Comparison of the Effects of Extracorporeal Shock Wave Therapy and Dry Needing
Condition: Hemiplegia
MeSH terms: Hemiplegia
Study type: Interventional

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.
    

Detailed description: 
      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.
    

Intervention name(s): ESWT group; DN group
Intervention type(s): Other; Other
Intervention description(s): subjects in ESWT-group receiving one session shock wave therapy given 6,000 impulses at 0.06-0.07 mJ/mm2 (1.2-1.4 bar) at 18 Hz on biceps brachii (17). Subjects in DN-group receiving dry needling using disposable stain less steel sterilized needles, 0.25×0.30. DN perform with patients in supine position, arm away from the trunk, and forearm in supination. The fast-in and fast-out cone shape technique adopt and each muscle needled for one minute; Subjects in DN-group receiving dry needling using disposable stain less steel sterilized needles, 0.25×0.30. DN perform with patients in supine position, arm away from the trunk, and forearm in supination. The fast-in and fast-out cone shape technique adopt and each muscle needled for one minute
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Hemiplegia; external corporeal shockwave therapy; dry needling; spasticity