Effects of dry needling as a physiotherapy approach on brain activities and spasticity of patients after stroke.

Not Applicable

Recruiting

• Conditions: Stroke, Hemiplegia, spasticity.; Spastic hemiplegia; G81.1

• Registration Number: IRCT20230123057192N1
• Lead Sponsor: Tehran University of Medical Sciences

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 13 March 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

First ever stroke resulted in hemiplegia
Age between 40 to 65 years
MMAS Score of spasticity in related muscles should be at least 1

Exclusion Criteria

Previous treatment with nerve blocks, motor point injection with neurolytic agents for spasticity at any time, or with BTX-A in the 6 months preceding the study
Existence of severe Cognitive and perceptual deficits
History of dry needling in the past 6 months
Contraindications to dry needling
Cervical radiculopathy
Contracture of related muscles
Unwilling to take part in the study
Contraindications to MRI

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The severity of spasticity of the brachialis and flexor carpi radialis muscles, which is measured based on the MMAS test. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Through the MMAS test by a physiotherapist who is expert in patients with hemiplegia.;Severity of brain activity. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Analysis of fMRI findings after finger tapping.

Secondary Outcome Measures

Name	Time	Method
Active/passive elbow and wrist range of motions. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Through a goniometer and by a physiotherapist familiar with the desired assessment.