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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2012

Open Access 01-12-2012 | Study protocol

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

Authors: Lilian Chrystiane Giannasi, Miriam Yumi Matsui, Sandra Regina de Freitas Batista, Camila Teixeira Hardt, Carla Paes Gomes, José Benedito Oliveira Amorim, Isabella de Carvalho Aguiar, Luanda Collange, Israel dos Reis dos Santos, Ismael Souza Dias, Cláudia Santos de Oliveira, Luis Vicente Franco de Oliveira, Mônica Fernandes Gomes

Published in: BMC Musculoskeletal Disorders | Issue 1/2012

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Abstract

Background

Few 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/design

50 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.

Discussion

This 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 registration

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

Descriptors

Cerebral Palsy. Stomatognathic System. Electromyography. Transcutaneous Electric Nerve Stimulation. Phototherapy. Sleep Disorders. Polysomnography.
Appendix
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Metadata
Title
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
Authors
Lilian Chrystiane Giannasi
Miriam Yumi Matsui
Sandra Regina de Freitas Batista
Camila Teixeira Hardt
Carla Paes Gomes
José Benedito Oliveira Amorim
Isabella de Carvalho Aguiar
Luanda Collange
Israel dos Reis dos Santos
Ismael Souza Dias
Cláudia Santos de Oliveira
Luis Vicente Franco de Oliveira
Mônica Fernandes Gomes
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2012
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-13-71

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