Effects of Photobiomodulation on Superficial Sensitivity and Muscle Activity of Individuals With Myelomeningocele
Myelomeningocele Without Hydrocephalus, Sensory Defect, Motor Activity
About this trial
This is an interventional treatment trial for Myelomeningocele Without Hydrocephalus
Eligibility Criteria
Inclusion Criteria:
- Age 5 to 16 years;
- diagnosis of myelomeningocele on the lower lumbar and sacral level;
- community ambulator;
- score above the cutoff point for age on the Mini Mental State Examination.
Exclusion Criteria:
- Cognitive impairment that compromises the ability to communicate and answer the questions that will be posed;
- allergy to latex; - manifestations secondary to MMC, such as hydrocephalus;
- congenital club foot; neuromuscular scoliosis;
- subluxation or luxation of hip and knee;
- other disease of the central nervous system, neoplasms, heart failure, renal, respiratory, hepatic.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
PBM + physiotherapy exercises
SHAM PBM + physiotherapy exercises
will be submitted to active PBM and physiotherapeutic exercises. For irradiation, the individuals will be positioned comfortably in lateral decubitus on the examining table. Three points will be irradiated at the lesion level with a wavelength of 808 nm, 25 J per point for 12 sessions. The same laser device (Laser DMC Therapy EC). Physical therapy will occur twice per week after PBM for six weeks. Static balance exercises will be performed with the feet together and tandem on a variety of different surfaces (hard surface, foam rubber and carpets with different textures) and sensory inputs (eyes open and closed). Dynamic balance exercises will involve walking forward and backward on firm and foam surfaces and circumventing obstacles. Muscle strengthening exercises, squatting and changing postural positions will also be performed. All activities will be in the form of play to maintain the children's interest
will be submitted to sham PBM and physiotherapeutic exercises. For irradiation sham, the individuals will be positioned comfortably in lateral decubitus on the examining table. The same laser device (Laser DMC Therapy EC) will be used but the device will emit sound but not light. Physical therapy will occur twice per week after PBM for six weeks. Static balance exercises will be performed with the feet together and tandem on a variety of different surfaces (hard surface, foam rubber and carpets with different textures) and sensory inputs (eyes open and closed). Dynamic balance exercises will involve walking forward and backward on firm and foam surfaces and circumventing obstacles. Muscle strengthening exercises, squatting and changing postural positions will also be performed. All activities will be in the form of play to maintain the children's interest