Comparison of the effect of one session vs three sessions of dry needling on wrist flexor muscles spasticity and motor function in patients with stroke

Comparing the effect of one session with three sessions per week of dry needling in reducing spasticity and improving motor function of stroke patients and determining the number of more effective treatment sessions per week.

Randomized;single blind ;simple randomized controlled clinical trial was performed on 24 patients for manual randomization with random selection of evaluation sheets.

Arman Pouya Isfahan Physiotherapy, dry needling in ulnar and radial wrist flexor muscles in one session and three sessions per week, the evaluator has been blinded to the first and second groups.

Inclusion criteria: Age over 18 years, first experience of stroke, stroke hemiplegia, at least six months after stroke, spasticity in wrist flexor muscles, not taking any antispasmodics, ability to understand instructions Exclusion criteria: Contraindication of dry needle use, diabetes, any other neurological complication, cervical radiculopathy, fixed contractures in the wrist area, receiving other treatments at the same time, fear of dry needle, Botox injection To reduce spasticity over the past six months

Participants are randomly divided into two groups. The group receives one session per week and the group three sessions per week for dry needling. The dry acupuncture technique is performed for the ulnar and radial flexor muscles of patients with a conical method and for a maximum of one minute for each point.

Active range of motion; Passive range of motion; Passive resistive torque; Severity of spasticity; Bronstrom recovery stage

A simple random Russian is used to determine the research groups. First, a sheet is prepared in the specified number of samples, and on half of the sheets, the group writes one session in a week of dry needling and the other half of the group writes three sessions in a week of dry needling. The order of these sheets is distorted and when the samples are referred, one sheet is randomly removed for each person and the relevant group is determined based on the registered title. The evaluator performs the clinical tests in random order and completes the evaluation and is completely blind to the first and second groups. The therapist is another experienced physiotherapist who is fully trained to perform dry needling and performs the treatment.

In this one-way blind study, the evaluator performs clinical tests in random order and completes the evaluation and is completely blind to the first and second groups.

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