Hi all I have a patient right now with Guillain Barre and we have been dry needling to assist with motor return of ankle DF and wrist and hand function.  A major therapy goal we have for this patient is to be able to have the grip strength to be able to control a regular or 4WW (especially the brakes on a 4WW).  So far I have needled the major homeostatics in the UE's and LE's, the relevant spinal levels that corelate to the myotomes where motor weakness presents, the tibialis anterior and the wrist extensors and flexors.  I have been using stim with the needling for the majority of treatments.

My question is do any of you have experience dry needling this population and could offer some insight on other areas to needle or techniques to use to maximize the benefit.