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Study Protocol

Effectiveness of Dry Needling versus Placebo on Gait Performance, Spasticity, Electromyographic Activity, Pain, Range-of-Movement and Quality of Life in Patients with Multiple Sclerosis: A Randomized Controlled Trial Protocol

1
Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
2
DINAC Foundation, Vithas Nisa Hospital, 41950 Seville, Spain
3
Institute of Research and Innovation in Biomedical Sciences of the Province of Cadiz (INiBICA), University of Cadiz, 11009 Cadiz, Spain
4
Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, 41009 Sevilla, Spain
*
Author to whom correspondence should be addressed.
Brain Sci. 2020, 10(12), 997; https://doi.org/10.3390/brainsci10120997
Received: 18 November 2020 / Revised: 9 December 2020 / Accepted: 16 December 2020 / Published: 17 December 2020
(This article belongs to the Special Issue Novel therapies for Multiple Sclerosis)
Dry needling (DN) is an emerging technique commonly used in neurological and musculoskeletal pain conditions, but there have been no previous studies in patients with multiple sclerosis (pwMS). This trial aims to assess the efficacy of deep DN, compared with sham placebo DN, on gait performance, spasticity level, pain, electromyographic activity, range-of-movement (ROM) and quality of life in pwMS. Forty adults with MS were randomly assigned to one study group. The DN group will undergo 2 sessions (once per week) using DN over the rectus femoris (RF) and gastrocnemius medialis (GM) muscles at the lower extremity with higher spasticity. The placebo group will receive the same protocol using a sham placebo needle (Dong Bang needle). Outcome measures will include gait performance, using the GaitRite® system, spasticity level with the Modified Ashworth Scale, superficial electromyographic activity of RF and GM, pain (pressure algometer), ROM (goniometer), and quality of life (Musiqol). This study is the first investigating the short-term effect of DN, compared with placebo, in pwMS, and taking into account the possible changes in the electromyographic activity of the lower limb. Therefore, the results may help to understand the suitability of using this technique in the clinical setting for this population. Trial registration: ACTRN12619000880145. View Full-Text
Keywords: multiple sclerosis; gait disorders; neurologic; pain management; muscle spasticity; physical therapy modalities; dry needling; clinical trial protocol multiple sclerosis; gait disorders; neurologic; pain management; muscle spasticity; physical therapy modalities; dry needling; clinical trial protocol
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MDPI and ACS Style

Luque-Moreno, C.; Granja-Domínguez, A.; Moral-Munoz, J.A.; Izquierdo-Ayuso, G.; Lucena-Anton, D.; Heredia-Rizo, A.M. Effectiveness of Dry Needling versus Placebo on Gait Performance, Spasticity, Electromyographic Activity, Pain, Range-of-Movement and Quality of Life in Patients with Multiple Sclerosis: A Randomized Controlled Trial Protocol. Brain Sci. 2020, 10, 997. https://doi.org/10.3390/brainsci10120997

AMA Style

Luque-Moreno C, Granja-Domínguez A, Moral-Munoz JA, Izquierdo-Ayuso G, Lucena-Anton D, Heredia-Rizo AM. Effectiveness of Dry Needling versus Placebo on Gait Performance, Spasticity, Electromyographic Activity, Pain, Range-of-Movement and Quality of Life in Patients with Multiple Sclerosis: A Randomized Controlled Trial Protocol. Brain Sciences. 2020; 10(12):997. https://doi.org/10.3390/brainsci10120997

Chicago/Turabian Style

Luque-Moreno, Carlos, Anabel Granja-Domínguez, Jose A. Moral-Munoz, Guillermo Izquierdo-Ayuso, David Lucena-Anton, and Alberto M. Heredia-Rizo 2020. "Effectiveness of Dry Needling versus Placebo on Gait Performance, Spasticity, Electromyographic Activity, Pain, Range-of-Movement and Quality of Life in Patients with Multiple Sclerosis: A Randomized Controlled Trial Protocol" Brain Sciences 10, no. 12: 997. https://doi.org/10.3390/brainsci10120997

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