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IRCT20230721058873N1 IRCT 2023-09-22 Tehran University of Medical Sciences Investigating the effect of dry needling on spastic muscles A study to investigate the effect of dry needling of forearm pronator muscles on spasticity and upper limb function in stroke patients 2023-09-11 anticipated 20 Complete https://irct.ir/trial/71466 interventional Randomization: N/A, Blinding: Single blinded, Placebo: Used, Assignment: Crossover, Purpose: Treatment, Blinding description: Dry needling and sham needling are used in this study. that each patient will be considered as his own control. Patients receive sham needling in a three-session period and dry needling in another three-session period. But patients are blinded regarding the use of sham needles. N/A Stroke. Intervention 1: Intervention group: Dry needling,Dry needling with the Fast in/Fast out technique and in a conical shape for 1 minute is applied to the pronator teres and pronator quadratus muscles at the motor points of these muscles. Intervention 2: Control group: Sham needling,With the same dry needling protocol, the patient feels the sharpness of the needle on the skin without piercing the patient's skin. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Amirhossein Parsaei
Tehran University of Medical Sciences dormitory complex, in front of Farshi Moghadam St., North Kargar St.
Tehran Iran (Islamic Republic of) 1439957181 +98 11 3320 1320 amirhosseinparsaei1377pt@gmail.com Tehran University of Medical Sciences scientific Amirhossein Parsaei
1439957181, Tehran University of Medical Sciences dormitory complex, in front of Farshi Moghadam St., North Kargar St.
Tehran Iran (Islamic Republic of) 1439957181 +98 11 3320 1320 amirhosseinparsaei1377pt@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Age 40 to 75 years The first stroke that resulted in hemiplegia At least 6 months have passed since the stroke. The spasticity score of the forearm pronator muscles on the MMAS scale is equal to 1 or more. The supination range of the affected side should be at most 10% less than the healthy side. No history of dry needling intervention Not having cases of not using dry needling, such as fear of needles, receiving anticoagulants, infection, bleeding, or mental illness No treatment with botox or nerve blockers in the last 6 months 40 years 75 years Both Occurrence of any new lesion that affects muscle tone. Dissatisfaction to continue cooperation Taking any medicine that affects muscle tone G81.10 Spastic hemiplegia affecting unspecified side Rehabilitation Rehabilitation Intervention group: Dry needling,Dry needling with the Fast in/Fast out technique and in a conical shape for 1 minute is applied to the pronator teres and pronator quadratus muscles at the motor points of these muscles. Control group: Sham needling,With the same dry needling protocol, the patient feels the sharpness of the needle on the skin without piercing the patient's skin. Spasticity degree. Timepoint: Before the first session and after the third session of Sham needling and dry needling and one week after the third session of dry needling. Method of measurement: With physical examination based on the MMAS scale. Active and Passive range of motion. Timepoint: Before the first session and after the third session of Sham needling and dry needling and one week after the third session of dry needling. Method of measurement: goniometry. Upper extremity function. Timepoint: Before the first session and after the third session of Sham needling and dry needling and one week after the third session of dry needling. Method of measurement: Physical examination based on Brunnstrom's recovery stage. Function and daily life activities of daily living in the upper limb. Timepoint: Before the first session and after the third session of Sham needling and dry needling and one week after the third session of dry needling. Method of measurement: Physical examination and based on the CAHAI 13 scale. Tehran University of Medical Sciences Approved 2023-09-03 Ethics committee of Tehran University of Medical Sciences North Kargar St., in front of Farshi Moghadam St., Tehran University of Medical Sciences dormitory complex Tehran Tehran Iran (Islamic Republic of)