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The aim of the study is to evaluate the efficacy of dry needling (DN) in the treatment of spasticity in patients with multiple sclerosis (MS). [Participants and Methods] participants with MS, with no evidence of a relapse in the last four weeks and with an EDSS (Expanded Disability Sta- tus Scale) greater than 2.5 points (related with pyramidal score) were recruited. DN was performed in lower limbs for 12 consecutive sessions and evaluated with: EDSS (Pyramidal item), Time up and go (TUG), 25 foot, 9hold peg test (9HPT) and the improvement or not in the quality of life (MSQol54) was verified before and after treatment. A follow up visit was carried out to assess improvement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dry needling | Experimental | This study has only 1 arm and the control group is their baseline data |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry needling | Procedure | Only dry needling of the lower limbs will performed in all patients with acupunture needling |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in 9HOLD PEG TEST score | This consists of placing the pegs in the corresponding holes of the 9 holes in the table in the shortest possible time (seconds) | inmediatly before and inmediatly after intervention |
| Change in 25 foot walk score | patients must walk a distance of 7.25 meters at the fastest and safest speed for them (seconds) | inmediatly before and inmediatly after intervention |
| Change in Time up and go test score | The participants sit in a chair with their backs supported by the back of the chair and their arms resting on the armrests. The participants are asked to get up from the chair and walk a distance of 3 meters, then the patients turn on themselves (360°), walk back to the chair and sit down again (seconds) | inmediatly before and inmediatly after intervention |
| Change in Expanded Disability Status Scale (EDSS) score | Each item is valued individually and a score is given, which will then outline the patient's total EDSS ranging from 0 to 10, for use in the exploration sessions. All scans were carried out by a blind explorer. | inmediatly before and inmediatly after intervention |
| Change in Multiple sclerosis Quality of life-54 (MSQol54) score | questionnaire of 54 items measuring the quality of life of the patient. It can be self-administered or hetero-administered and both physical and mental aspects are measured. Within these there are subscales: among them quality of life in general. Two summary scores, physical health and mental health, can be derived from a weighted combination of scale scores. They range from 0 to 100, where 100 is the highest quality of life (both for physical and mental health) | inmediatly before and inmediatly after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MONSERRAT GONZÁLEZ-PLATAS | Hospital Universitario de Canarias | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario de Canarias | San Cristóbal de La Laguna | Santa Cruz De Tenerife | 38320 | Spain |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Aug 3, 2022 | |
| Reset | Jun 30, 2023 | |
| Release | Jul 12, 2023 | |
| Reset | Feb 21, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Aug 3, 2022 | Jun 30, 2023 | |||
| Jul 12, 2023 |
| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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| Feb 21, 2024 |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |