Jurnal Keperawatan dan Fisioterapi (JKF)
Vol. 9 No. 1 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)

Comparison of the Effects of Dry Needling and Bobath Concept on Spasticity in Post-Stroke Pastients

Rizka Mutiara (Institut Kesehatan Medistra Lubuk Pakam)
Simson Sinuhaji (Institut Kesehatan Medistra Lubuk Pakam)
Elvida Rahmi Zein (Institut Kesehatan Medistra Lubuk Pakam)
Siti Sarah Bintang (Institut Kesehatan Medistra Lubuk Pakam)
Maria Febiana Tanur (Institut Kesehatan Medistra Lubuk Pakam)



Article Info

Publish Date
29 Oct 2026

Abstract

Background: Stroke is a global health issue with a significant impact on mortality and disability. The lifetime risk of stroke is reported to be 1 in 4 adults, indicating a massive global disease burden [8]. This high prevalence contributes to an increasing number of post-stroke patients experiencing motor function impairments. Spasticity is a common motor complication in post-stroke patients [27]. Various physiotherapy approaches are used to manage spasticity, including the Bobath Concept—which emphasizes the normalization of muscle tone and postural control [19]—and dry needling, a modern neuromuscular intervention reported to reduce spasticity by modulating spinal reflexes and motor neuron activity [9]. Objectives: To determined the effect of dry needling on spasticity in post-stroke patients, the effect of the Bobath Concept on spasticity in post-stroke patients, and to compared the effects of dry needling and the Bobath Concept on spasticity in post-stroke patients. Methodology: A quasi-experimental study design using a pre-test and post-test two-group approach was employed, comparing a dry needling treatment group (n=20) with a Bobath Concept group (n=20). The Ashworth Scale was used to measure spasticity. Data analysis involved the Wilcoxon signed-rank test for hypotheses 1 and 2, and the Mann-Whitney U test for hypothesis 3. Results: Based on the results of The Wilcoxon signed-rank test for hypotheses 1 and 2 yielded p- values< 0.05, and the Mann-Whitney U test for hypothesis 3 comparing post-intervention Ashworth Scale scores also yielded a p-value < 0.05. Conclusion: Dry needling gives an effect on spasticity in post-stroke patients, the Bobath Concept gives an effect on spasticity in post-stroke patients, and there is a difference in the effects of dry needling and the Bobath Concept on spasticity in post-stroke patients.

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Journal Info

Abbrev

JKF

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Other

Description

Jurnal Keperawatan & Fisioterapi (JKF) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan ...