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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Effect of Dry Needling on Lower Limb Dysfunction in Poststroke Survivors
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The Effect of Dry Needling on Lower Limb Dysfunction in Poststroke Survivors

机译：干针对术后幸存者较低肢体功能障碍的影响

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Background: Spasticity is one of the main complications in poststroke survivors leading to difficulties in walking and standing resulting in high levels of disability. Objective: The aim of the study was to investigate the effects of deep dry needling on lower limb dysfunction in poststroke spastic patients. Methods: A randomized clinical trial conducted in poststroke survivors who were assigned to one of 2 groups: Deep dry needling (intervention group) and sham dry needling (control group). The primary outcome measures were Modified Modified Ashworth Scale (MMAS) and functional tests (timed up and go test, 10-meter walk test). Secondary outcome measures were active ankle dorsiflexion range of motion (AROM), passive ankle dorsiflexion range of motion (PROM), single leg stance test, and Barthel index. All measurements were assessed at baseline (T0), immediately after the third session 1 week later (T1), and 1 month after the end of the intervention (T2). Results: We recruited 24 patients (71% male; mean age 57 +/- 10 years; 26.4 +/- 1.8 kg.m(-2); time since event: 25.2 +/- 12.5 months). There were significant improvements in MMAS, timed up and go test, 10-meter walk test, Barthel scale, and PROM (P .05). Conclusions: Deep dry needling decreases muscle spasticity and improves lower limb function and gait speed in poststroke survivors.
机译：背景：痉挛是中风后幸存者的主要并发症之一，导致行走和站立困难，导致严重残疾。目的：研究深干针法对脑卒中后痉挛患者下肢功能障碍的影响。方法：对中风后幸存者进行随机临床试验，将其分为两组：深干针法（干预组）和假干针法（对照组）。主要观察指标为改良Ashworth量表（MMAS）和功能测试（计时向上走测试、10米步行测试）。次要观察指标为主动踝关节背屈运动范围（AROM）、被动踝关节背屈运动范围（PROM）、单腿站立试验和Barthel指数。所有测量均在基线检查时（T0）、第三次治疗1周后（T1）和干预结束后1个月（T2）进行评估。结果：我们招募了24名患者（71%为男性；平均年龄57+/-10岁；26.4+/-1.8 kg.m（-2）；事件发生后的时间：25.2+/-12.5个月）。MMAS、起跳计时测试、10米步行测试、Barthel量表和PROM有显著改善（P.05）。结论：深干针法可减少中风后幸存者的肌肉痉挛，改善下肢功能和步态速度。

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