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Effect of dry needling with exercise therapy on stroke spasticity

Not Applicable
Recruiting
Conditions
Chronic stroke.
Cerebral infarction, unspecified
I63.9
Registration Number
IRCT20180611040061N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
24
Inclusion Criteria

Documented diagnosis of stroke by a neurologist
At least 6 months have passed since the stroke
Age>40 years
Being the first time stroke leading to hemiplegia
Spasticity greater than one for wrist flexor muscles based on MMAS scale
Absence of sensory disorders, bleeding, upper limb malignancies, ulcers and infection
Ability to understand therapist and evaluator instructions
Full consent to participate in the research

Exclusion Criteria

Fear of applying dry needles
Having contracture in hand
Contraindication for dry needling
Other neurological lesions
Having Diabetes
Any history of treatment with nerve blockers such as botulinum toxin A 6 months prior to inclusion

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Wrist flexors spasticity. Timepoint: Measurement of Spasticity before and after the intervention (4 weeks after intervention) and 3 weeks after the intervention. Method of measurement: Persian version of Modified Modified Ashworth Scale.;Alpha motor neuron excitability. Timepoint: Before and after intervention (4 weeks after intervention) and 3 weeks after intervention. Method of measurement: Electromyography machine (EMG).
Secondary Outcome Measures
NameTimeMethod
Range of motion. Timepoint: Before and after intervention (4 weeks after intervention) and 3 weeks after intervention. Method of measurement: Goniometer.;Motor function. Timepoint: Before and after intervention (4 weeks after intervention) and 3 weeks after intervention. Method of measurement: Study of patients motor function with Fugl-Meyer Scale and Action Research Arm Test.
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