PDF(Pubmed)
Abstract：
BACKGROUND: Dry needling (DN) is commonly used to treat various neuromuscular syndromes. It is effective in reducing spasticity in stroke and other neurological conditions. The current study explores the immediate effect of ultrasound-guided dry needling on soleus muscle spasticity and thickness in individuals with stroke.
METHODS: Approval was obtained from the Institutional Sub-ethics Committee of Dr. D. Y. Patil College of Physiotherapy, Pune. The trial was registered with the Clinical Trials Registry of India. Thirty stroke survivors having soleus muscle spasticity ranging from grade 1 to 4 on the Modified Modified Ashworth Scale (MMAS) were selected. Spasticity was also assessed using the Modified Tardeau Scale (MTS) and H-reflex. Soleus muscle architecture was assessed by using ultrasonography (USG). Participants received a single session of DN for the spastic soleus muscle. Pre and immediate post-DN outcome measures were assessed.
RESULTS: Based on USG findings, the thickness of the soleus muscle significantly increased by 2.67 mm (p<0.001) after dry needling treatment. The MMAS showed decreased spasticity by 1.47 (p<0.001) for ankle plantar flexors. A significant reduction of H-reflex values by 1.4 mV (p<0.001) was noted. The MTS also showed a significant increase in the range of ankle motion by 2.7 (p<0.001). All these indicate an immediate reduction of spasticity following DN.
CONCLUSIONS: Based on the findings of the current study, we can conclude that a single session of USG-guided DN has an immediate beneficial effect on reducing soleus muscle spasticity and increased muscle thickness in individuals with stroke.
METHODS: Approval was obtained from the Institutional Sub-ethics Committee of Dr. D. Y. Patil College of Physiotherapy, Pune. The trial was registered with the Clinical Trials Registry of India. Thirty stroke survivors having soleus muscle spasticity ranging from grade 1 to 4 on the Modified Modified Ashworth Scale (MMAS) were selected. Spasticity was also assessed using the Modified Tardeau Scale (MTS) and H-reflex. Soleus muscle architecture was assessed by using ultrasonography (USG). Participants received a single session of DN for the spastic soleus muscle. Pre and immediate post-DN outcome measures were assessed.
RESULTS: Based on USG findings, the thickness of the soleus muscle significantly increased by 2.67 mm (p<0.001) after dry needling treatment. The MMAS showed decreased spasticity by 1.47 (p<0.001) for ankle plantar flexors. A significant reduction of H-reflex values by 1.4 mV (p<0.001) was noted. The MTS also showed a significant increase in the range of ankle motion by 2.7 (p<0.001). All these indicate an immediate reduction of spasticity following DN.
CONCLUSIONS: Based on the findings of the current study, we can conclude that a single session of USG-guided DN has an immediate beneficial effect on reducing soleus muscle spasticity and increased muscle thickness in individuals with stroke.
摘要：
背景：干针（DN）通常用于治疗各种神经肌肉综合征。它可有效减少中风和其他神经系统疾病的痉挛。当前的研究探讨了超声引导的干针刺对中风患者比目鱼肌痉挛和厚度的直接影响。
方法：获得了D.Y.Patil理疗学院的机构亚伦理委员会的批准，浦那。该试验在印度临床试验注册中心注册。根据改良的Ashworth量表（MMAS）选择了30名比目鱼肌痉挛的1至4级中风幸存者。还使用改良的Tardeau量表（MTS）和H反射评估了痉挛。通过超声检查（USG）评估比目鱼肌结构。参与者接受了一次痉挛的比目鱼肌DN。评估DN前和即时后结局指标。
结果：根据USG的调查结果，干针处理后，比目鱼肌厚度显着增加了2.67mm（p<0.001）。MMAS显示踝关节足底屈肌痉挛减少1.47（p<0.001）。注意到H-反射值显著降低1.4mV(p<0.001)。MTS还显示踝关节运动范围显著增加2.7(p<0.001)。所有这些都表明DN后痉挛立即减少。
结论：根据当前研究的结果，我们可以得出结论,在卒中患者中,单次接受USG指导的DN对减轻比目鱼肌痉挛和增加肌肉厚度具有直接的有益效果.
方法：获得了D.Y.Patil理疗学院的机构亚伦理委员会的批准，浦那。该试验在印度临床试验注册中心注册。根据改良的Ashworth量表（MMAS）选择了30名比目鱼肌痉挛的1至4级中风幸存者。还使用改良的Tardeau量表（MTS）和H反射评估了痉挛。通过超声检查（USG）评估比目鱼肌结构。参与者接受了一次痉挛的比目鱼肌DN。评估DN前和即时后结局指标。
结果：根据USG的调查结果，干针处理后，比目鱼肌厚度显着增加了2.67mm（p<0.001）。MMAS显示踝关节足底屈肌痉挛减少1.47（p<0.001）。注意到H-反射值显著降低1.4mV(p<0.001)。MTS还显示踝关节运动范围显著增加2.7(p<0.001)。所有这些都表明DN后痉挛立即减少。
结论：根据当前研究的结果，我们可以得出结论,在卒中患者中,单次接受USG指导的DN对减轻比目鱼肌痉挛和增加肌肉厚度具有直接的有益效果.
