Stroke, Hemiplegia, spasticity. Spastic hemiplegia
Conditions
Interventions
Intervention 1: Intervention group: Deep fast in and fast out method of dry needling in the brachialis muscle for 1 minute. Intervention 2: Intervention group: Deep fast in and fast out method of dry
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 65 Years
Inclusion criteria
Inclusion criteria: First ever stroke resulted in hemiplegia Age between 40 to 65 years MMAS Score of spasticity in related muscles should be at least 1
Exclusion criteria
Exclusion criteria: Previous treatment with nerve blocks, motor point injection with neurolytic agents for spasticity at any time, or with BTX-A in the 6 months preceding the study Existence of severe Cognitive and perceptual deficits History of dry needling in the past 6 months Contraindications to dry needling Cervical radiculopathy Contracture of related muscles Unwilling to take part in the study Contraindications to MRI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The severity of spasticity of the brachialis and flexor carpi radialis muscles, which is measured based on the MMAS test. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Through the MMAS test by a physiotherapist who is expert in patients with hemiplegia.;Severity of brain activity. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Analysis of fMRI findings after finger tapping. | — |
Secondary
| Measure | Time frame |
|---|---|
| Active/passive elbow and wrist range of motions. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Through a goniometer and by a physiotherapist familiar with the desired assessment. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahdi Seyfollahipoor
Tehran University of Medical Sciences
Outcome results
None listed