Effects of Dry Needling on Function, Muscle Tone and Quality of Life in Parkinson's Disease
Effects of Dry Needling on Function, Muscle Tone and Quality of Life in Parkinson's Disease
Hypothesis: Dry needling in lower limbs produces a change in function (assessed by the 6 minute walk test, timed up and go, 10 meter walk test and unified scale for Parkinson's disease) and muscle tone (assessed by tonometry and the modified of Modified Ashworth scale(MMAS)) in patients with Parkinson's disease.
The main objective of this study is to analyze the effect of dry needling on function and muscle tone in subjects with Parkinson disease.
The secondary objective is to analyze the longterm effects of dry needling on function and muscle tone in subjects with Parkinson disease.
Methods:
It is a double-blinded randomized clinical trial where subjects are patients from Zaragoza and have been diagnosed with Parkinson´disease by a neurologist.
Inclusion criteria:
Exclusion criteria:
Attrition criteria:
Intervention:
There will be an intervention group (dry needling into the muscles of the lower limbs that present tone dysfunction according to an expert clinician) and a control group (sham dry needling). The intervention will be a unique session.
Dry needling technique will be performed by locating the taut band and the Myofascial Trigger Point by an expert clinician. After that, a thin needle (0,32x40mm) is introduced directly into a Myofascial Trigger Point with the aims to generate a "local twitch response" that are involuntary contractions of the muscle fibers. This puncture may reproduce patient's symptoms, and causes muscle relaxation to achieve at the same time the relief of muscle tension and pain and also to recover the metabolism of the muscle.
Assessment:
Outcome measures will include tone muscle measured by tonometry and the MMAS and functional clinical scales including: 6 minute walk test, timed up and go, 10 meter walk test and Unified Parkinson's Disease Rating Scale.
Inclusion Criteria:
Exclusion Criteria: