comparison of the effects of extracorporeal shock wave therapy and dry needing

Conditions: Hemiplegia

Summary: effective treatment of spasticity after stroke is a very important and serious problem. some of the therapeutic approach include physiotherapy and medication. in the recent years external corporeal shockwave therapy and dry needling are commonly used for management of spasticity and pain after stroke. the purpose of this study is the comparative study between effectiveness of external corporeal shockwave therapy (eswt) and dry needling (dn) on spasticity, pain, and upper limb function and sensation in individuals with hemiplegia. methods: in this study, individuals with hemiplegia were randomized 1:1 to parallel eswt-group (n = 10) or dn group (cg) (n = 10). upper extremity functions, sensation, spasticity and pain were evaluated. all measurement indicators were be evaluate before treatment and immediately after one session treatment. mixedmodel repeated measured anovas were then employed to determine if a group\*time interaction existed on the effects of the treatment on each outcome variable for each group as the between-subjects variable and time as the within-subjects variables.

effective treatment of spasticity after stroke is a very important and serious problem. some of the therapeutic approach include physiotherapy and medication. in the recent years external corporeal shockwave therapy and dry needling are commonly used for management of spasticity and pain after stroke. the purpose of this study is the comparative study between effectiveness of external corporeal shockwave therapy (eswt) and dry needling (dn) on spasticity, pain, and upper limb function and sensation in individuals with hemiplegia. methods: in this study, individuals with hemiplegia were randomized 1:1 to parallel eswt-group (n = 10) or dn group (cg) (n = 10). upper extremity functions, sensation, spasticity and pain were evaluated. all measurement indicators were be evaluate before treatment and immediately after one session treatment. mixedmodel repeated measured anovas were then employed to determine if a group\*time interaction existed on the effects of the treatment on each outcome variable for each group as the between-subjects variable and time as the within-subjects variables.

Eligibility criteria:
inclusion criteria: * being between the age of 25-65 * having been diagnosed with a stroke by a specialist, first time stroke * bbm spasticity, ability to understand command actions * stable vital signs, unchanged drug doses that might affect muscle spasticity * taking no antispastic medication * with modified ashworth scale (mas) score more than 1 and less than 4 for the upper limb flexor tension exclusion criteria: * received botox, alcohol or phenol block treatments * received elbow joint surgical orthopedic surgery * history of epilepsy * severe mental disorders * malignant tumors; and limb venous thrombosis * sensory disturbances * the presence of any other neurological disorders * currently receiving other treatments * eswt contraindications * exhibit fear of needles; or have any contraindication to dn

Keywords: hemiplegia external corporeal shockwave therapy dry needling spasticity