The effect of dry needling on elbow flexor spasticity and corticospinal excitability in patients with chronic stroke: A double-blind, randomized, controlled trial

Tehran University of Medical Sciences0 个研究点目标入组 30 人开始时间: 待定最近更新: 2023年8月21日

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•stroke-induced hemiplegia
•A minimum of six months have passed since the occurrence of the stroke, indicating a chronic stage of the disease.
•The degree of spasticity exhibited by the elbow flexor muscles on the affected side, as determined by the Modified Modified Ashworth Scale (MMAS), is a minimum of 1.
•Ability to follow instructions

•Individuals undergoing other treatments to alleviate spasticity
•The administration of pharmacological interventions aimed at reducing spasticity
•Not having any contraindications to using the TMS device, such as a history of seizures, epilepsy (the person themselves or a first-degree family member), a history of head injury or brain injury, metal in the head (outside the mouth) such as surgical clips, cochlear implants, or welded parts, a history of negative reactions to MRI or TMS, a history of brain-related diseases such as MS or brain tumors, a history of fainting, or a history of severe headaches,pregnancy or conception intention within the last three months, Past use of drugs known to reduce the seizure threshold, such as imipramine, amitriptyline, doxepin, nortriptyline, maprotiline, chlorpromazine, clozapine, foscarnet, ganciclovir, ritonavir, theophylline, phenytidine, ketamine, gamma hydroxybutyrate, amphetamine, cocaine, and recent use of drugs or alcohol

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