Health Condition 1: I693- Sequelae of cerebral infarction
Conditions
Interventions
Intervention1: LI4 acupoint dry needling combined with wrist extensor electrical stimulation: Dry needling will be applied at LI4 acupoint located between first and second metacarpal bones on dorsum o
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Participants aged 18 to 64 years both males and females diagnosed with chronic stroke of at least 6 months duration having wrist flexor spasticity with Modified Ashworth Scale score of 1 plus or more cognitively able to follow commands and willing to participate with written informed consent
Exclusion criteria
Exclusion criteria: Participants with severe cognitive impairment with Mini Mental State Examination score less than 18 contraindications to dry needling including bleeding disorders local infection or open wounds at needling site or needle phobia history of botulinum toxin injection in wrist flexors within the past 4 months severe wrist joint contracture limiting positioning or other neurological conditions such as Parkinson disease or multiple sclerosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Wrist flexor spasticity measured using Modified Ashworth Scale (MAS) score 2. Wrist and hand motor function measured using Fugl-Meyer Assessment Upper Extremity (FMA-UE) wrist/hand subscale score (0 10)Timepoint: Baseline (Week 0) and post-intervention (Week 4) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Manual dexterity measured using Box and Block Test (number of blocks transferred in 1 minute) 2. Perceived improvement measured using Global Rating of Change (GROC) scale ( 5 to +5)Timepoint: Post-intervention (Week 4) | — |
Countries
India
Contacts
Public ContactDivya Prakash
Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah
Outcome results
None listed