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논문 기본 정보

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학술저널
저자정보
Esmaeeli Mahdi (Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran) Ghotbi Nastaran (Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran) Malmir Kazem (Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran) Ansari Noureddin Nakhostin (Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IranResearch Center for War-Affected People, Tehran University of Medical Sciences, Tehr) Herrero Pablo (Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain) Jalaei Shohreh (Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran) Loni Elham (Department of Physical Medicine and Rehabilitation, Rofaydeh Rehabilitation Hospital, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran) Mazidi Sajede (Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran)
저널정보
대한약침학회 Journal of Acupuncture & Meridian Studies Innovations in Acupuncture and Medicine Vol.17 No.4
발행연도
2024.8
수록면
141 - 148 (8page)
DOI
10.51507/j.jams.2024.17.4.141

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Importance: Stroke is a leading cause of disability worldwide and is often accompanied by complications such as spasticity. Static stretching (SS) is a common physiotherapy intervention for reducing spasticity, whereas dry needling (DN) is a novel approach. However, the combined effects of DN and SS on spasticity have not been thoroughly investigated. Given the pivotal effect of spasticity on daily activities, mitigating spasticity can significantly contribute to restoring patient independence. Objective: This study will explore the impact of DN plus SS on spasticity, alpha motor neuron excitability, overall function, and quality of life in patients with chronic stroke. Design, Setting, and Population: A double-blind, randomized, sham-controlled trial will be conducted in patients with post-stroke spasticity in the plantar flexor muscles. Twentyeight participants will be randomly assigned to either an intervention or control group. The intervention group will receive DN (60s × 3 days/week; 1 week) plus SS (20 min × 5 days/ week; 1 week). The control group will undergo sham DN (60s × 3 days/week; 1 week) and SS (20 min × 5 days/week; 1 week). Exposures: DN plus SS or sham DN plus SS. Main Outcomes and Measures: Both groups will be assessed at baseline, immediately post-treatment, and after 1 week of follow-up. Outcome measures will include the Modified Modified Ashworth Scale, H-reflex latency, Hmax/Mmax ratio, active and passive ankle dorsiflexion range of motion, timed up and go test, and the EuroQol questionnaire. Results: Results from this randomized, sham-controlled study will provide evidence for the effectiveness of DN in combination with SS for spasticity. Conclusions and Relevance: The additional impact of DN in conjunction with SS, a widely used method for reducing muscle tone, remains unclear and warrants investigation. This study, with a high level of evidence, aims to address this knowledge gap.
#Dry needling #Motor neuron excitability #Plantar flexor muscles #Spasticity #Stretch #Stroke

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