Effect of Dry Needling Treatment on Tibial Musculature in Combination with Neurorehabilitation Treatment in Stroke Patients: Randomized Clinical Study

Zacarías Sánchez Milá (), Jorge Velázquez Saornil, Angélica Campón Chekroun, José Manuel Barragán Casas, Raúl Frutos Llanes, Arantxa Castrillo Calvillo, Cristina López Pascua and David Rodríguez Sanz
Additional contact information
Zacarías Sánchez Milá: Area of Physiotherapy, Catholic University of Ávila, 05005 Ávila, Spain
Jorge Velázquez Saornil: Area of Physiotherapy, Catholic University of Ávila, 05005 Ávila, Spain
Angélica Campón Chekroun: Area of Physiotherapy, Catholic University of Ávila, 05005 Ávila, Spain
José Manuel Barragán Casas: Area of Physiotherapy, Catholic University of Ávila, 05005 Ávila, Spain
Raúl Frutos Llanes: Area of Physiotherapy, Catholic University of Ávila, 05005 Ávila, Spain
Arantxa Castrillo Calvillo: Centro Lescer, 28050 Madrid, Spain
Cristina López Pascua: Centro Lescer, 28050 Madrid, Spain
David Rodríguez Sanz: Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain

IJERPH, 2022, vol. 19, issue 19, 1-9

Abstract: (1) Background: Introducing ultrasound-guided dry needling to neurorehabilitation treatments increases the beneficial effects of therapy. The aim of this study was to compare the effects of including an ultrasound-guided dry needling session in neurorehabilitation treatment on spasticity and gait–balance quality versus neurorehabilitation treatment in subjects who had suffered a stroke. (2) Methods: A single-blind, randomized clinical trial was conducted. Thirty-six patients who had suffered a stroke in the right middle cerebral artery signed the informed consent for participation in the study. Twenty patients finally participated and were randomly assigned to the control group (neurorehabilitation treatment) or experimental group (neurorehabilitation treatment plus ultrasound-guided dry needling). Pre-treatment and post-treatment data were collected on the same day. The experimental group (n = 10) first underwent an ultrasound-guided dry needling intervention on the tibialis anterior and tibialis posterior musculature, followed by neurorehabilitation treatment; the control group (n = 10) underwent their corresponding neurorehabilitation without the invasive technique. Pre-treatment and post-treatment measurements were taken on the same day, assessing the quality of balance–gait using the “Up and Go” test and the degree of spasticity using the Modified Modified Ashworth Scale. (3) Results: The patients who received neurorehabilitation treatment plus ultrasound-guided dry needling showed a greater decrease in spasticity in the tibial musculature after the neurorehabilitation treatment session ( p < 0.001), improving balance and gait ( p < 0.001). (4) Conclusions: An ultrasound-guided dry needling session combined with neurorehabilitation treatment reduced spasticity and improved balance and gait in stroke patients.

Keywords: stroke; ultrasound-guided dry needling; spasticity; neurorehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/19/12302/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/19/12302/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:19:p:12302-:d:927438

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().