Changes in Spasticity, Motor Function and Stabilometry After Dry Needling of the Tibialis Posterior Muscle in Post-stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Changes in spasticity before and 10 minutes after the intervention
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •First-ever unilateral stroke;
- •hemiplegia resulting from stroke;
- •unilateral equinovarus gait with independent walk;
- •able to ambulate without supporting devices
排除标准
- •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
结局指标
主要结局
Changes in spasticity before and 10 minutes after the intervention
时间窗: 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.
次要结局
- 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)
研究者
César Fernández-de-las-Peñas
Head Division
Universidad Rey Juan Carlos