Functional Intermuscular Reduction of Spasticity

  • STATUS
    Recruiting
  • participants needed
    16
  • sponsor
    University of Oklahoma
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Updated on 19 February 2024
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dry needling
spasticity
electrical stimulation

Summary

Investigators will use muscular dry needling in the calf of one lower extremity, followed by treadmill training with functional electrical stimulation.

Description

This study will be the first to combine a novel two-pronged approach to the management of spasticity (tightness of the muscle) in the calf muscles. First, investigators will decrease spasticity in an innovative way through dry needling. Second, investigators will follow this spasticity reduction technique using external electrical stimulation applied to the calf, while the participant walks on a harnessed treadmill (for safety). The investigators believe modulating tone in the calf with dry needling will allow for improved strength with electrical stimulation, while simultaneously improving the efficiency of the muscles during walking. The investigators hypothesize that decreasing spasticity will result in enhanced gait efficiency, and lower fatigue, all while allowing the participant to meet their personal mobility goals.10 The investigators are proposing an innovative study design. Assessing changes in muscle spasticity using electromyography and the Modified Ashworth scale before and after each portion of our two-pronged intervention will enable them to understand the immediate effects of dry needling, as well as the combined effects of function electrical stimulation with with treadmill training. Following the intervention assessments with pre-post functional tests will allow us to determine long term changes. This proposal offers a unique approach to management of spasticity in people with Multiple Sclerosis (MS), with the advantage of being minimally invasive and inexpensive. Results of this pilot study will inform the potential use in MS, and will allow for a larger study examining optimal intervention parameters for future use.

Details
Condition Multiple Sclerosis, Multiple Sclerosis
Age 18years - 64years
Treatment Dry needling
Clinical Study IdentifierNCT04403594
SponsorUniversity of Oklahoma
Last Modified on19 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Diagnosis of MS based on MRI
Ability walk 25 feet
Spasticity of one lower extremity

Exclusion Criteria

Blood clot within the last 6 months
Bleeding disorder
Active cancer
Botox in the lower extremities within 6 months
Clear my responses
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