]>
IRCT20230123057192N1 IRCT 2023-02-14 Tehran University of Medical Sciences Effects of dry needling as a physiotherapy approach on brain activities and spasticity of patients after stroke. A comparison on the effects of a single session of brachialis and Flexor Carpi Radialis muscles' dry needling on spasticity and brain activities of patients after stroke based on fMRI findings. 2023-03-01 anticipated 20 Complete https://irct.ir/trial/68282 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: In this study, both groups will be treated by dry needling, with the difference that the intervention for one group is for the brachialis muscle (as the proximal muscle) and in the other group for the flexor carpi radialis muscle (as the distal muscle).In this case, we have active control group, it means that each group receiving the intervention should be considered as a control for the other group, Randomization description: Concealed allocation by using a computer-generated randomised table of numbers created before data collection and then delivery of the secret sealed envelopes which include numbered cards. The therapist opens the envelope and performs the treatment according to the specified group, Blinding description: f-MRI unit expert as the first evaluator (collector of brain activity variable data) and also a physiotherapist as the second evaluator (collector of other variable data) in this research are blind to the treatment groups . In this way, both people only collect the data presented by the main researcher without knowing about the treatment and the related treatment group. N/A Stroke, Hemiplegia, spasticity. Intervention 1: Intervention group: Deep fast in and fast out method of dry needling in the brachialis muscle for 1 minute. Intervention 2: Intervention group: Deep fast in and fast out method of dry needling in the flexor carpi radialis muscle for 1 minute. 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 researchers if they request it. When: After the publication of articles resulting from the research. To whom: Researchers working in academic institutions. Conditions: The data are only available to other researchers to study and evaluate treatment outcomes. Where to obtain: Dr. Noureddin Nakhostin Ansari, Department of Physiotherapy, School of Rehabilitation,Tehran University of Medical Sciences, Enghelab Ave., Piche-e-shemiran, 09122979309, nakhostin@sina.tums.ac.ir How to obtain: By sending an official E-mail to the corresponding author, professor Noureddin Nakhostin Ansari(nakhostin@sina.tums.ac.ir) and request the data. The researcher will be answered as soon as possible Comments:
public Mahdi Seyfollahipoor
No.19, Jahad alley , Shariati Ave , Abbas abad
Tehran Iran (Islamic Republic of) 1558748611 +98 21 8612 1931 m-seyfollahipoor@razi.tums.ac.ir Tehran University of Medical Sciences scientific Dr. Noureddin Nakhostin Ansari
School of Rehabilitation,Tehran University of Medical Sciences, Enghelab Ave., Piche-e-shemiran
Tehran Iran (Islamic Republic of) 1148956111 +98 21 7753 3939 nakhostin@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) First ever stroke resulted in hemiplegia Age between 40 to 65 years MMAS Score of spasticity in related muscles should be at least 1 40 years 65 years Both Previous treatment with nerve blocks, motor point injection with neurolytic agents for spasticity at any time, or with BTX-A in the 6 months preceding the study Existence of severe Cognitive and perceptual deficits History of dry needling in the past 6 months Contraindications to dry needling Cervical radiculopathy Contracture of related muscles Unwilling to take part in the study Contraindications to MRI G81.1 Spastic hemiplegia Rehabilitation Rehabilitation Intervention group: Deep fast in and fast out method of dry needling in the brachialis muscle for 1 minute. Intervention group: Deep fast in and fast out method of dry needling in the flexor carpi radialis muscle for 1 minute. The severity of spasticity of the brachialis and flexor carpi radialis muscles, which is measured based on the MMAS test. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Through the MMAS test by a physiotherapist who is expert in patients with hemiplegia. Severity of brain activity. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Analysis of fMRI findings after finger tapping. Active/passive elbow and wrist range of motions. Timepoint: Before, immediately after and 30 minutes after the intervention. Method of measurement: Through a goniometer and by a physiotherapist familiar with the desired assessment. Tehran University of Medical Sciences Approved 2023-01-18 Research Ethics Committees of School of Nursing and Midwifery & Rehabilitation - Tehran University o Central Organization of Tehran University of Medical Sciences, corner of Qods St., Keshavarz Boulevard Tehran Tehran Iran (Islamic Republic of)