Effects of neuromuscular electrical stimulation, laser therapy and LED therapy on the masticatory system and the impact on sleep variables in cerebral palsy patients: a randomized, five arms clinical trialReport as inadecuate




Effects of neuromuscular electrical stimulation, laser therapy and LED therapy on the masticatory system and the impact on sleep variables in cerebral palsy patients: a randomized, five arms clinical trial - Download this document for free, or read online. Document in PDF available to download.

BMC Musculoskeletal Disorders

, 13:71

First Online: 15 May 2012Received: 28 March 2012Accepted: 25 April 2012

Abstract

BackgroundFew studies demonstrate effectiveness of therapies for oral rehabilitation of patients with cerebral palsy CP, given the difficulties in chewing, swallowing and speech, besides the intellectual, sensory and social limitations. Due to upper airway obstruction, they are also vulnerable to sleep disorders. This study aims to assess the sleep variables, through polysomnography, and masticatory dynamics, using electromiography, before and after neuromuscular electrical stimulation, associated or not with low power laser Gallium Arsenide- Aluminun, =780 nm and LED = 660 nm irradiation in CP patients.

Methods-design50 patients with CP, both gender, aged between 19 and 60 years will be enrolled in this study. The inclusion criteria are: voluntary participation, patient with hemiparesis, quadriparesis or diparetic CP, with ability to understand and respond to verbal commands. The exclusion criteria are: patients undergoing-underwent orthodontic, functional maxillary orthopedic or botulinum toxin treatment. Polysomnographic and surface electromyographic exams on masseter, temporalis and suprahyoid will be carry out in all sample. Questionnaire assessing oral characteristics will be applied. The sample will be divided into 5 treatment groups: Group 1: neuromuscular electrical stimulation; Group 2: laser therapy; Group 3: LED therapy; Group 4: neuromuscular electrical stimulation and laser therapy and Group 5: neuromuscular electrical stimulation and LED therapy. All patients will be treated during 8 consecutive weeks. After treatment, polysomnographic and electromiographic exams will be collected again.

DiscussionThis paper describes a five arm clinical trial assessing the examination of sleep quality and masticatory function in patients with CP under non-invasive therapies.

Trial registrationThe protocol for this study is registered with the Brazilian Registry of Clinical Trials - ReBEC RBR-994XFS

DescriptorsCerebral Palsy. Stomatognathic System. Electromyography. Transcutaneous Electric Nerve Stimulation. Phototherapy. Sleep Disorders. Polysomnography.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-71 contains supplementary material, which is available to authorized users.

Lilian Chrystiane Giannasi, Miriam Yumi Matsui, Camila Teixeira Hardt, Carla Paes Gomes, José Benedito Oliveira Amorim, Luanda Collange, Ismael Souza Dias contributed equally to this work.

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Author: Lilian Chrystiane Giannasi - Miriam Yumi Matsui - Sandra Regina de Freitas Batista - Camila Teixeira Hardt - Carla Paes 

Source: https://link.springer.com/



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