Electroencephalographic Changes After Application of Dry Needling [DNHS© Technique] in Two Patients With Chronic Stroke

Background: 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. Objective: 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. Methods: 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. Results: 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). Conclusions: 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. Trial registration number: NCT03546517 (ClinicalTrials.gov)

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The effect of dry needling on spasticity, gait and muscle architecture in patients with chronic stroke: A case series study

Topics in Stroke Rehabilitation ◽

10.1080/10749357.2018.1460946 ◽

2018 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Sarafraz Hadi ◽

Otadi Khadijeh ◽

Mohammadreza Hadian ◽

Ayoobi Yazdi Niloofar ◽

Gholamreza Olyaei ◽

...

Keyword(s):

Case Series ◽

Chronic Stroke ◽

Muscle Architecture ◽

Dry Needling ◽

Case Series Study ◽

Series Study

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Cost-Effectiveness of Upper Extremity Dry Needling in Chronic Stroke

Healthcare ◽

10.3390/healthcare10010160 ◽

2022 ◽

Vol 10 (1) ◽

pp. 160

Author(s):

Daniel Fernández-Sanchis ◽

Natalia Brandín-de la Cruz ◽

Carolina Jiménez-Sánchez ◽

Marina Gil-Calvo ◽

Pablo Herrero ◽

...

Keyword(s):

Cost Effectiveness ◽

Cost Effectiveness Analysis ◽

Chronic Stroke ◽

Controlled Clinical Trial ◽

Dry Needling ◽

Cost Effectiveness Ratio ◽

Limit Values ◽

Effectiveness Analysis ◽

Life Years ◽

The Cost

Introduction: Dry needling is a non-pharmacological approach that has proven to be effective in different neurological conditions. Objective: The aim of this study was to evaluate the cost-effectiveness of a single dry needling session in patients with chronic stroke. Methods: A cost-effectiveness analysis was performed based on a randomized controlled clinical trial. The results obtained from the values of the EuroQol-5D questionnaire and the Modified Modified Ashworth Scale were processed in order to obtain the percentage of treatment responders and the quality-adjusted life years (QALYs) for each alternative. The cost analysis was that of the hospital, clinic, or health center, including the equipment and physiotherapist. The cost per respondent and the incremental cost-effectiveness ratio of each alternative were assessed. Results: Twenty-three patients with stroke were selected. The cost of DN treatment was EUR 14.96, and the data analysis showed a favorable cost-effectiveness ratio of both EUR/QALY and EUR/responder for IG, although the sensitivity analysis using limit values did not confirm the dominance (higher effectiveness with less cost) of the dry needling over the sham dry needling. Conclusions: Dry needling is an affordable alternative with good results in the cost-effectiveness analysis—both immediately, and after two weeks of treatment—compared to sham dry needling in persons with chronic stroke.

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