Effects of dry needling plus exercise therapy on post-stroke spasticity and motor function: A case report |
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| Affiliation: | 1. Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran;2. Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran;3. Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran;4. Department of Anatomical Sciences, Medical School, Arak University of Medical Sciences, Arak, Iran;1. Department of Massage, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310005, China;2. The Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China;3. Department of Acupuncture, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310005, China;1. Evidence-based Medicine Research Centre, Jiangxi University of Chinese Medicine, Nanchang, China;2. Department of Emergency, The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, China;3. Department of Cardiology, The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, China;1. Department of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Autovía A-23 Zaragoza-Huesca Km. 299, 50830, Villanueva de Gállego, Zaragoza, Spain;2. Centro de Fisioterapia Enrique Sierra. Zaragoza, Spain;1. China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia;2. Guangdong Provincial Hospital of Chinese Medicine (The Second Affiliated Hospital of Guangzhou University of Chinese Medicine), Guangdong Provincial Academy of Chinese Medical Sciences, and The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China;1. School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Department of Medicine (The University of Melbourne) at Royal Melbourne Hospital, Melbourne, Australia;3. Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran;1. School of Clinical Medicine, Hangzhou Medical College, Hangzhou, Zhejiang, China;2. Department of Rehabilitation Medicine, Second Affiliated Hospital, Zhejiang University, Hangzhou, Zhejiang, China |
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| Abstract: | ![]()
Background and purposeThe use of dry needling (DN) with other treatments may be more beneficial in managing post-stroke spasticity. We report the effects of DN plus exercise therapy (ET) on wrist flexor spasticity.Patient presentationThe patient was a 45-year-old man with an 8-year history of stroke. The outcome measures included the Modified Modified Ashworth Scale (MMAS), Hmax/Mmax ratio, H-reflex latency, Action Research Arm Test (ARAT), Fugl-Meyer Assessment (FMA), and range of motion (ROM) which were assessed before (T1), after (T2), and after 3-week follow-up (T3).ConclusionThe MMAS was improved at T2 from “3” to “2”. The Hmax/Mmax decreased from 0.77 to 0.53 at T3. The H-reflex latency increased from 15.4 ms to 18.5 ms at T3. The wrist active and passive ROM increased ∼30° and ∼20° at T2, respectively.A 4-session DN plus ET may improve spasticity and ROM. No meaningful improvement was observed in function. |
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| Keywords: | Dry needling Exercise therapy Motor function Motor neuron excitability Spasticity Stroke |
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