Effect of Mirror Therapy on Dexterity and Hand Grasp in the Children Aged 9-14 Years Old with Hemiplegic Cerebral Palsy
Iranian Journal of Child Neurology,
Vol. 13 No. 4 (2019),
7 September 2019
Mirror therapy using visual feedback is one of the non-invasive methods along with other commonly used rehabilitation treatments for neurological patients whose therapeutic effects on the affected upper limb of children with hemiplegic cerebral palsy (CP) have also been studied. The aim of this study was to examine the effect of mirror therapy on improving the dexterity and grasp of children with hemiplegic CP.
Materials and Methods
In this single blind clinical trial, 30 children with hemiplegic CP in rehabilitation centers and special exceptional schools in Tabriz, Iran were randomly divided into two equal intervention (n=15) and control groups (n=15) in 2017. The children of the intervention group were under the mirror therapy for 6 weeks. Occupational therapy exercises were done routinely for both groups. The grasp with dynamometer and dexterity with box and block was measured. Data were analyzed by t-test and paired t-test.
The results showed that the mean scores of the two groups in dexterity were significantly different after the intervention (P=0.008). However, there was no significant difference between the two groups in grasp (P>0.05).
Discussion and Conclusion
Mirror therapy in hemiplegic children is useful in improving the dexterity but not in improving of the grasp
- Hemiplegic cerebral palsy
- Mirror therapy
- Upper limb
- Khalaji M, Kalantari M, Shafiee Z, Hosseini MA. The effect of hydrotherapy on health of cerebral palsy patients: an integrative. Review Iranian Rehabilitation Journal 2017; 15 (2): 173-180.
Dehghan L, Dalvandi A, Rassafiani M, Hosseini SA, alvand H, Baptiste S. Social participation experiences of mothers of children with cerebral palsy in an Iranian context. Aust Occup Ther J 2015;62(6):410-9.
Dalvand H, Dehghan Leila, Hadian MR, Feizy A, Hosseini SA. Relationship between gross motor and intellectual function in children with cerebral palsy: a cross-sectional study. Archives of Physical Medicine and Rehabilitation 2012; 93 (3): 480-4.
Hoare B, Carey L. Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review. Clinical Rehabilitation 2007; 21 (8): 675–685.
Colver AF, Dickinson HO. Study protocol: Determinants of participation and quality of life of adolescents with cerebral palsy: a longitudinal study (SPARCLE2). BMC Public Health 2008; 10 (1): 280-290.
Coluccini M, Stefano Maini E, Martelloni C, Sgandurra G, Cioni G. Kinematic characterization of functional reach to grasp in normal and in motor disabled children. Gait and Posture 2007; 25 (4): 493-501.
Fukumura K, Sugawara K, Tanabe S, Ushiba J, and Tomita Y. Influence of mirror therapy on human motor cortex. International Journal of Neuroscience 2007; 117 (7): 1039-48.
Mc Cabe CS, Haigh RC, Blake DR. Mirror visual feedback for the treatment of complex region pain syndrome (type 1). Current Pain and Headache Reports 2008; 12 (2): 103-107.
Ramachandran VS, Rogers-Ramachandran D. Synaesthesia in phantom limbs induced with mirrors. Proceedings of the Royal Society of London Series B, Biological Sciences 1996; 263 (1369): 377-86.
Wilcher DG, Chernev I, Yan K. Combined mirror visual and auditory feedback therapy for upper limb phantom pain: a case report. Journal of Medical Case Reports 2011; 5 (1): 41.
Yavuzer G, Seeles R, Sezer N, Sutbeyaz S, et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2008; 89 (3): 393-8.
Mahasup N, Lekskulchai R. Effect of Mirror Neurons Gygax MJ, Schneider P, Newman CJ: Mirror therapy in children with hemiplegia: a pilot study. Dev Med Child Neurol 2011, 53: 473– 476.
Sritipsukho P, Hansakunachai T. Effects of mirror neurons stimulation on motor skill rehabilitation in children with cerebral palsy: A clinical trial. J Med Assoc Thai 2012;95(1):S166-S72.
Shahanawaz S, Sayali M. Effect of mirror therapy on hand functions in children with hemiplegic cerebral palsy: A case study. International Journal of Neurologic Physical
Elsepaee MI, Elhadidy EI, Emara HAA-M,Nawar EAE. Effect of mirror visual feedback on hand function in children with hemiparesis. Int J Physiother 2016;3(2):147-53 Desrosiers J, Bravo G, Hébert R, Dutil É, Mercier L. Validation of the Box and Block Test as a measure of dexterity of elderly people: reliability, validity, and norms studies. Arch Phys Med Rehabil. Archives of Physical
Medicine And Rehabilitation 1994;75(7):751-5.
Bellace JV, Healy D, Besser MP, Byron T, Hohman L. Validity of the dexter evaluation system’s Jamar dynamometer attachment for assessment of hand grip strength in a normal population. J Hand Ther 2000;13(1):46-51.
El Shemy SA, El-Maksoud GMA. Mirror therapy versus cross education on wrist extension and hand grip strength in children with hemiparesis. Bull Fac Ph Th Cairo Univ 2009;14(2).
Bruchez R, Jequier Gygax M, Roches S, Fluss J, Jacquier D, Ballabeni P, et al. Mirror therapy in children with hemiparesis: a randomized observer‐blinded trial. Dev Med Child Neurol 2016;58(9):970-8.
Farzamfar P, Heirani A, Sedighi M. The effect
f motor training in mirror therapy on gross motor skills of the affected hand in children with hemiplegia. IRJ 2017;15(3):243-8.
Altschuler EL, Wisdom SB, Stone L. Rehabilitation of hemiparesis after stroke with a mirror. Lancet 1999;353(24): 2035-6.
Adler C, Berweck S, Lidzba K, Becher T, Staudt M. Mirror movements in unilateral spastic cerebral palsy: specific negative impact on bimanual activities of daily living. Eur J Paediatr Neurol 2015;19(5):504-9.
Park EJ, Baek SH, Park S. Systematic review of the effects of mirror therapy in children with cerebral palsy. J Phys Ther Sci 2016;28(11):3227–3231.
Feltham MG, Ledebt A, Deconinck FJ, Savelsbergh GJ. Mirror visual feedback induces
lower neuromuscular activity in children with spastic hemiparetic cerebral palsy. Res Dev Disabil 2010;31(6):1525-35.
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