Effects of dry needling session frequency on wrist flexor spasticity and motor recovery after stroke: a single-blind randomized clinical trial.

IF 1.6 4区医学 Q2 REHABILITATION Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-09-09 DOI:10.1080/09593985.2023.2254827

Noureddin Nakhostin Ansari, Fatemeh-Sadat Hasheminasab-Zavareh, Soofia Naghdi, Jan Dommerholt

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Abstract

Background: Determining the optimal number of dry needling (DN) sessions to satisfactorily treat a stroke patient with spasticity is important from both clinical and economic perspective.

Objective: To explore the effects of one versus three sessions of DN on spasticity of the wrist flexors and motor recovery after stroke.

Methods: In this single-blind randomized clinical trial, 24 patients were randomly and equally divided into two groups: one group received one session of DN, while the other group received three sessions of DN in one week. Both groups received one minute of DN of the flexor carpi radialis and flexor carpi ulnaris. The outcome measures were the Modified Modified Ashworth Scale (MMAS), passive resistance torque (PRT), wrist active and passive extension range of motion (ROM), and the Brunnstrom Stages of Stroke Recovery (BSSR) measured before, immediately after, and one week after the last DN session.

Results: Both groups demonstrated a significant improvement in all outcomes (p < .05). The MMAS scores in both groups meaningfully improved (p < .001). No significant differences were found between the two groups; however, a significant time-by-group interaction was observed for the PRT (p = .02; Cohen's d = 0.23-0.73), wrist active extension ROM (p = .001; Cohen's d = 0.37-0.67), and wrist passive extension ROM (p = .02; Cohen's d = 0.32-1.30). The BSSR significantly improved from 3 to 4 in both groups (p < .001).

Conclusion: Administering three sessions of DN can effectively improve spasticity and motor function after stroke.

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干针治疗频率对中风后腕屈肌痉挛和运动恢复的影响：单盲随机临床试验。

背景：从临床和经济角度来看，确定干针疗法（DN）的最佳疗程次数以满意地治疗痉挛性中风患者非常重要：目的：探讨干针疗法一次与三次对中风后腕屈肌痉挛和运动恢复的影响：在这项单盲随机临床试验中，24 名患者被随机平均分为两组：一组接受一次 DN 治疗，另一组在一周内接受三次 DN 治疗。两组患者均接受一分钟的桡侧屈肌和尺侧屈肌 DN 训练。结果测量指标包括改良改良阿什沃斯量表（MMAS）、被动阻力转矩（PRT）、腕关节主动和被动伸展运动范围（ROM），以及布伦斯特罗姆卒中恢复阶段（BSSR），分别在最后一次 DN 治疗前、治疗后和治疗后一周进行测量：结果：两组患者在所有结果（p p = .02; Cohen's d = 0.23-0.73）、腕部主动伸展 ROM（p = .001; Cohen's d = 0.37-0.67）和腕部被动伸展 ROM（p = .02; Cohen's d = 0.32-1.30）方面均有明显改善。两组患者的 BSSR 均从 3 显著提高到 4（p 结论：DN 治疗的效果非常明显：进行三个疗程的 DN 可以有效改善中风后的痉挛和运动功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.