Spastic Hemiplegic Cerebral Palsy Clinical Trial
Official title:
Effectiveness of Mirror Therapy Combined With Progressive Strength Training on Upper Limb Function in Children With Unilateral Spastic Cerebral Palsy
The purpose of this study is to investigate the effects of mirror therapy combined with upper extremity strengthening training on upper extremity function in children with unilateral spastic Cerebral Palsy (CP): a single blind randomized controlled trial. In the literature, there was no randomized controlled trial. According to literature, there are few studies that investigate the effects of mirror therapy in children with CP. But there is no randomized controlled trial, explore the effects of mirror therapy combined with upper extremity strength training on upper extremity functions in unilateral spastic CP. Hypothesis of this study is that mirror therapy combined with strength training improves upper extremity function and muscle strength in unilateral spastic CP.
Cerebral Palsy (CP) is a permanent but not progressive disorder of motor function and
movement/posture that caused by lesion in the immature brain. Children with hemiplegic CP
have unilateral motor disorder affecting the right or left half of the body. They constitute
42% of all CP. motor impairment of the upper extremity usually occurs more than the lower
extremity. This motor impairment of upper extremity is one of the main reasons of the muscle
weakness in children with unilateral CP. Nowadays studies has been proven to increase the
activity and the body structure and function without any negative effect of strengthening
education in children with CP. Park & Kim showed that huge impact of the upper and lower
reinforcement training on children with CP the current meta-analysis (d = 0.861).
To improve upper extremity function in children with unilateral CP, the mirror therapy is a
promising approach. Mirror therapy for the first time, Ramachandran et al. has described for
the treatment of phantom pain in amputee. Also in unilateral spastic CP mirror therapy have
indicated that visual illusion of functional limb provided by mirror can support healing. By
means of visual feedback, modified vision and perception is stimulated plasticity the
premotor cortex and developed reorganization. In the current studies, mirror therapy in
hemiplegic patients, have been shown that improve the function and reduce the sensitivity of
the hemi neglect. Gygax et al. have investigated the effects of mirror therapy on upper
extremity function 10 children with unilateral spastic CP between 6-14 years. Consequently,
the spontaneous use affected hand, the maximum grip force increase of 15% and is demonstrated
that improve the upper extremity motor function.
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