Multiple sclerosis. Multiple sclerosis
Conditions
Interventions
Intervention 1: Intervention group: in the interventional group, DN , when the patient are in prone position, the con shaped dry needling will be done for one minute for medial and latral heads of t
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Definitive diagnosis of MS (relapsing-remitting type) Lake of other neurological diseases Ability to walk with or without auxiliary equipment Ability to understand commands EDSS with a score of 3 to 7 Severity of spasticity of plantar flexors is equal to or greater than 1(using MMAS) Lack of passive ankle limitation is more than 10% Lake of Botox injection since three months ago Absence of any kind of confrontation for DN No acute attack in the last month
Exclusion criteria
Exclusion criteria: Unwillingness to continue cooperation of patient for any reason Occurrence of a new attack during the course of participating research Use of anti-spasticity drugs during the research period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spasticity of plantar flexors muscles measured its intensity based on the MMAS scale from zero to four. Timepoint: measurements will be done before intervention, immediately after it and one week later. Method of measurement: spasticity is the resistance level that the therapist felt during dorsiflexion of the patient's ankle and measured its intensity based on the MMAS scale from zero to four.;Passive torque of plantar flexor muscles , The maximum force obtained in terms of Newton’s is multiplied to distance (m) between the head of the third metatarsal to the ankle joint axis and the maximum torque is obtained in terms of Nm. Timepoint: measurements will be done before intervention, immediately after it and one week later. Method of measurement: An ankle stiffness is evaluated using a manual micro-muscle tester. The center of the sensitive dynamometer pad is locating in the center of the metatarsal arch in the third metatarsal head, and the passive resistance force of the plantar flexors against the ankle dorsiflexion is recorded by dynamometer in the knee extension position. In this way, like the clinical method of measuring spasticity by counting 1001, the ankle joint will be quickly turned from its rest position to the maximum dorsiflexion.The maximum force obtained in terms of Newton’s is multiplied to distance (m) between the head of the third metatarsal to the ankle joint axis and the maximum torque is obtained in terms of Nm.;Maximum foot pressure, for study of foot pressure in static, the maximum pressure and foot force variables are examined by the foot scan. Timepoint: measurements will be done before intervention, immediately after it and one week later. Method of measurement: we want the patient to stand straight and look at the point on the facing wall and count from 100 in reverse, then the at time interval when the patient is counting and concentrating, operator scans the participant's foot.;In this research, dynamic mobilities test is determined by | — |
Secondary
| Measure | Time frame |
|---|---|
| Dorsiflexion range of motion. Timepoint: measurements will be done before intervention, immediately after it and one week later. Method of measurement: To do this, an ankle goniometr is used. To measure active range of motion, we ask the patient to perform ankle dorsiflexion in a straight-knee position. To measure the passive range, keep the tibia and the fibula with one hand and hold the heel together with the flat plate of the goniometer with another hand and pull it slowly down to achieve the maximum dorsiflexion. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactOmid Motamedzadeh Sabeti
Tehran University of Medical Sciences
Outcome results
None listed