Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06017960

Effects of Dry Needling on Electromyographic Activity and Ultrasonographic Characteristics in Post-Stroke Spasticity

Led by Universidad de Zaragoza · Updated on 2025-12-04

28

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

Universidad de Zaragoza

Lead Sponsor

U

University of Alcala

Collaborating Sponsor

AI-Summary

What this Trial Is About

Stroke affects many people worldwide and often leads to spasticity, which can cause disability and difficulty with movement. This research investigates how dry needling might impact muscle activity and structure in stroke patients with spasticity. The study aims to provide objective data using electromyographic and ultrasound assessments to complement traditional clinical evaluations and improve treatment approaches for these patients. Participants will be randomly assigned to one of two groups: one receiving ultrasound-guided dry needling and the other receiving a sham dry needling procedure. Both groups will undergo four weekly sessions targeting the gastrocnemius muscle. Usual care, including motor rehabilitation exercises like strength training and gait practice, will continue throughout the study. During the study, muscle spasticity, electromyographic activity, and muscle structure will be measured at baseline and after each session. Gait parameters will be evaluated before the first and after the last session. These assessments include muscle thickness, contraction capacity, and walking tests to understand the effects of dry needling better. The study will last approximately four weeks for each participant, with detailed monitoring of muscle and gait changes.

CONDITIONS

Brief Title

Effects of Dry Needling on Electromyographic Activity and Ultrasonographic Characteristics in Post-Stroke Spasticity

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Be over 18 years old
  • Understand and voluntarily sign informed consent before the intervention
  • Have a medical diagnosis of ischemic or hemorrhagic stroke
  • Have a grade between 1-3 on the Modified Ashworth Scale for the triceps sural
  • Be able to walk independently to perform gait tests
Not Eligible

You will not qualify if you...

  • Have had a recurrent stroke
  • Received botulinum toxin type A treatment in the last 3 months
  • Received dry needling treatment in the last month
  • Have severe cognitive deficits
  • Have a fear of needles
  • Have a metal allergy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants receive a weekly session of either ultrasound-guided dry needling or sham dry needling in the gastrocnemius medialis muscle, in addition to their usual motor rehabilitation care.

4 weekly visits (in-person)

Trial Site Locations

Total: 1 location

1

Centro Europeo de Neurociencias

Madrid, Madrid, Spain, 28023

Actively Recruiting

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Research Team

P

Pablo Herrero Gallego, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Prevalence and evolution of spasticity in patients suffering from first-ever stroke with carotid origin: a prospective, longitudinal study.

T Dorňák, M Justanová, R Konvalinková...

https://pubmed.ncbi.nlm.nih.gov/30623522

Comorbidity and intercurrent diseases in geriatric stroke rehabilitation: a multicentre observational study in skilled nursing facilities.

Anouk D Kabboord, Monica Van Eijk, Bianca I Buijck...

https://pubmed.ncbi.nlm.nih.gov/29887923

A New Definition of Poststroke Spasticity and the Interference of Spasticity With Motor Recovery From Acute to Chronic Stages.

Sheng Li, Gerard E Francisco, W Zev Rymer

https://pubmed.ncbi.nlm.nih.gov/33978513

Cost-effectiveness of upper extremity dry needling in the rehabilitation of patients with stroke.

Daniel Fernández Sanchis, Juan Nicolás Cuenca Zaldívar, Sandra Calvo...

https://pubmed.ncbi.nlm.nih.gov/34856821