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The Effect of Dry Needling on Lower Limb Dysfunction in Post-Stroke Survivors

Ghannadi, Shima; Shariat, Ardalan; Ansari, Noureddin; Tavakol, Zahra; Honarpishe, Roshanak; Hakakzadeh, Azadeh; Dommerholt, Jan; Noormohammadpour, Pardis; Ingle, Lee


Shima Ghannadi

Ardalan Shariat

Noureddin Ansari

Zahra Tavakol

Roshanak Honarpishe

Azadeh Hakakzadeh

Jan Dommerholt

Pardis Noormohammadpour


Background: Spasticity is one of the main complications in post-stroke survivors leading to difficulties in walking and standing resulting in high levels of disability. Objective: The aim of the study was to investigate the effects of deep dry needling on lower limb spasticity in post-stroke survivors.  Methods: A randomized clinical trial conducted in post-stroke survivors who were assigned to one of two groups: Deep dry needling (intervention group) and sham dry needling (control group). The primary outcome measures were Modified Modified Ashworth Scale (MMAS) and functional tests (timed up and go test, 10-meter walk test). Secondary outcome measures were active ankle dorsi-flexion range of motion (AROM), passive ankle dorsi-flexion range of motion (PROM), single leg stance test, and Barthel index. All measurements were assessed at baseline (T0), immediately after the third session one week later (T1), and one month after the end of the intervention (T2). Results: We recruited 24 patients (71% male; mean age 57±10 years; 26.4±1.8 kg∙m -2 ; time since event: 25.2±12.5 months). There were significant improvements in MMAS, timed up and go test, 10-meter walk test, Barthel scale, and PROM ( P 0.05). Conclusions: Deep dry needling decreases muscle spasticity and improves lower limb function and gait speed in post-stroke survivors.

Journal Article Type Article
Publication Date Jun 1, 2020
Journal Journal of stroke and cerebrovascular diseases
Print ISSN 1052-3057
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 29
Issue 6
Article Number 104814
APA6 Citation Ghannadi, S., Shariat, A., Ansari, N., Tavakol, Z., Honarpishe, R., Hakakzadeh, A., …Ingle, L. (2020). The Effect of Dry Needling on Lower Limb Dysfunction in Post-Stroke Survivors. Journal of Stroke and Cerebrovascular Diseases, 29(6),
Keywords Stroke; Spasticity; Deep dry needling; Sham dry needling
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