The immediate effects of dry needling for ankle and toe plantar flexors on spasticity and balance in patients with stroke

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BOLHASANI FATEMEH; NAGHDI SOOFIA; NAKHOSTIN ANSARI NOUREDDIN; FAKHARI ZAHRA

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Paper Information

Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2020 | Volume:78 | Issue:1 Page(s): 21-27

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Title

The immediate effects of dry needling for ankle and toe plantar flexors on spasticity and balance in patients with stroke

Author(s)

BOLHASANI FATEMEH | NAGHDI SOOFIA | NAKHOSTIN ANSARI NOUREDDIN | FAKHARI ZAHRA | Issue Writer Certificate

Keywords

dry needlingQ1

postural balanceQ1

muscle spasticityQ1

strokeQ2

Abstract

Background: Spasticity is one of the most important symptoms of stroke, which leads to movement constraints and disability. The presence of spasticity in the ankle and toe plantar flexor muscles disturbs the balance and gait of patients with stroke. dry needling has been introduced as a new method for the treatment of spasticity. The aim of this study was to investigate the immediate effects of the ankle and toe plantar flexors dry needling on spasticity and balance in patients with stroke. Methods: This study was a clinical pretest-posttest study. Twenty patients with stroke (12 males and 8 females), the mean age of 56. 5± 13 years were included. The assessments were performed before dry needling, immediately after dry needling and 15 minutes after that. dry needling was used to treat gastrocnemius (ankle plantar flexor) muscles, flexor digitorum longus, and flexor digitorum brevis of the affected lower limb of the patients, for one session. Each muscle was needled for one minute with fast in-fast out technique. The outcome measures of the study were modified modified Ashworth scale (MMAS) for the assessment of the severity of muscle spasticity, timed up and go test and one leg stance test, for balance evaluation. The study was conducted in neurological physical therapy, Clinic of Rehabilitation School, Tehran University of Medical Sciences in Iran, from April 2017 to April 2018. Results: The results showed a significant decrease in the ankle and toe plantar flexor muscles spasticity both immediately after dry needling and at 15 minutes follow-up (P=0. 001). The duration of timed up and go test (P=0. 001) and one leg stance test (P=0. 001) improved significantly after dry needling and this improvement persisted for 15 minutes after dry needling. The effect size for timed up and go test and one leg stance test was small (Cohen'sd=0. 33 and 0. 32 respectively). Conclusion: This study suggests that dry needling is effective in improving spasticity of ankle and toe plantar flexor muscles and the balance of patients with stroke. Further research with larger sample size and control group is necessary.

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References

A single group, pretest-posttest clinical trial for the effects of dry needling on wrist flexors spasticity after stroke

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APA: Copy

BOLHASANI, FATEMEH, NAGHDI, SOOFIA, NAKHOSTIN ANSARI, NOUREDDIN, & FAKHARI, ZAHRA. (2020). The immediate effects of dry needling for ankle and toe plantar flexors on spasticity and balance in patients with stroke. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 78(1 ), 21-27. SID. https://sid.ir/paper/386485/en

Vancouver: Copy

BOLHASANI FATEMEH, NAGHDI SOOFIA, NAKHOSTIN ANSARI NOUREDDIN, FAKHARI ZAHRA. The immediate effects of dry needling for ankle and toe plantar flexors on spasticity and balance in patients with stroke. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2020;78(1 ):21-27. Available from: https://sid.ir/paper/386485/en

IEEE: Copy

FATEMEH BOLHASANI, SOOFIA NAGHDI, NOUREDDIN NAKHOSTIN ANSARI, and ZAHRA FAKHARI, “The immediate effects of dry needling for ankle and toe plantar flexors on spasticity and balance in patients with stroke,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 78, no. 1 , pp. 21–27, 2020, [Online]. Available: https://sid.ir/paper/386485/en

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