Dry Needling in Patients Who Had Experience Stroke

Universidad Rey Juan Carlos

Status: Completed

Conditions: Stroke

Treatments: Other: Dry needling; Other: Bobath

Study type: Interventional

Funder types: Other

Identifiers

NCT02579291

URJC 07-2015

Details and patient eligibility

About

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

Enrollment: 30 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First-ever unilateral stroke;
• hemiplegia resulting from stroke;
• unilateral equinovarus gait with independent walk;
• able to ambulate without supporting devices

Exclusion criteria

• recurrent stroke;
• previous treatment with nerve blocks, motor point injections with neurolytic agents for spasticity at any time, or with BTX-A in the previous 6 months
• not independent in the basic activities of daily living
• cognitive deficits;
• progressive or severe neurologic diseases;
• fear to needles;
• any contraindication for dry needling

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Dry needling

Experimental group

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)

Treatment:

Other: Dry needling

Bobath

Active Comparator group

Description:

This group will receive a single session of Bobath therapy including techniques targeting modulation of central nervous system.

Treatment:

Other: Bobath