Stroke. Cerebellar stroke syndrome
Conditions
Interventions
Intervention 1: Intervention group: The intervention group will undergo real dry needling for the flexor carpi radialis and flexor carpi ulnaris muscles. Prior to conducting the intervention, the ski
Sponsors
University of social welfare and rehabilitation sciences
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: Women and men who have experienced a stroke at least 6 months prior Aged between 40 and 70 years. Having spasticity greater than one according to the Modified Modified Ashworth Scale (MMAS) in the upper extremity Capable of complying with instructions. No contraindications for dry needling. No botulinum toxin injections within the past three months.
Exclusion criteria
Exclusion criteria: Inability to walk independently or with the assistance of a cane. History of recurrent stroke. Presence of epilepsy, seizures. Having other neurological conditions such as Parkinson's disease, multiple sclerosis. Limitation of more than 10% in passive wrist extension.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spasticity. Timepoint: Spasticity will be measured before dry needling, immediately after dry needling, and 24 hours later. Method of measurement: In this study, spasticity level is assessed using the Modified Modified Ashworth Scale (MMAS). It is a commonly used clinical tool for assessing spasticity in neurological diseases and measures the resistance encountered during passive muscle stretching.;Brain activity. Timepoint: Brain activity will be measured before dry needling ??? immediately after dry needling. Method of measurement: Brain activity will be assessed before and after dry needling using fMRI. For this purpose, an 18-channel, 1.5 Tesla Siemens device with a head coil will be utilized. To minimize head movement, a head stabilizer with foam pads will be employed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Active wrist extension. Timepoint: The measurement of active wrist extension will be conducted prior to dry needling, immediately following dry needling, and again after a 24-hour period. Method of measurement: To measure the range of motion for wrist extension, the individual is instructed to sit on a chair with their hand placed on the table in front of the chair. The limb position for measuring wrist extension is as follows: the shoulder is abducted at 90 degrees, the elbow is flexed at 90 degrees, and the forearm is in a pronated position. The center of the goniometer is placed adjacent to the ulnar styloid process, with the fixed arm of the goniometer parallel to the surface of the ulnar styloid process and the movable arm parallel to the surface of the fifth metacarpal bone. Before measurement, the patient is taught the correct technique for wrist extension movement, and then they are asked to voluntarily move the wrist joint in the extension direction, while changes in angle are recorded from the baseline position. The active range of motion is evaluated three times during each stage, and the average of these three measurements is employed for statistical analysis.;Passive wrist extension. Timepoint: Passive wrist extension will be assessed before dry needling, directly after dry needling, and once more after 24 hours. Method of measurement: The individual will be asked to sit on a chair with their hand placed on the table in front of them to measure passive wrist extension. The limb position for measuring wrist extension is as follows: the shoulder is abducted at 90 degrees, the elbow is flexed at 90 degrees, and the forearm is in a pronated position. The center of the goniometer is placed adjacent to the ulnar styloid process, with the fixed arm of the goniometer parallel to the surface of the ulnar styloid process and the movable arm parallel to the surface of the fifth metacarpal bone. To measure the range of passive wrist extension, the patient's wrist i | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahmood Ahmadi Fakhreh
University of social welfare and rehabilitation sciences
Outcome results
None listed