Application of LLLT in patients with cerebral palsy of the adult tension athetosis type

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  • Asagai Yoshimi
    Department of Orthopaedic Surgery, Shinano Handicapped Children,s Hospital

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  • 成人緊張性アテトーゼ型脳性麻痺の疼痛に対するＬＬＬＴの効果

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In patients with cerebral palsy of the tension athetosis type, myotonic disorders of the motor function of all four limbs and trunk were observed. Aggravation of involuntary movements and pain in the neck and back are also seen in many cases. Existing conservative treatment methodologies have proved to be more or less ineffective, and limitations in functional training in adults have made treatment extremely difficult. We first employed LLLT in a case of spastic cerebral palsy in 1994 with good results. In the present study, we applied laser irradiation(830nm. 60mW continuous wave) to all myotonic sites around the face and neck region and all four limbs and trunk where myotonia was severe in 25 patients with cerebral palsy of the adult tension athetosis type for which there was no effective treatment for their neck and back pain. Improvement of myotonia was seen in 24 patients while improvement of pain in the neck and back was seen in all the 25 patients (excellent 7 patients, good 12 patients, poor 6 patients) who had pain in these resions. LLLT with the 830nm diode laser provides a new and effective treatment modality in this extremely problematic condition, has no serious side effects, and has the potential to improve these patients, quality of life.

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