Stroke
is one of the leading causes of disability in western countries. A
variety of rehabilitation programs for the treatment of patients after
stroke have been proposed. We describe the outcomes of a 49-year-old
female patient with a 5-year history of right upper extremity
hemiparesis after stroke. Physical examination revealed a right wrist
extensor strength grade of 1 according to the Medical Research Council
Manual Muscle Testing scale, Stage 4 according to the Brunnstrom hand
functional recovery, and Grade 1 in finger flexor and in wrist flexor
according to the Modified Modified Ashworth Scale system of muscle
spasticity. Magnetic resonance imaging taken immediately after the
stroke was indicative of an abnormal signal in the left paraventricular
and lentiform nucleus. After receiving a single session of dry needling
and electrical stimulation, the patient had significant improvement
including a strength grade of 3 for the right wrist extensor muscles,
Stage 6 according to the Brunnstrom hand functional recovery, and Grade 0
in finger flexor and in wrist flexor according to the Modified Modified
Ashworth Scale system of muscle spasticity. This case report found that
dry needling combined with electrical stimulation may be effective in
hand function recovery, wrist extensor muscles strength, and decreased
wrist and finger spasticity.
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