Changes in Spasticity, Motor Function and Stabilometry After Dry Needling of the Tibialis Posterior Muscle in Post-stroke Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Changes in spasticity before and 10 minutes after the intervention
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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
Investigators
César Fernández-de-las-Peñas
Head Division
Universidad Rey Juan Carlos
Eligibility Criteria
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
Outcomes
Primary Outcomes
Changes in spasticity before and 10 minutes after the intervention
Time Frame: 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 Outcomes
- Changes in stabilometry outcomes before and 10 minutes after the intervention(Baseline and immediate after the intervention)
- Changes in motor function before and 10 minutes after the intervention(Baseline and immediate after the intervention)