Dry Needling in Patients Who Had Experience Stroke

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Other: Bobath; Other: Dry needling

• Registration Number: NCT02579291
• Lead Sponsor: Universidad Rey Juan Carlos

Brief Summary

Individuals who had experience a stroke usually suffer from spasticity at medium and long-terms. The presence of spasticity in the lower extremity implies several impairments for standing and walking inducing high disability. A recent study has proposed the use of dry needling for improving spasticity in the lower extremity. No study has investigated the effects of deep dry needling inserted into spastic musculature in stabilometry and moto function in patients who had experience a stroke. A randomized controlled trial investigating the effects of the inclusion of deep dry needling into a Bobath interventional program on spasticity, motor function and balance (stabilometry) in individuals who had experience a stroke

Detailed Description

Not available

Study Timeline

• Study Start: 2015-10
• Study First Submitted: 2015-10-12
• Study First Submitted QC: 2015-10-15
• Study First Posted: 2015-10-19
• Status Verified: 2016-05
• Primary Completion: 2016-05
• Study Completion: 2016-05
• Last Update Submitted: 2016-05-10
• Last Update Posted: 2016-05-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• First-ever unilateral stroke;
• hemiplegia resulting from stroke;
• unilateral equinovarus gait with independent walk;
• able to ambulate without supporting devices

Exclusion Criteria

• recurrent stroke;
• previous treatment with nerve blocks, motor point injections with neurolytic agents for spasticity at any time, or with BTX-A in the previous 6 months
• not independent in the basic activities of daily living
• cognitive deficits;
• progressive or severe neurologic diseases;
• fear to needles;
• any contraindication for dry needling

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Bobath	Bobath	This group will receive a single session of Bobath therapy including techniques targeting modulation of central nervous system.
Dry needling	Dry needling	The experimental group will receive a single session of Bobath therapy including techniques targeting modulation of central nervous system. In addition, this group will receive a single session of dry needling into the tibialis posterior muscle with a disposable stainless steel needle (0.3mm x 50mm)

Primary Outcome Measures

Name	Time	Method
Changes in spasticity before and 10 minutes after the intervention	Baseline and immediate after the intervention	Spasticity in the affected ankle joint will be evaluated with the Modified Modified Ashworth Scale (MMAS). The examiner passively will move the ankle in dorsal-flexion direction, back and forth at least 5 times and will evaluate the degree of resistance to the movement on a scale from 0-4.

Secondary Outcome Measures

Name	Time	Method
Changes in stabilometry outcomes before and 10 minutes after the intervention	Baseline and immediate after the intervention	The time reaction will be assessed as stabilometric data from each patient.
Changes in motor function before and 10 minutes after the intervention	Baseline and immediate after the intervention	The Fugl-Meyer evaluation will be used to determine motor impairments and physical recovery of patients who had experienced a stroke

Trial Locations

Locations (1)

Cesar Fernandez-de-Las-Peñas; 🇪🇸 Alcorcon, Madrid, Spain