Dry Needling in Patients Who Had Experience Stroke

Completed

Phase N/A Results N/A

Trial Description

Individuals who had experience a stroke usually suffer from spasticity at medium and long-terms. The presence of spasticity in the lower extremity implies several impairments for standing and walking inducing high disability. A recent study has proposed the use of dry needling for improving spasticity in the lower extremity. No study has investigated the effects of deep dry needling inserted into spastic musculature in stabilometry and moto function in patients who had experience a stroke. A randomized controlled trial investigating the effects of the inclusion of deep dry needling into a Bobath interventional program on spasticity, motor function and balance (stabilometry) in individuals who had experience a stroke

Conditions

Interventions

  • Dry needling Other
    Intervention Desc: Once the most painful spot is located within a palpable spastic taut band, the overlying skin is cleaned with alcohol. The needle will be inserted, penetrating the skin about 15-20mm, until the first local twitch response is obtained. Once the first local twitch response is obtained, the needle will be moved up and down (4 to 5 mm. vertical motions with no rotation) in the muscle at approximately 1Hz for 25-30 seconds.
    ARM 1: Kind: Experimental
    Label: Dry needling
    Description: The experimental group will receive a single session of Bobath therapy including techniques targeting modulation of central nervous system. In addition, this group will receive a single session of dry needling into the tibialis posterior muscle with a disposable stainless steel needle (0.3mm x 50mm)
  • Bobath Other
    Intervention Desc: Patients will receive different neuromodulatory interventions based on the Bobath concept with the aim to decrease spasticity on the lower extremity
    ARM 1: Kind: Experimental
    Label: Bobath
    Description: This group will receive a single session of Bobath therapy including techniques targeting modulation of central nervous system.

Trial Design

  • Allocation: Randomized
  • Masking: Double Blind (Investigator, Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Safety/Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Changes in spasticity before and 10 minutes after the intervention Baseline and immediate after the intervention Yes
Secondary Changes in motor function before and 10 minutes after the intervention Baseline and immediate after the intervention Yes
Secondary Changes in stabilometry outcomes before and 10 minutes after the intervention Baseline and immediate after the intervention Yes

Sponsors