Chronic stroke. Cerebral infarction, unspecified
Conditions
Interventions
Intervention 1: Intervention group: In the treatment group, patients will receive exercise therapy in addition to dry needle. Immediately after dry needle, patients will do exercises in Structure, Fun
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame |
|---|---|
| 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. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNastaran Ghotbi
Tehran University of Medical Sciences
Outcome results
None listed