Effect of a hyperbolide mastication apparatus for the treatment of severe sleep bruxism in a child with cerebral palsy: Long-term follow-up

Purpose: Sleep bruxism is common among the various oromotor alterations found in individuals with cerebral palsy (CP). Few studies have investigated the use of the mastication device denominated hyperbola (HB) and none was found describing the use of such a device for the treatment of bruxism in children with CP. The aim of the present study was to evaluate the effect of the HB on electromyographic (EMG) activity in the jaw-closing muscles and the reduction in sleep bruxism in a child with CP using surface EMG analysis before and after nine months of treatment. Methods: A seven-year-old boy with severe spastic CP and sleep bruxism was enrolled in this study. The HB was chosen as the treatment option for sleep bruxism in this case because the child did not accept an occlusal splint. The HB has a hyperbolic shape and is made of soft, non-toxic, odorless, tasteless silicone. There are five different sizes of HB manufactured based on the diversity of tooth sizes. This device produces proprioceptive excitation in the dentoalveolar nerve, spindles and Golgi tendon organs. HB has been employed for the treatment of temporomandibular disorder, abnormal oro-dental development, abnormal occlusion, xerostomy, halitosis and bruxism. HB therapy was performed for 5 min six times a day over a nine-week period. Surface EMG of the mandible at rest and during maximum contraction was performed on the masseter and temporalis muscles bilaterally to evaluate electromyographic activity before and after nine months of HB usage. Results: HB usage led to a visible tendency toward the reorganization of mastication dynamics, achieving a marked balance in electromyographic activity of the jaw-closing muscles and improving the child's quality of life. Conclusion: Based on the findings of the present study, this noninvasive therapy may be useful for individuals with cerebral palsy due to its positive effects and low cost, which allows its use in the public health realm. Further clinical studies with a larger sample size are needed to validate these results and allow the development of a new treatment protocol for patients with spastic cerebral palsy. © 2013 Elsevier Ltd. All rights reserved.

Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: A randomized controlled trial

Introduction. Tendon injury is a major cause of lameness and decreased performance in athletic equines. Various therapies for tendonitis have been described; however, none of these therapies results in complete tissue regeneration, and the injury recurrence rate is high even after long recovery periods involving rest and physiotherapy. Methods. A lesion was induced with collagenase gel in the superficial digital flexor tendon in the center portion of the metacarpal region of eight equines of mixed breed. After two weeks, the lesions of the animals in the treated and control groups were treated through the intralesional administration of mesenchymal stem cells derived from adipose tissue (adMSCs) suspended in platelet concentrate (PC) and with phosphate buffered saline (PBS), respectively. Serial ultrasound analyses were performed every two weeks. After 16 weeks of therapy, a biopsy was performed for histopathological, immunohistochemical and gene expression (type I collagen (COL1A1), type III collagen (COL3A1), tenascin-C (TNC), tenomodulin (TNMD), and scleraxis (SCX)) analyses. Results: Differences in the ultrasound and histopathological analyses were observed between the groups. Improved results were reported in the group treated with adMSCs suspended in PC. There was no difference in the gene expression levels observed after the different treatments. The main results observed from the histopathological evaluation of the treated group were as follows: a prevention of the progression of the lesion, a greater organization of collagen fibers, and a decreased inflammatory infiltrate. A lack of progression of the lesion area and its percentage was observed in the ultrasound image, and increased blood flow was measured by Power Doppler. Conclusions: The use of adMSCs combined with PC for the therapy of experimentally induced tendonitis prevented the progression of the tendon lesion, as observed in the ultrasound examination, and resulted in a greater organization and decreased inflammation, as observed in the histopathological evaluation. These data demonstrate the therapeutic potential of this therapy for the treatment of equine tendonitis. © 2013 Carvalho et al.; licensee BioMed Central Ltd.

Estudo biomecânico do reparo do tendão do calcâneo com retalho da fáscia miotendinosa do músculo gastrocnêmio em coelhos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeitos da mobilização precose e da mobilizaçao sobre o reparo do tendão patelar em ratos: análise morfológica e morfométrica

Pós-graduação em Biologia Geral e Aplicada - IBB

Efeito da fototerapia com doidos superluminosos (890nm) na reparação tendínea: modelo experimental em ovinos. -

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Implante autólogo de células mononucleares provenientes de medula óssea notratamento de tendinites induzidas experimentalmente em equinos: avaliação a longo prazo - 120 dias

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Estudos por imagem e físico dos membros pélvicos de pacas (Cuniculus paca) criadas em cativeiro

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Contribuição do contraste negativo na artrografia tomográfica do joelho normal de cães

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Caracterização ultrassonográfica das estruturas flexoras músculo-tendíneas e ligamentares da porção distal dos membros de bovinos

Pós-graduação em Cirurgia Veterinária - FCAV

Avaliação ultra-sonográfica da articulação do joelho em equinos da raça Quarto de Milha

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Restabelecimento funcional do tendão extensor digital longo submetido à tenectomia em eqüinos: observação macroscópica, ultra-sonográfica e histopatológica

Pós-graduação em Medicina Veterinária - FMVZ

Variações goniométricas metatarsofalângica e interfalângicas e medidas do casco do membro pélvico de equinos submetidos à tenectomia do flexor digital medial (flexor longo do halux)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Caracterização e comparação entre programas de treinamento para cavalos de enduro

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação eletroneuromiográfica na fase aguda do acidente vascular cerebral

Pós-graduação em Bases Gerais da Cirurgia - FMB

Aspectos morfológicos e biométricos da face flexora dos dígitos de novilhas mestiças da raça Nelore

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)