Comparison of the effect of transcutaneous electrical nerve stimulation with and without dry needling on wrist flexors stiffness, motor function and motor neuron excitability in patients with chronic stroke

Comparison of the effect of transcutaneous electrical nerve stimulation with and without dry needling on wrist flexors spasticity, motor function and motor neuron excitability in patients with chronic stroke

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20260128068683N1

Enrollment

Registered

2026-05-18

Start date

2026-02-19

Completion date

Unknown

Last updated

2026-06-01

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

Conditions

Patients with chronic stroke. Cerebrovascular disease, unspecified

Interventions

Intervention 1: Intervention group: Intervention group: Transcutaneous electrical nerve stimulation with a frequency of 100 Hz and a pulse duration of 200 microseconds for 30 minutes while the patient

Eligibility

Sex/Gender

All

Age

40 Years to 70 Years

Inclusion criteria

Inclusion criteria: Hemiplegia due to ischemic stroke At least 6 months have passed since the stroke Spasticity severity of the wrist flexor muscles of the affected side according to the MMAS scale of at least 1 Age 40 to 70 years Ability to follow instructions

Exclusion criteria

Exclusion criteria: Taking any medication that is effective in reducing spasticity.

Design outcomes

Primary

Measure	Time frame
Spasticity severity. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Modified Modified Ashworth Scale.;Active range of motion of the wrist. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Goniometer.;Active range of motion of the wrist. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Goniometer.;Motor function. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Box and Block Test.;Motor neuron excitability. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Electromyography device.;H reflex latency. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Electromyography device.	—

Measure

Time frame

Spasticity severity. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Modified Modified Ashworth Scale.;Active range of motion of the wrist. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Goniometer.;Active range of motion of the wrist. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Goniometer.;Motor function. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Box and Block Test.;Motor neuron excitability. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Electromyography device.;H reflex latency. Timepoint: Before the start of the intervention, 7 and 28 days after the start of the intervention. Method of measurement: Electromyography device.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactMahla Rakhshani

Tehran University of Medical Sciences

rakhshanim500@gmail.com+98 21 7753 3939

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026