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Effects of Dry Needling Plus Exercise Therapy on Post-Stroke Spasticity and Motor Function: A Case Report Publisher Pubmed



Babazadehzavieh SS1 ; Ansari NN1, 2 ; Ghotbi N1 ; Naghdi S1 ; Mansouri K3 ; Khanmohammadi M1 ; Haeri SMJ4
Authors
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Authors Affiliations
  1. 1. Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Anatomical Sciences, Medical School, Arak University of Medical Sciences, Arak, Iran

Source: Complementary Therapies in Clinical Practice Published:2022


Abstract

Background and purpose: The use of dry needling (DN) with other treatments may be more beneficial in managing post-stroke spasticity. We report the effects of DN plus exercise therapy (ET) on wrist flexor spasticity. Patient presentation: The patient was a 45-year-old man with an 8-year history of stroke. The outcome measures included the Modified Modified Ashworth Scale (MMAS), Hmax/Mmax ratio, H-reflex latency, Action Research Arm Test (ARAT), Fugl-Meyer Assessment (FMA), and range of motion (ROM) which were assessed before (T1), after (T2), and after 3-week follow-up (T3). Conclusion: The MMAS was improved at T2 from “3” to “2”. The Hmax/Mmax decreased from 0.77 to 0.53 at T3. The H-reflex latency increased from 15.4 ms to 18.5 ms at T3. The wrist active and passive ROM increased ∼30° and ∼20° at T2, respectively. A 4-session DN plus ET may improve spasticity and ROM. No meaningful improvement was observed in function. © 2021
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