Abstract
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. 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: Gro...Continue Reading
References
Feb 1, 1977·The Anatomical Record·M Vitti, J V Basmajian
Apr 1, 1988·Journal of Neurology, Neurosurgery, and Psychiatry·C W VaughanN J O'Dwyer
Dec 12, 1985·Nature·D A WilliamsF S Fay
Feb 1, 1996·The Nurse Practitioner·R C DzienkowskiC B Yucha
Apr 1, 1997·Developmental Medicine and Child Neurology·R PalisanoB Galuppi
Dec 11, 1999·The Laryngoscope·M FriedmanD Caldarelli
Jun 26, 2001·Psychiatry and Clinical Neurosciences·T HoriUNKNOWN Sleep Computing Committee of the Japanese Society of Sleep Research Society
Mar 29, 2003·Journal of Child Neurology·Yasser AwaadRania Awaad
Sep 27, 2003·Arquivos de neuro-psiquiatria·Ana Maria FurkimLuc Louis Maurice Weckx
Feb 21, 2004·Developmental Medicine and Child Neurology·Christopher Morris, Doreen Bartlett
Aug 2, 2005·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A Kavcic, D B Vodusek
Jan 31, 2006·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·S NakataT Nakashima
Feb 21, 2006·Journal of Paediatrics and Child Health·Dominic J WilkinsonDinah S Reddihough
Jan 31, 2007·Neurology·D HirtzR Zalutsky
Mar 3, 2007·Research in Developmental Disabilities·Kai Hsun Hsiao, Gillian M Nixon
Mar 21, 2007·Developmental Medicine and Child Neurology. Supplement·Peter RosenbaumBo Jacobsson
Jan 15, 2008·Journal of Oral Rehabilitation·Y DongS E Widmalm
Feb 8, 2008·Journal of Oral Rehabilitation·A O L OrtegaS K N Marie
Nov 15, 2008·Topics in Stroke Rehabilitation·John ChaeJayme Knutson
Feb 11, 2009·Paediatric Respiratory Reviews·Dominic A FitzgeraldPeter P Van Asperen
Jan 14, 2010·Arquivos de neuro-psiquiatria·Luzia Iara PfeiferJair Lício Santos
Jul 14, 2010·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Maria Teresa Botti Rodrigues SantosJose R Jardim
Sep 14, 2010·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Maria Teresa Botti Rodrigues SantosJose R Jardim
Oct 12, 2010·Photomedicine and Laser Surgery·Élen Camargo RizziMamie Mizusaki Iyomasa
Nov 17, 2010·Journal of Oral Rehabilitation·F JadidiP Svensson
Feb 22, 2011·Journal of Oral Rehabilitation·C SforzaM Toma
Feb 23, 2012·Disability and Rehabilitation·Kjersti RamstadTrond H Diseth