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Effects of dry needling plus static stretching on plantar flexors spasticity, alpha motor neuron excitability, and balance in patients with chronic stroke

Effects of dry needling plus static stretching on plantar flexors spasticity, alpha motor neuron excitability, and balance in patients with chronic stroke

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20230719058844N1
Enrollment
26
Registered
2023-08-07
Start date
2023-08-23
Completion date
Unknown
Last updated
2023-08-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic stroke patients. Spastic hemiplegia

Interventions

Intervention 1: Intervention group: Intervention:In the intervention group, in each treatment session, after dry needling for 60 seconds, 20 minutes of stretching (29) of the plantar flexor muscles ar

Sponsors

Tehran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
40 Years to 65 Years

Inclusion criteria

Inclusion criteria: Men and women with chronic stroke At least 6 months after stroke onset MMAS=1 for the ankle plantar flexor muscle group Ability to walk 10 meters independently with or without an assistive device Having no pain in lower limb No history of botox injection in the plantar flexor muscles in the last 3 months No contraindication for dry needling No history of other neuromuscular system disorders Ability to understand and follow the instructions Age between 40 to 65 years

Exclusion criteria

Exclusion criteria: Passive ROM limitation of more than 10% in ankle dorsiflexion compared to the less involved leg. Non-cooperation in carrying out treatment protocols Absence of the person in two consecutive treatment sessions Inability to complete the pre and post assessments

Design outcomes

Primary

MeasureTime frame
Hmax/Mmax. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Using an electromyography device.;H reflex latency. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Using an electromyography device.;Modified modified Ashworth scale (MMAS). Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Score between 0-4 by assessor ( MMAS ).;Ankle active range of motion. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Goniometer.;Ankle passive range of motion. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Goniometer.;Timed up and go test. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Time measured by a chronometer.;Quality of life. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: European quality of life questionnaire.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMahdi Esmaeeli

Tehran University of Medical Sciences

mesmaeeli@razi.tums.ac.ir+98 21 3317 0630

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026