Effects of dry needling on post-stroke brain activity and muscle spasticity of the upper limb: a case report

Mohammadpour, Fatemeh; Oghabian, Mohammad Ali; Ansari, Noureddin Nakhostin; Naghdi, Soofia; Dommerholt, Jan

doi:10.1177/0964528420920294

Cited by 20 publications

(16 citation statements)

References 5 publications

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“…Although there are no studies that compare DN with BTX-A injection techniques, both could rely on similar mechanisms of action, namely, destroying dysfunctional motor plates and preventing the release of acetylcholine as a result of mechanical breaking in the case of needling [36] or chemical denervation in the case of BTX-A injections [37]. However, studies on BTX-A injections have not revealed significant changes in functionality [38,39], whereas the patient in this study experienced a decrease of 25% in the time spent to complete the 9HPT, which persisted for 4 days after the intervention, despite the fact that both BTX-A and DN seem to have central effects [15,16,40].…”

Section: Discussioncontrasting

confidence: 56%

“…Although the mechanism of action of DN is still unclear, it is known that DN inhibits the H-reflex [12], decrease the frequency of motor unit spontaneous firing spikes [13] and may modify the contractile capacities of the spastic muscle [14]. Recent studies have also shown that DN achieves an increased activation of the sensory and motor areas in post-stroke [15,16]. Moreover, some experimental studies in animal models have shown that DN reduces the abnormal electromyographic (EMG) activity that is characteristic of MTrPs [17] and that an intact afferent pathway and normal spinal cord function are needed to evoke remote effects of dry needling on EMG endplate noise [18].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Deep Dry Needling on Tremor Severity and Functionality in Stroke: A Case Report

et al. 2020

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This study aimed to determine the effect of one session of dry needling on the severity of tremor, motor function and skills, and quality of life of a 39-year-old woman with post-stroke tremor. Myofascial trigger points (MTrP) of the following muscles were treated: extensor digitorum, flexor digitorum superficialis and profundus, brachioradialis, short head of biceps brachii, long head of triceps brachii, mid deltoid, infraspinatus, teres minor, upper trapezius, and supraspinatus. Outcomes were assessed via (i) clinical scales (activity of daily living (ADL-T24), a visual analog scale (VAS), and the Archimedes spiral), (ii) a functional test (9-Hole Peg test), and (iii) biomechanical and neurophysiological measurements (inertial sensors, electromyography (EMG), and dynamometry). The subject showed a decrease in the severity of tremor during postural (72.7%) and functional (54%) tasks after treatment. EMG activity decreased after the session and returned to basal levels 4 days after. There was an improvement post-intervention (27.84 s) and 4 days after (32.43 s) in functionality and manual dexterity of the affected limb, measured with the 9-Hole Peg test, as well as in the patient’s hand and lateral pinch strength after the treatment (26.9% and 5%, respectively), that was maintained 4 days later (15.4% and 16.7%, respectively).

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Section: Discussioncontrasting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Effects of Deep Dry Needling on Tremor Severity and Functionality in Stroke: A Case Report

et al. 2020

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“…Impairments in motor function of the affected arm after stroke is difficult to treat as it either does not improve or partially improve with the current rehabilitation strategies. DN has been shown to be one useful intervention that could lead to increases in brain activity [ 32 ], significant reduction of spasticity and consequent improvement in active movements after stroke [ [8] , [9] , [10] , [11] , [12] , 33 , 34 ]. We hypothesized that the DN when used in combination with the exercise therapy would lead to further reduction of spasticity and enhanced outcomes in active motor function.…”

Section: Anticipated Discussionmentioning

confidence: 99%

Effects of dry needling and exercise therapy on post-stroke spasticity and motor function– protocol of randomized clinical trial

Ansari

Ghotbi

Naghdi

et al. 2022

Contemporary Clinical Trials Communications

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“…35 However, DN may also achieve improvements in gait, which cannot be explained through the aforementioned mechanisms, and whose effects must rely on a combination of local changes in the muscle 9,10,12,29 and increased activation of the sensory and motor areas. 8,11 Because of these different and complementary mechanisms of action, future studies should evaluate if DN can achieve any additional effects when it is combined with contemporary treatments carried out for PD. In addition, considering other studies in PD carried out with needling procedures such as acupuncture or BTX, it is necessary that future studies analyze if more than one DN session can lead to cumulative effects in PD patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, DN of myofascial trigger points (MTrPs) has been demonstrated to improve gait and muscle tone in persons with stroke, 6,7 although the exact mechanism of action of DN in neurological patients remains unclear. 8–12…”

Section: Introductionmentioning

confidence: 99%

Effects of dry needling on gait and muscle tone in Parkinson’s disease: a randomized clinical trial

et al. 2021

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Background: Alterations in gait and muscular rigidity are common and disabling in persons with Parkinson’s disease (PD). Objective: The aim of this study was to determine whether a single dry needling (DN) session can promote changes in gait and muscle tone in the lower extremities as well as in the evolution of the disease in persons with PD. Methods: A randomized double-blind clinical trial was designed. Participants were randomly assigned to an intervention group (IG) that received a session of DN over the semitendinosus, medial gastrocnemius, soleus and rectus femoris muscles, or to a control group (CG) that received a session of sham DN in the same muscles. The effects of DN were assessed using the timed up and go test (TUG), 10 meter walk test (10MWT), 6 minute walk test (6MWT) and myotonometry before, immediately after, and 7 days after the intervention. Results: Thirty-three participants were analyzed aged 69.9 ± 7.2 years (mean ± SD; 39% female). There were no significant differences between the IG and CG for any outcomes. Significant differences were observed when comparing the Pre and Follow-up values in the IG for functional mobility of gait in the TUG (p = 0.049), gait speed in the 10MWT (p = 0.041) and muscle tone in the lower extremities by myotonometry (frequency (p = 0.027) and stiffness (p = 0.013)). By comparison, there were no significant within-group differences in the CG. Conclusion: A single session of DN had no measurable benefit compared to a single session of sham DN. Within-group changes in the IG suggested improvements in functional mobility of gait and gait speed, as well as changes in the muscle tone in the lower extremities of PD patients, which could be worthy of further exploration by future research.

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Effects of dry needling on post-stroke brain activity and muscle spasticity of the upper limb: a case report

Cited by 20 publications

References 5 publications

Effects of Deep Dry Needling on Tremor Severity and Functionality in Stroke: A Case Report

Effects of Deep Dry Needling on Tremor Severity and Functionality in Stroke: A Case Report

Effects of dry needling and exercise therapy on post-stroke spasticity and motor function– protocol of randomized clinical trial

Effects of dry needling on gait and muscle tone in Parkinson’s disease: a randomized clinical trial

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