Effect of photobiomodulation combined with physical therapy on functional performance in children with myelomeningocele
Harvard Dataverse (Africa Rice Center, Bioversity International, CCAFS, CIAT, IFPRI, IRRI and WorldFish)
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Title |
Effect of photobiomodulation combined with physical therapy on functional performance in children with myelomeningocele
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Identifier |
https://doi.org/10.7910/DVN/XQ4H3Z
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Creator |
Silva, Tamiris
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Publisher |
Harvard Dataverse
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Description |
This is a protocol randomized clinical blind study, that will include 30 individuals of both sexes, aged between 5 to 8 years, diagnosed with low and sacral lumbar myelomeningocele and capable of performing the sit-to-stand task. The participants will be randomly assigned into two treatment groups: PBM + physiotherapeutic exercises and sham PBM + physiotherapeutic exercises. Irradiation will be carried out with light emitting diode (LED) at a wavelength of 850 nm, energy of 25 J per point, 50 seconds per point and a power of 200 mW. The same device will be used in the placebo group but will not emit light. Muscle activity will be assessed using a portable electromyograph (BTS Engineering) and the sit-to-stand task will be performed as a measure of functioning. Electrodes will be positioned on the lateral gastrocnemius, tibialis anterior and rectus femoris muscles. The Pediatric Evaluation of Disability Inventory will be used to assess functional independence. Quality of life will be assessed using the Child Health Questionnaire - Parent Form 50. Changes in participation will be assessed using the Participation and Environment Measure for Children and Youth. A mixed factor ANOVA model will be employed to compare the effects of the interventions in each group in terms of functional variables (PEDI and EMG), quality of life questionnaire and social participation over time (pre-treatment, post-treatment and 30-day follow-up). A 95% confidence interval will be used to establish any differences and a p-value
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Subject |
Medicine, Health and Life Sciences
Myelomeningocele |
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Language |
English
Portuguese |
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Contributor |
Silva, Tamiris
Tobelem |
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