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首页> 外文期刊>BMC Musculoskeletal Disorders >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
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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

机译：神经肌肉电气刺激，激光治疗对咀嚼系统的影响及对脑瘫患者睡眠变量的影响：随机，五臂临床试验

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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.
机译：背景技术除了智慧，感官和社会局限性，鉴于咀嚼，吞咽和演讲的困难，少数研究证明了患有脑瘫患者的口腔康复治疗疗法的有效性。由于上气道阻塞，它们也容易患上睡眠障碍。本研究旨在通过多元瘤和咀嚼动力学，通过低功率激光（砷化镓 - 铝，= 780nm）和LED（= 660nm），通过多瘤摄影和咀嚼动力学，通过电影学，之前和咀嚼动力学来评估睡眠变量和咀嚼动力学。 CP患者的辐照。方法/设计50例CP患者，两性，年龄在19至60岁之间将参加本研究。纳入标准是：自愿参与，患者血逐，四面进或偶零CP，能够理解和响应口头命令。排除标准是：接受/接受正畸，功能性上颌整形外科或肉毒杆菌毒素治疗的患者。在肌等仪表中的多差距和表面电拍摄考试将在所有样品中进行。将应用评估口腔特征的问卷。样品将分为5个治疗组：第1组：神经肌肉电气刺激;第2组：激光治疗;第3组：LED疗法;第4组：神经肌肉电刺激和激光治疗和第5组：神经肌肉电气刺激和LED疗法。所有患者将在连续8周内进行治疗。治疗后，将再次收集多仪表和电影学检查。讨论本文描述了一种五臂临床试验，评估了在非侵入性疗法下CP患者睡眠质量和咀嚼功能的临床试验。试用登记该研究的议定书于临床试验的巴西登记商注册 - RebecRBR-994XFS描述符脑瘫。 Stopatognathic系统。肌电图。经皮电神经刺激。光疗法。睡眠障碍。 PolysomNography。

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