Sensory and motor responses after photobiomodulation associated with physiotherapy in patients with incomplete spinal co
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ORIGINAL ARTICLE
Sensory and motor responses after photobiomodulation associated with physiotherapy in patients with incomplete spinal cord injury: clinical, randomized trial Fernanda Cordeiro da Silva 1 & Tamiris Silva 1 & Andréa Oliver Gomes 1 & Paulo Roberto da Costa Palácio 1 & Lucas Andreo 1 & Marcela Leticia Leal Gonçalves 1 & Daniela Fátima Teixeira Silva 1 & Anna Carolina Ratto Tempestini Horliana 1 & Lara Jansiski Motta 1 & Raquel Agnelli Mesquita-Ferrari 1 & Kristianne Porta Santos Fernandes 1 & Sandra Kalil Bussadori 1 Received: 27 April 2019 / Accepted: 22 January 2020 # Springer-Verlag London Ltd., part of Springer Nature 2020
Abstract Complete or incomplete spinal cord injury (SCI) results in permanent neurological deficits due to the interruption of nerve impulses, causing the loss of motor and sensory function, which leads to a reduction in quality of life. The focus of rehabilitation for such individuals is to improve quality of life and promote functional recovery. Photobiomodulation (PBM) has proved to be promising complementary treatment in cases of SCI. The aim of the present study was to investigate the effects of PBM combined with physiotherapy on sensory-motor responses below the level of the injury and quality of life in individuals with SCI. Thirty participants were randomized for allocation to the PBM group (active PBM + physiotherapy) or sham group (sham PBM + physiotherapy). Physiotherapy was administered three times a week. Sensitivity and motor skills were evaluated using the ASIA impairment scale. Quality of life was assessed using the WHOQOL-BREF questionnaire. The data were analyzed with the level of significance set to 5%. Improvements in sensitivity and an increase in the perception of muscle contraction were found in the active PBM group 30 days after treatment compared with the sham group. The results of the WHOQOL-BREF questionnaire revealed a significant difference in general quality of life favoring the active PBM group over the sham group after treatment. Physiotherapy combined with PBM leads to better sensory-motor recovery in patients with SCI as well as a better perception of health and quality of life. Trial registration identifier: NCT 03031223 Keywords Photobiomodulation . Spinal cord injuries . Physiotherapy
* Sandra Kalil Bussadori [email protected]
Daniela Fátima Teixeira Silva [email protected]
Fernanda Cordeiro da Silva [email protected]
Anna Carolina Ratto Tempestini Horliana [email protected]
Tamiris Silva [email protected]
Lara Jansiski Motta [email protected]
Andréa Oliver Gomes [email protected]
Raquel Agnelli Mesquita-Ferrari [email protected]
Paulo Roberto da Costa Palácio [email protected]
Kristianne Porta Santos Fernandes [email protected]
Lucas Andreo [email protected] Marcela Leticia Leal Gonçalves [email protected]
1
Universidade Nove de Julho, Rua Vergueiro, 235/249 - Liberdade, São Paulo, SP, Brazil
Lasers Med Sci
Introduction Complete or incomplete spinal cord injury (SCI) re
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