• DR MANSI R TRIVEDI
• DR.PREXA MISTRY

BACKGROUND:Spasticity is a common symptom that can be detrimental to the quality of life and daily function of patients with stroke. Not only are the abilities to stand, balance and walk affected, but also the ability to use the upper limb and hand in its diversity of functions in everyday life. Loss of independence of upper limb functions contributes enormously to functional disability, affecting quality of life and independence in ‘basic’ (washing, grooming, feeding, dressing, etc.) and ‘instrumental’ activities (shopping, home/financial management ,etc) of daily living. Recently, muscle spasticity can be treated by various non pharmacological procedures, among them dry needling is an emerging technique to decrease the rate of muscle spasticity. OBJECTIVE: To evaluate the effectiveness of trigger point dry needling versus sham therapy in patients with affected hand functions. METHODOLOGY: Study design: Experimental study Method: Individuals were selected from the population according to inclusion criteria and were divided into two equal groups. Group A was given dry needling and group B was given sham therapy. The patients received deep dry needling for (abductor pollicis, opponens pollicis, lumbricals (palmar and dorsal interosseous) and abductor pollicis and abductor digitiminimus muscle. The outcome measures were taken before and after the programmed schedule of 1 session a week for 3 week for dry needling and 1 session a week for 3 weeks for sham therapy. Outcome Measures: Modified Ashworth Scale (MAS), Action Research Arm Test (ARAT) and Fugl Meyer Assessment (FMA). RESULTS: Data were analyzed using independent t-test, there was significant improvement seen in the hand functions of the patients in group-A compared to patients in group-B.

Modified Ashworth Scale ,Action Research Arm Test, dry needling,spasticity

"COMPARISON OF EFFECTIVENESS OF DRY NEEDLING AND SHAM THERAPY ON HAND FUNCTION IN STROKE PATIENTS", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 9, page no.355-361, September-2020, Available :http://www.jetir.org/papers/JETIR2009352.pdf

"COMPARISON OF EFFECTIVENESS OF DRY NEEDLING AND SHAM THERAPY ON HAND FUNCTION IN STROKE PATIENTS", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 9, page no. pp355-361, September-2020, Available at : http://www.jetir.org/papers/JETIR2009352.pdf