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Master Thesis

Quelle est la pertinence du dry needling dans le traitement de la spasticité chez des patients post-AVC ?

Abstract : Abstract: The main objectif of this revue is to evaluate the effects of deep dry needling aloned or combined with other rehabilitation programs on muscle spasticity, related pain and motor function on post stroke patients. Data-Base and Data treatment: Electronic databases such as PubMed, PeDro and the Cochrane library have been investigated using the following key words : deep dry needling ; dry needling ; needling ; spasticity ; spastic ; spastic muscle ; spastic hemiplegia ; stroke hemiplegia ;hemiplegia ; post-stroke. We then selected the randomized controlled trials including post stroke patients where at least one group received deep dry needling. The primary outcome was spasticity. The secondary outcomes were pain and motor function. The risks of biais of the studies was assessed using the Physiotherapy Evidence Database scale. Between groups differences (MDs) and standardized mean differences were calculated. Results: Six RCTs (three within the lower extremity ; three in the upper extremity) were included. The analysis found significantly large effect size of dry needling for reducing spasticity in the lower extremity at short term follow-up (MD= -1,0 » ; CI 95% -1,31 ; -0,75) ; less significant effect size for the upper limbs were found (MD= -0,26 ; CI 95%= -0,64 to 0,12) compared at the comparative group. Also, dry needling shows a significant effect size for reducing post-stroke pain (MD= -2,7 ; CI 95%= -3,60 to -1,80) and increasing pressure pain sensitivity (MD= 44,42 ; CI 95%= 16,47 to 72,37). No significant results of dry needling were found on motor function. The risks of biais of these RCT’s was generally low, but imprecisions in the results can downgrade the level of evidence. Conclusion: The results suggest that dry needling helps reduce spasticity in the lower extremity on post stroke patients at short term follow-up ; also, it seems that dry needling helps reduce related pain on post stroke patients. The results for motor function are inconclusive.
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Master Thesis
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Submitted on : Wednesday, September 29, 2021 - 11:46:27 AM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM
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Théo Pignatel. Quelle est la pertinence du dry needling dans le traitement de la spasticité chez des patients post-AVC ?. Médecine humaine et pathologie. 2021. ⟨dumas-03358275⟩



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