]>
IRCT20210713051875N1 IRCT 2021-08-02 Tehran University of Medical Sciences The effect of dry needle techniques in the treatment of upper limb patients with stroke Comparison of the effect of two methods of dry needling application on spasticity, range of motion and upper limb function in patients with chronic stroke: a randomized clinical trial 2021-08-11 anticipated 20 Complete https://irct.ir/trial/57486 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Based on the number of patients in each group, the particular sort of treatment ( fast in fast out or rotational manipulation techniques) is written on a piece of paper. Each paper is placed in a sealed envelope. One envelope will be chosen randomly by the therapist at the first session of the patient treatment and the patient's treatment technique is selected based on that. If any of the patients is omitted from the study, one envelope related to the excluded patient treatment group will be replaced and they will be mixed again, Blinding description: At first, necessary explanation about the study, the aims and the existence of two groups are given to the patients; Whereas no information about the difference methods of treatments between two groups will be given to them. There will be no connection between patients of each groups. This way patients are blind regarding treatments methods. In addition examination will be preformed by a physiotherapist who is not aware of the treatment group. So examiner is blind to the treatment method of each participant. N/A Stroke. Intervention 1: Intervention group: Dry needling is performed by fast in fast out technique for the wrist flexor muscles, including the flexor carpi radialis and the flexor carpi ulnaris. Each needle is applied for one minute. The number of treatment sessions will be three sessions during a week. Intervention 2: Intervention group: Dry needling is used with the rotation technique on the flexor muscles of the wrist, including the flexor carpi radialis and flexor carpi ulnaris. The needle stays in this position for ten minutes and after five minutes the twist is extended again. The number of treatment sessions will be three sessions during a week. Yes - There is a plan to make this available What will be shared: The raw data of research and its analysis will be available to the researcher if they request it. When: After the publication of articles resulting from the research. To whom: Researchers working in academic institution Conditions: The data are only available to other researchers to study and evaluate treatment outcomes. Where to obtain: Department of physiotherapy, School of Rehabilitation, Enghelab St; Professor Soofia Naghdi Email address: naghdi@sina.tums.ac.ir How to obtain: by sending an official E-mail to the corresponding author: professor Soofia Naghdi (naghdi@sina.tums.ac.ir) and request the data. The researcher will be answered as soon as possible. Comments:
public Roshanak Honarpisheh
Department of physiotherapy, School of Rehabilitation, Enghelab St.
Tehran Iran (Islamic Republic of) 1148965111 +98 21 7752 0174 rhonarpisheh@razi.tums.ac.ir Tehran University of Medical Sciences scientific Roshanak Honarpisheh
Physiotherapy department, School of Rehabilitation, Enghelab St
Tehran Iran (Islamic Republic of) 1148965111 +98 21 7752 0174 rhonarpisheh@razi.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) first-ever stroke resulted in hemiplegia disease duration of at least 6 months wrist flexor modified modified Ashworth Scale (MMAS) spasticity score ≥1 No limitation in passive range of motion of the effected wrist 18 years 75 years Both Any cognitive problems in the patient Diabetes or neurological pain Wrist contracture Dry needling contraindication Taking anti-Spastic drugs G46.3 Brain stem stroke syndrome Rehabilitation Rehabilitation Intervention group: Dry needling is performed by fast in fast out technique for the wrist flexor muscles, including the flexor carpi radialis and the flexor carpi ulnaris. Each needle is applied for one minute. The number of treatment sessions will be three sessions during a week. Intervention group: Dry needling is used with the rotation technique on the flexor muscles of the wrist, including the flexor carpi radialis and flexor carpi ulnaris. The needle stays in this position for ten minutes and after five minutes the twist is extended again. The number of treatment sessions will be three sessions during a week. Spasticity. Timepoint: Before intervention, immediately after intervention, one week after intervention. Method of measurement: Modified Modified Ashworth. Function. Timepoint: Before intervention, immediately after intervention, one week after intervention. Method of measurement: Fugle-Meyer assessment upper extremity scale. Active wrist range of motion. Timepoint: Before intervention, immediately after intervention, one week after intervention. Method of measurement: Goniometer. Passive wrist range of motion. Timepoint: Before intervention, immediately after intervention, one week after intervention. Method of measurement: Goniometer. Tehran University of Medical Sciences Approved 2021-06-30 Ethics committee OF Nursing and Midwifery & Rehabilitation schools- Tehran university of Medical Sc Quds Ave, Keshavarz Blvd. Tehran Tehran Iran (Islamic Republic of)