关键词: Balance Dry needling Function Rehabilitation Spasticity Traumatic brain injury

Mesh : Humans Male Brain Injuries, Traumatic / complications rehabilitation Muscle Spasticity / therapy rehabilitation etiology Postural Balance / physiology Dry Needling / methods Adult Gait / physiology Activities of Daily Living Muscle Weakness / rehabilitation etiology therapy

来  源:   DOI:10.1016/j.jbmt.2024.03.011

Abstract:
BACKGROUND: Motor impairments are common consequences of traumatic brain injury (TBI). It affects the individuals\' participation in activities of daily living (ADLs). Dry needling treatment (DNT) uses a specialized needle to alter cortical activity. This case study aims to examine the effects of DNT on spasticity, balance, gait, and self-independence in a single patient with TBI.
METHODS: A twenty-six-year-old male with a history of TBI, resulting in muscle weakness on the right side of the body, spasticity, distributed balance, and difficulties with independent gait participated in this study. The Berg balance scale (BBS), 6-min walk test (6MWT), Modified Ashworth Scale (MAS), and Functional Independence Measure (FIM) were used to evaluate balance, gait, spasticity, and functional performance, respectively.
RESULTS: After 36 DNT sessions extended over 12 weeks, the patient demonstrated improvements in spasticity, balance, gait, and functional capacity both immediately after the intervention and at the 4-week follow-up.
CONCLUSIONS: This case study demonstrates that DNT is considered a novel intervention for treating spasticity and improving balance, gait, and functional capacity post-TBI. Further research is recommended to verify these findings.
摘要:
背景:运动障碍是创伤性脑损伤(TBI)的常见后果。它影响个人参与日常生活活动(ADL)。干针治疗(DNT)使用专门的针来改变皮质活动。本案例研究旨在研究DNT对痉挛的影响,balance,步态,以及单个TBI患者的自我独立性。
方法:一名有TBI病史的26岁男性,导致身体右侧肌肉无力,痉挛,分布式平衡,和独立步态困难参与了这项研究。伯格平衡量表(BBS),6分钟步行试验(6MWT),改良Ashworth量表(MAS),和功能独立性测量(FIM)用于评估平衡,步态,痉挛,和功能性能,分别。
结果:在36次DNT会议延长12周后,患者的痉挛得到了改善,balance,步态,干预后立即和4周随访时的功能能力。
结论:本案例研究表明,DNT被认为是治疗痉挛和改善平衡的新型干预措施。步态,和TBI后的功能能力。建议进一步研究以验证这些发现。
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