304: Dry Needing For Spasticity With Chris McElderry, PT, DPT, NCS

304: Dry Needing For Spasticity With Chris McElderry, PT, DPT, NCS

In this episode host, Erin Gallardo, PT, DPT, NCS speaks with Chris McElderry, PT, DPT, NCS about how dry needling can be used in neuro rehab, particularly for people post-stroke. Chris explains why he pursued dry needling, how using it in PT differs from acupuncture, and walks through what a typical session looks like, including safety, side effects, and billing considerations. He shares clinical examples of using dry needling to address spasticity, hypertonicity, pain, and range of motion limitations, and discusses current research on short-term effects for spasticity and pain reduction. Erin and Chris also clarify the differences between spasticity and hypertonicity, touch on contracture management, and highlight where dry needling can be a useful adjunct—not a standalone cure—in helping neuro clients move and feel better.

Follow Chris McElderry, PT, DPT, NCS @theneuroguy_dpt

Ebrahimzadeh M, Nakhostin Ansari N, Abdollahi I, Akhbari B, Dommerholt J. Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient. Case Rep Neurol Med. 2024 Sep 14;2024:5115313. doi: 10.1155/2024/5115313. PMID: 39309410; PMCID: PMC11416164.

Fakhari Z, Ansari NN, Naghdi S, Mansouri K, Radinmehr H. A single group, pretest-posttest clinical trial for the effects of dry needling on wrist flexors spasticity after stroke. NeuroRehabilitation. 2017;40(3):325-336. doi: 10.3233/NRE-161420. PMID: 28222554.

Fernández-de-Las-Peñas C, Pérez-Bellmunt A, Llurda-Almuzara L, Plaza-Manzano G, De-la-Llave-Rincón AI, Navarro-Santana MJ. Is Dry Needling Effective for the Management of Spasticity, Pain, and Motor Function in Post-Stroke Patients? A Systematic Review and Meta-Analysis. Pain Med. 2021 Feb 4;22(1):131-141. doi: 10.1093/pm/pnaa392. PMID: 33338222.

Núñez-Cortés R, Cruz-Montecinos C, Vásquez-Rosales P, et al.
Effectiveness of dry needling in the treatment of spasticity in stroke patients: A systematic review. J Body Mov Ther. 2020;24(3):113-122.

Suputtitada A, et al. Emerging theory of sensitization in post-stroke muscle spasticity: Implications for dry needling and other interventions. Front Rehabil Sci. 2023;4:1169087.

Valencia-Chulián R, Heredia-Rizo AM, Moral-Munoz JA, Lucena-Anton D, Luque-Moreno C. Dry needling for the management of spasticity, pain, and range of movement in adults after stroke: A systematic review. Complement Ther Med. 2020 Aug;52:102515. doi: 10.1016/j.ctim.2020.102515. Epub 2020 Jul 16. PMID: 32951759.

Avsnitt(100)

308: How NeuroLab 360 Uses A Nonprofit Model To Deliver High Intensity Neuro Rehab

308: How NeuroLab 360 Uses A Nonprofit Model To Deliver High Intensity Neuro Rehab

Interested in looking at how a nonprofit clinic operates for neuro rehab? In this episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS interview co-founder Meagan George, PT, DPT,...

9 Mars 45min

307: Research Update: Treadmill VS Overground Walking In Persons With MS With Herb Karpatkin, PT, DSc, NCS, MSCS

307: Research Update: Treadmill VS Overground Walking In Persons With MS With Herb Karpatkin, PT, DSc, NCS, MSCS

In this episode host Erin Gallardo, PT, DPT, NCS interviews Multiple Sclerosis specialist and researcher Dr. Herb Karpatkin, PT, DSc, NCS, MSCS to discuss how therapy for people with multiple sclerosi...

2 Mars 39min

306: Clients Can Maximize Hand Function And Foot Drop At Home With Motus Nova

306: Clients Can Maximize Hand Function And Foot Drop At Home With Motus Nova

In this episode, host Erin Gallardo, PT, DPT, NCS interviews the Motus Nova clinical team—occupational therapists Jamie Kurtz, MS, OTR/L, Keisha Burrous, OTR/L, CBIS, Amie Canning, MS, OTR/L, and Mira...

23 Feb 48min

305: How To Overcome The Fear Of Falls Training With Naomi Casiro

305: How To Overcome The Fear Of Falls Training With Naomi Casiro

Do you work with people who have falls? Maybe you've seen that just training fall prevention isn't quite doing enough. In this episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS...

16 Feb 38min

303: Hybrid Assistive Limb (HAL) + Neuroplasticity = Improved Outcomes For Individuals With Neurologic Conditions

303: Hybrid Assistive Limb (HAL) + Neuroplasticity = Improved Outcomes For Individuals With Neurologic Conditions

In this episode, Erin Gallardo, PT, DPT, NCS interviews physical therapist Mariah King, PT, DPT from RISE Healthcare Group and Hiroki (Hiro) Kimura from Cyberdyne about the HAL (Hybrid Assistive Limb)...

2 Feb 40min

302: Applying A New Calculation For Max Heart Rate In PD

302: Applying A New Calculation For Max Heart Rate In PD

In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss a new research article, "Refining maximal heart rate estimation to enhance exercise recommendations for perso...

26 Jan 25min

301: Multi-System Approach To Treating Individuals With Long COVID Currently With Jennifer Lazaro, PT, DPT, NCS

301: Multi-System Approach To Treating Individuals With Long COVID Currently With Jennifer Lazaro, PT, DPT, NCS

In this episode of the I Love Neuro podcast, host Erin Gallardo, PT, DPT, NCS interviews physical therapist and neuro rehab residency coordinator Jennifer Lazaro, PT, DPT, NCS about evaluating and tre...

19 Jan 42min

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