Clinical trial NCT06856473: Effects of Dry Needling on Spasticity and Functional Ability
Official title: Effects of Dry Needling on Spasticity and Functional Ability in Children With Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Cerebral Palsy (CP)
Keywords: Dry Needle
Spasticity
Functional abilities
Lead sponsor: Batterjee Medical College
Sponsor class: OTHER
First posted: 2025-03-04
Enrollment: 30
Sex: ALL
Minimum age (years): 6
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study follows a randomized controlled trial (RCT) design with a parallel-group interventional model to evaluate the effects of dry needling on spasticity and functional outcomes. Participants are randomly assigned to one of two groups:

Study Group (Intervention Group): Receives dry needling for the spastic calf and adductor muscles in addition to a traditional physical therapy program based on Neurodevelopmental Treatment (NDT) (3 sessions per week, each lasting 1 hour).

Control Group: Receives only the traditional physical therapy program (NDT) without dry needling, following the same frequency and duration.
Primary purpose: TREATMENT

Brief summary: This study investigates the effects of dry needling on spasticity and its impact on functional ability in individuals with neuromuscular disorders. Using the Modified Ashworth Scale (MAS), Timed Up and Go (TUG) test, and Gross Motor Function Measure (GMFM), the research evaluates changes in muscle tone, mobility, and overall motor performance following dry needling intervention. The findings aim to provide evidence on the clinical benefits of dry needling as a therapeutic approach for improving movement efficiency and functional outcomes in patients with spasticity.

Detailed description: Spasticity is a common impairment in individuals with neuromuscular disorders, often leading to limitations in movement, balance, and overall functional performance. Dry needling has emerged as a promising intervention for managing spasticity by targeting hyperactive muscle fibers and reducing abnormal muscle tone. This study aims to explore the therapeutic effects of dry needling on muscle spasticity and functional ability using standardized clinical measures.

Participants will undergo pre- and post-intervention assessments using the Modified Ashworth Scale (MAS) to quantify changes in muscle tone, the Timed Up and Go (TUG) test to evaluate mobility and balance, and the Gross Motor Function Measure (GMFM) to assess functional motor skills. The intervention will focus on specific muscle groups affected by spasticity.

By analyzing the relationship between changes in spasticity and functional mobility, this study seeks to determine whether dry needling contributes to measurable improvements in movement efficiency, postural control, and daily functional activities. The findings will provide valuable insights into the role of dry needling as an adjunct therapy in rehabilitation programs, supporting its integration into clinical practice for individuals with neuromuscular disorders.

Eligibility criteria: Inclusion Criteria:

* Hypertonia score 2 according to MAS
* Able to understand and follow instructions
* Able to stand and walk independantly

Exclusion Criteria:

* Participants with neurological conditions that involve significant cognitive deficits or severe uncontrolled epilepsy
* Participants who have undergone surgical procedures within the last 3 months

Primary outcomes:
measure: Modified Ashwarth Scale (MAS)
timeFrame: Week 12 after intervention completion
Secondary outcomes:
measure: Gross Motor Function Measure (GMFM)
timeFrame: Week 12 after intervention completion.
measure: Time up and go test (TUG)
timeFrame: Week 12 after intervention completion
Other outcomes:
Locations:
city: Jeddah
country: Saudi Arabia
facility: BMC
Study officials:
References: