{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:43:42Z","timestamp":1773787422806,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T00:00:00Z","timestamp":1760745600000},"content-version":"vor","delay-in-days":290,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Neurological Medicine"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Spasticity is one of the most common serious complications after stroke. Dry needling (DN) has been used to improve spasticity and motor function in patients poststroke. This case report aimed to present the DN effects of LI4 and TE5 acupuncture points on wrist flexor spasticity in a patient with stroke. The patient was a 57\u2010year\u2010old man with a 5\u2010year history of right hemiplegia poststroke. DN was applied on LI4 and TE5 for three sessions, every other day, and each point for 1\u2009minute. The patient was assessed before (T0), after 3 sessions of DN (T1), and after first (T2) and sixth weeks (T3) after the last session. After DN, wrist flexor spasticity decreased from \u201c2\u201d to \u201c0\u201d according to the Modified Modified Ashworth Scale and improvement remained at T2 and T3. The wrist active range of motion (ROM) significantly improved from 0\u00b0 at T0 to 10\u00b0 at T1, 45\u00b0 at T2, and 35\u00b0 at T3 follow\u2010up. The patient showed improvements in wrist passive ROM from 75\u00b0 at T0 to 82\u00b0 at T1, 90\u00b0 at T2, and 80\u00b0 at T3. The total motor score of Fugl\u2010Meyer assessment demonstrated small improvements (38 points at T0 to 45 at T2, again 38 at T3). Three sessions of DN at LI4 and TE5 exhibited positive effects on spasticity and wrist ROM in a patient with stroke. Further investigation using the DN technique on acupoints in stroke patients with spasticity is warranted.<\/jats:p>","DOI":"10.1155\/crnm\/2219978","type":"journal-article","created":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T03:33:41Z","timestamp":1760844821000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dry Needling of LI4 and TE5 Acupuncture Points on Wrist Flexor Spasticity in Stroke: A Case Report"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9724-5068","authenticated-orcid":false,"given":"Najmeh","family":"Nazari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2742-2273","authenticated-orcid":false,"given":"Noureddin 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