IIS Aragon, Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
Faculty of Health Sciences, Universidad San Jorge, Zaragoza, Spain.
Acupunct Med. 2022 Aug;40(4):312-321. doi: 10.1177/09645284211056347. Epub 2021 Dec 13.
Persons with stroke commonly have impairments associated with a reduction in functionality. Motor impairments are the most prevalent, causing an impact on activities of daily life.
The aim of this study was to evaluate the effect of a session of dry needling (DN) applied to the upper extremity muscles on the sensorimotor function, hypertonia, and quality of life of persons with chronic stroke.
A randomized, sham-controlled clinical trial was performed. Participants were randomly assigned into an intervention group that received a single session DN in the biceps brachii, brachialis, flexor digitorum superficialis and profundus, extensor digitorum, adductor pollicis and triceps brachii muscles, or into a control group that received the same treatment but with a sham DN intervention. Treatment outcomes included the Fugl-Meyer Assessment Scale for the upper extremity, the Modified Modified Ashworth Scale, and the EuroQol-5D questionnaire. Measurements were carried out before, immediately after, and 14 days after intervention.
Twenty-three persons participated in the study. Significant differences between groups were observed after the intervention in the total wrist-hand motor score (p = 0.023) and sensorimotor score (p = 0.022), for hypertonia in the elbow extensors both after treatment (p = 0.002) and at follow-up (p = 0.018), and in quality of life at follow-up (p = 0.030).
A single session of DN improved total wrist-hand motor function and total sensorimotor function in persons with chronic stroke immediately after treatment, as well as quality of life 2 weeks after treatment.
NCT03546517 (ClinicalTrials.gov).
脑卒中患者常伴有功能下降相关的损伤。运动损伤最为常见，对日常生活活动造成影响。
本研究旨在评估单次上肢干针治疗对慢性脑卒中患者感觉运动功能、肌肉痉挛和生活质量的影响。
采用随机、假对照临床试验。参与者被随机分为干预组和对照组，干预组接受肱二头肌、肱肌、指浅屈肌和指深屈肌、伸肌、拇指内收肌和肱三头肌单次干针治疗，对照组接受相同的治疗，但采用假干针干预。治疗结果包括上肢 Fugl-Meyer 评估量表、改良改良 Ashworth 量表和 EuroQol-5D 问卷。在干预前、干预后即刻和干预后 14 天进行测量。
23 名患者参与了研究。干预后，两组间的总腕手运动评分（p=0.023）和感觉运动评分（p=0.022）、肘伸肌痉挛程度（治疗后 p=0.002，随访时 p=0.018）和生活质量（随访时 p=0.030）均有显著差异。
单次干针治疗可改善慢性脑卒中患者的总腕手运动功能和总感觉运动功能，在治疗后即刻，以及在治疗后 2 周时改善生活质量。
NCT03546517（ClinicalTrials.gov）。
