Effects of Physical Therapy Associated With Photobiomodulation on Myelomeningocele
Physical Therapy Modalities
About this trial
This is an interventional treatment trial for Physical Therapy Modalities focused on measuring Meningomyelocele, Low-Level Light Therapy, Photobiomodulation, Neurological Rehabilitation
Eligibility Criteria
Inclusion Criteria:
- diagnosis of myelomeningocele on the lower lumbar and sacral level;
- able to perform the movement of sitting and standing with support
Exclusion Criteria:
- Cognitive impairment that compromises the ability to communicate
- Allergy to latex; neuromuscular scoliosis; subluxation or dislocation of the hip and knee;
- other disease of the central nervous system.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
physiotherapy exercises + PBM
physiotherapy exercises + SHAM PBM
Physiotherapy exercises will be individualized and personalized for each child. It will take into account complaints and / or motor delay resulting from the injury. Circuit exercises will be performed involving muscle strengthening exercises, sensory stimulation and balance. For irradiation, the subjects will be positioned comfortably in prone position on the examination table. Four points will be irradiated above the injury level. The level of the lesion will be located by palpation. Four points will be irradiated above the injury level. The level of the lesion will be located by palpation. The irradiation will be with LED with a wavelength of 850 nm, energy per point of 25 J, 50 seconds per point and power of 200 mW. Treatment will be performed in 24 sessions 2 times a week
Physiotherapy exercises will be individualized and personalized for each child. It will take into account complaints and / or motor delay resulting from the injury. Circuit exercises will be performed involving muscle strengthening exercises, sensory stimulation and balance. For irradiation, the subjects will be positioned comfortably in prone position on the examination table. Four points will be irradiated above the injury level. The level of the lesion will be located by palpation. The same LED device will be used in groups. However, in the placebo group (Sham), the device does not emit light. Treatment will be performed in 24 sessions 2 times a week