CHANGES IN SPASTICITY, WIDESPREAD PRESSURE PAIN SENSITIVITY, AND BAROPODOMETRY AFTER DRY NEEDLING IN STROKE PATIENTS
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Changes in spasticity before and after the intervention
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
Stroke is the leading cause of physical disability, particularly due to the presence of spasticity. Different needling techniques, including the use of Botulinum Toxin A are proposed for the management of spasticity. The presence of spasticity in the lower extremity implies several impairments for standing and walking inducing high disability. No study has investigated the effects of deep dry needling inserted into the targeted spastic musculature in patients with stroke. The investigators will conduct a randomized controlled trial investigating the effects of a single session of deep dry needling over the musculature of the leg on spasticity, widespread pressure pain sensitivity and plantar pressures (baropodometry) in individuals with chronic stroke. The investigators hypothesize that patients receiving a single session of dry needling would exhibit a greater reduction in spasticity and pressure sensitivity than those who will not receive the intervention.
Investigators
César Fernández-de-las-Peñas
PROFESSOR
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
- •severe cognitive deficits;
- •progressive or severe neurologic diseases;
- •fear to needles;
- •any contraindication for dry needling, e.g., anticoagulants, infections, bleeding, or psychotic.
Outcomes
Primary Outcomes
Changes in spasticity before and after the intervention
Time Frame: Baseline and immediate after the inetrvention
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. This outcome will take 1 minute approximately.
Secondary Outcomes
- Changes in pressure pain sensitivity before and after the intervention(Baseline and immediate after the inetrvention)
- Changes in baropodometry outcomes before and after the intervention(Baseline and immediate after the inetrvention)