trigger points (MTrP) of the following muscles were treated: extensor digitorum, flexor digitorum superficialis and profundus, brachioradialis, short head of biceps brachii, long head of triceps brachii, mid deltoid, infraspinatus, teres minor, upper trapezius, and supraspinatus. Outcomes were assessed via (i) clinical scales (activity of daily living (ADL-T24), a visual analog scale (VAS), and the Archimedes spiral), (ii) a functional test (9-Hole Peg test), and (iii) biomechanical and neurophysiological measurements (inertial sensors, electromyography (EMG), and dynamometry). The subject showed a decrease in the severity of tremor during postural (72.7%) and functional (54%) tasks after treatment. EMG activity decreased after the session and returned to basal levels 4 days after. There was an improvement post-intervention (27.84 s) and 4 days after (32.43 s) in functionality and manual dexterity of the affected limb, measured with the 9-Hole Peg test, as well as in the patient’s hand and lateral pinch strength after the treatment (26.9% and 5%, respectively), that was maintained 4 days later (15.4% and 16.7%, respectively). info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.645 2020 HEALTH POLICY & SERVICES 40 / 88 = 0.455 2020 Q2 T2 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Bravo-Esteban, Elisabeth Ibáñez, Jaime Herrero, Pablo Universidad de Zaragoza (orcid)0000-0002-9201-0120 Gómez-Soriano, Julio Marcén-Román, Yolanda Universidad de Zaragoza (orcid)0000-0001-5851-8855 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 9, 1 (2020), [7 pp.] Healthcare (Basel) Healthcare (Switzerland) 2227-9032 755361 http://zaguan.unizar.es/record/97375/files/texto_completo.pdf Versión publicada 522186 http://zaguan.unizar.es/record/97375/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:97375 articulos driver 2023-06-21-15:02:39 ARTICLE