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The Effect of Dry Needling on Lower Limb Dysfunction in Poststroke Survivors
Shima Ghannadi1, Ardalan Shariat1, Noureddin Nakhostin Ansari2
1Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Summary
Deep dry needling effectively reduced spasticity and improved lower limb function and walking speed in stroke survivors. This intervention offers a promising approach for enhancing mobility and reducing disability post-stroke.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Post-stroke spasticity significantly impairs mobility, causing difficulties in walking and standing.
- This spasticity leads to substantial disability in stroke survivors.
- Effective interventions are crucial for improving functional outcomes.
Purpose of the Study:
- To evaluate the therapeutic effects of deep dry needling on lower limb dysfunction in patients with post-stroke spasticity.
- To compare deep dry needling with a sham procedure in a randomized clinical trial.
Main Methods:
- A randomized clinical trial involving post-stroke survivors comparing deep dry needling to sham dry needling.
- Primary outcomes included the Modified Modified Ashworth Scale (MMAS) and functional tests (Timed Up and Go, 10-meter walk).
- Secondary outcomes assessed range of motion, single leg stance, and functional independence (Barthel Index).
Main Results:
- The deep dry needling group showed significant improvements in spasticity (MMAS), functional mobility, gait speed, and passive range of motion compared to the control group.
- Improvements were observed across multiple time points post-intervention.
- No significant improvements were noted in active range of motion assessments.
Conclusions:
- Deep dry needling is an effective treatment for reducing muscle spasticity in post-stroke survivors.
- The intervention significantly enhances lower limb function and gait speed.
- Deep dry needling represents a viable therapeutic option for improving functional recovery after stroke.
