Application of Low Reactive-Level Laser Therapy (Lllt) in Patients With Cerebral Palsy of the Adult Tension Athetosis Type

Asagai, Yoshimi; Ueno, R.; Miura, Yukio; Ohshiro, Toshio

doi:10.5978/islsm.95-or-15

Cited by 21 publications

(10 citation statements)

References 1 publication

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“…For other applications of LLLT, the following indications are effective: suppression of myotonia in the tonic athetotic cerebral palsy (9) ; suppression of femoral head deformation, and reduction of the therapeutic period in cases of Perthes disease (10) ; for congenital hip dislocation, improvement of the limitation of abduction in flexion of the hip joint by suppressing myotonia focusing on the adductor magnus muscle of the hip, and application for pre-treatment before using the pelvic harness (Riemenbugel) (11) ; treatment of pain such as lumbar pain, (12) which is an inhibitory factor of the rehabilitation, and treatment of bedsores (decubitus ulcers), (13) which are often associated with paralytic diseases such as spina bifida; and applications for acceleration of postoperative wound healing in peripheral circulatory failure caused by paralysis. Future applications are expected in the activation of brain function.…”

Section: Other Applications In Pediatric Rehabilitationmentioning

confidence: 99%

Suppression of Myotonia in Cerebral Palsy and Adjunctive Effect of Low Level Laser Therapy on Intensive Functional Training

Asagai

Watanabe

Ohshiro³

et al. 2005

LASER THERAPY

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Section: Other Applications In Pediatric Rehabilitationmentioning

confidence: 99%

Suppression of Myotonia in Cerebral Palsy and Adjunctive Effect of Low Level Laser Therapy on Intensive Functional Training

Asagai

Watanabe

Ohshiro³

et al. 2005

LASER THERAPY

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“…(18) To move away from pain control, Figure 8 (overleaf) illustrates the total body warming in a cerebral palsy patient following the use of the proximal priority-based regimen, as reported by Asanami et al The latency of the effect was still increasing 90 minutes after the LLLT session. (19) Cerebral palsy patients are under hypertensive sympathetic control, resulting in vasoconstriction and the appearance of the 'cold' extremities and abdominal area seen in Figure 8a. The activation of the parasympathetic system resulted in vasodilation, and the return of the blood supply to the extremities and abdomen is seen in Figures 8b, 8c and 8d.…”

Section: Figmentioning

confidence: 99%

The Proximal Priority Technique: How to Maximize the Efficacy of Laser Therapy

Ohshiro¹

2005

LASER THERAPY

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Reports on the efficacy of low reactive level laser therapy (LLLT) cover a range from 60% to 90%, depending on the criteria set by the authors, and also cover a large range of methodologies based on anatomical considerations, Oriental Medicine acupuncture-based tenets, or a blend of the two. From his experience in having treated 48,145 patients (correct as of July 1st 2005) in over 25 years of practicing LLLT, the author presents an anatomically-based treatment method which gives consistently good results, and maximizes the efficacy of laser therapy in a large variety of conditions including pain attenuation, wound healing, scar revision or treatment of areas of abnormal skin colour. No matter what entity is being treated in what location, laser therapy is always started in the contact pressure method bilaterally on the side of the neck approximately 2 cm down from the ears, and then on the C1/C2 intervertebral points, the C1/C2 zone, working round the base of the skull at points about 1 cm apart while angling the laser probe upwards by about 45°. The system used is an 830 nm GaAlAs diode laser (60 mW, continuous wave, incident power density 3 W/cm 2 , 10 sec/point, energy density 30 J/cm 2 ). Subsequent treatment points run from proximal to distal towards the final treatment site, thence the name 'proximal priority'. Irradiation of the sides of the neck targets increased blood supply to the brain; the C1/C2 zone targets in particular the 2nd and 3rd neurons, and the cerebellum, pons and medulla oblongata, in which lie a number of important control centres including those which control blood pressure and the descending inhibitory pathway of the reticulospinal tract. By activating these centres before moving to the site of interest, it is believed that a more efficient endorphin and enkephalin synthesis is triggered in the case of pain attenuation, via activation of the reticulospinal tract through the pyramidal and extrapyramidal fibres, and the parasympathetic system is given a 'wake-up' call in the case of all conditions. Laser therapy applied directly to a site of interest will still have some effect, possibly a good one, but the author suggests that adherence to the proximal priority method will make a good effect even better.

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“…(15) My theory postulates that LLLT removes the fibrosis and restarts the stagnant lymphatic flow, thereby restoring local control to the mother brain. In the lower portion of the figure the dramatic rise in temperature over the entire head, torso and upper extremities is indicative of the whole body warming effect seen with laser therapy, (16) This has led to the extension of my theory of laser therapy-mediated reversal of the sympathetic-dominant highly tense state as seen in Figure 16, pretreatment, and to a parasympathetic-dominant relaxed state, as seen in the post-LLLT findings.…”

Section: Pain Attenuationmentioning

confidence: 99%