Electroencephalographic Changes After Application of Dry Needling [DNHS<sup>©</sup> Technique] in Two Patients With Chronic Stroke

Calvo, Sandra; Navarro, Jorge; Herrero, Pablo; Moral, Raquel del; Diego, Cristina; Marijuán, Pedro C.

doi:10.1080/24708593.2017.1291550

Cited by 19 publications

(16 citation statements)

References 17 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: Discussionmentioning

confidence: 61%

“…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: Discussionmentioning

confidence: 61%

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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“…The clinician followed the published DNHS ® essential diagnostic criteria for patients with neurological impairments. 26 The DDN application was based on the DNHS ® technique. 12 The intensity of the application was adjusted according to the patients' tolerance.…”

Section: Interventionmentioning

confidence: 99%

Effectiveness of dry needling for upper extremity spasticity, quality of life and function in subacute phase stroke patients

et al. 2020

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Background: Stroke is the fourth leading cause of death in Europe, represents one of the most common causes of disability in adult patients, and involves considerable short- and long-term social and healthcare costs. The effectiveness of deep dry needling (DDN) on affected arm functionality was assessed throughout 8 weeks of treatment in patients with stroke in the subacute phase. Methods: Eighty patients were included in this two-group non-randomised study after a propensity score analysis was carried out. Both groups received standard physiotherapy treatment on the affected arm. The needling group also received six sessions of DDN during the 8-week period. Patients were evaluated before and after each session using the Fugl-Meyer upper extremity (FM UE) scale, the modified modified Ashworth scale (MMAS), the resistance to passive movement scale (REPAS) and a 10-point numeric pain rating scale (NPRS 10). The Brunnstrom recovery stage was recorded at the beginning and at the end of the study, and the EuroQoL quality of life survey was completed at the beginning of the study, after the first month of treatment and at the end of the study. Results: Patients treated with DDN showed a reduction in spasticity measured using the REPAS (p < 0.001) and the MMAS (p < 0.05). There was also an improvement in the Brunnstrom recovery stages (p < 0.05). Conclusion: The addition of a specific DDN treatment to a standard physiotherapy treatment appeared to lead to a higher reduction in spasticity in the affected arm; however, it did not provide additional changes in functionality, pain and quality of life. Further studies with a randomised controlled trial design are required to confirm our findings.

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“…stroke and cerebral palsy) is the dry needling technique (DNT). [17][18][19][20][21][22][23] DNT is a specialized intervention that uses a fine filiform needle to penetrate muscle directly at a myofascial trigger point (MTrP). 24 Nevertheless, reports are scarce regarding the potential effect of DNT in reducing spasticity in an incomplete SCI (iSCI), 25 and the effect on functionality is not yet described.…”

Section: Introductionmentioning

confidence: 99%

“…The hypothesized relation between DNT and decreased spasticity is established in prior research reporting a decrease in noise at the dysfunctional endplate, 26,27 restoration of muscle architecture, 20 contractile properties, 17 and a positive effect on regional brain activity. 19 The MTrPs may be responsible for joint-range restrictions and alterations to muscle activation patterns. 28 Even a single session of DNT in the lower limbs could positively affect postural control, in addition to reducing spasticity 22,29 and pressure-pain sensitivity.…”

Section: Introductionmentioning

confidence: 99%

Dry needling technique decreases spasticity and improves general functioning in incomplete spinal cord injury: A case report

Cruz‐Montecinos

Bruna-Melo²,

Tapia

et al. 2018

The Journal of Spinal Cord Medicine

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Context: Spasticity in neurological disorders (i.e. stroke patients and cerebral palsy) is positively improved by dry needling. However, reports are scarce regarding the potential effects of dry needling in reducing spasticity and improving functionality in patients with an incomplete spinal cord injury. The aim of this case report was to study the immediate, short-term effects of dry needling treatment (10 weeks) on spasticity, dynamic stability, walking velocity, self-independence, and pain in a single patient with an incomplete spinal cord injury. Findings: The dry needling treatment resulted in immediate, short-time effects on basal spasticity in the upper (reduction from 2 to 0 point median) and lower (reduction from 2 to 0 point median) limbs, as measured by the modified Ashworth Scale. Dynamic-stability, assessed by trunk accelerometry, improved more than 50% (Root Mean Squared of acceleration, Root Mean Squared of Jerk and step variability), and gait speed improved by 24.7 s (i.e. time to walk 20 m). Self-independence and pain were respectively scored by the Spinal Cord Independence Measure (21 points improvement) and visual analog scale (4 points improvement). Conclusions: This case report demonstrates that dry needling treatment can have positive effects on spasticity, dynamic stability, walking velocity, self-independence, and pain in patients with incomplete spinal cord injury. Further research is needed in a larger patient population to deeply understand the mechanism(s) associated with the obtained results and regarding the clinical significances of dry needling treatment for incomplete spinal cord injury.

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Electroencephalographic Changes After Application of Dry Needling [DNHS^© Technique] in Two Patients With Chronic Stroke

Cited by 19 publications

References 17 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

Effectiveness of dry needling for upper extremity spasticity, quality of life and function in subacute phase stroke patients

Dry needling technique decreases spasticity and improves general functioning in incomplete spinal cord injury: A case report

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Electroencephalographic Changes After Application of Dry Needling [DNHS© Technique] in Two Patients With Chronic Stroke

Cited by 19 publications

References 17 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

Effectiveness of dry needling for upper extremity spasticity, quality of life and function in subacute phase stroke patients

Dry needling technique decreases spasticity and improves general functioning in incomplete spinal cord injury: A case report

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Electroencephalographic Changes After Application of Dry Needling [DNHS^© Technique] in Two Patients With Chronic Stroke