Concurrent Effects of Dry Needling and Electrical Stimulation in the Management of Upper Extremity Hemiparesis.

J Acupunct Meridian Stud. 2019 Apr 23;:

Authors: Ghaffari MS, Shariat A, Honarpishe R, Hakakzadeh A, Cleland JA, Haghighi S, Seif-Barghi T

Abstract
Stroke is one of leading causes of disability in western countries. A variety of rehabilitation programs for the treatment of patients post stroke have been proposed. We describe the outcomes of a 49-year-old female patient with 5-year history of right upper extremity hemiparesis post stroke. Physical examination revealed a right wrist extensor strength grade of 1 according to the Medical Research Council Manual Muscle Testing (MMT) scale, stage 4 according to the Brunnstrom hand functional recovery and grade 1 in finger flexor and in wrist flexor according to the Modified Modified Ashworth Scale (MMAS) system of muscle spasticity. Magnetic Resonance Imaging taken immediately after the stroke was indicative of an abnormal signal in left paraventricle and lentiform nucleus. After receiving a single session of dry needling and electrical stimulation, the patient had significant improvement including a strength grade of 3 for the right wrist extensor muscles, stage 6 according to Brunnstrom hand functional recovery and a grade 0 in finger flexor and in wrist flexor according to MMAS system of muscle spasticity. This case report found that dry needling combined with electrical stimulation may be an effective in hand function recovery, wrist extensor muscles strength and decreased wrist and finger spasticity.

PMID: 31026521 [PubMed – as supplied by publisher]