» Articles » PMID: 31645873

Effect of Mirror Therapy on Dexterity and Hand Grasp in Children Aged 9-14 Years with Hemiplegic Cerebral Palsy

Overview
Specialty Pediatrics
Date 2019 Oct 25
PMID 31645873
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Objectives: Mirror therapy using visual feedback is one of the non-invasive methods along with other commonly used rehabilitation treatments for neurological patients which therapeutic effects on the affected upper limb of children with hemiplegic cerebral palsy have also been studied. We aimed to examine the effect of mirror therapy on improving the dexterity and grasp of children with hemiplegic cerebral palsy.

Materials & Methods: In this single-blind clinical trial, 30 children with hemiplegic cerebral palsy in rehabilitation centers and special schools of Tabriz, northwest of Iran were randomly divided into two intervention and control groups in 2017. The children of the intervention group were under mirror therapy for 6 weeks. Occupational therapy exercise was done routinely for both groups. The grasp with dynamometer and the dexterity with box and block was measured. Data were analyzed using independent -test and paired -test.

Results: The mean scores of the two groups in dexterity were significantly different after the intervention (=0.008). However, there was no significant difference between the two groups in grasp.

Conclusion: Mirror therapy in hemiplegic children is useful in improving the dexterity but not in improving of the grasp.

Citing Articles

Conjunct Effects of Transcranial Direct Current Stimulation with Mirror Therapy on Motor Control and Muscle Performance in Spastic Quadriplegic Cerebral Palsy Children: A Randomized Clinical Trial.

Waqas S, Ahmad A, Goulardins J, Hassan Z, Hanif A, Tariq M J Multidiscip Healthc. 2025; 18:1195-1216.

PMID: 40035031 PMC: 11874753. DOI: 10.2147/JMDH.S506784.


Cognitive approaches in the rehabilitation of upper limbs function in children with cerebral palsy: a systematic review and meta-analysis.

Demeco A, Molinaro A, Ambroggi M, Frizziero A, Fazzi E, Costantino C Eur J Phys Rehabil Med. 2024; 60(3):445-457.

PMID: 38512713 PMC: 11255880. DOI: 10.23736/S1973-9087.24.08288-1.


Feasibility of a Home-Based Mirror Therapy Program in Children with Unilateral Spastic Cerebral Palsy.

Ortega-Martinez A, Palomo-Carrion R, Varela-Ferro C, Bagur-Calafat M Healthcare (Basel). 2023; 11(12).

PMID: 37372915 PMC: 10298458. DOI: 10.3390/healthcare11121797.


[Mirror and action observation therapy in children with unilateral spastic cerebral palsy: a feasibility study].

Palomo-Carrion R, Zuil-Escobar J, Cabrera-Guerra M, Barreda-Martinez P, Martinez-Cepa C Rev Neurol. 2022; 75(11):325-332.

PMID: 36440744 PMC: 10280745. DOI: 10.33588/rn.7511.2022343.


[Effectiveness of mirror therapy and action observation therapy in infantile cerebral palsy: a systematic review].

Oliva-Sierra M, Rios-Leon M, Abuin-Porras V, Martin-Casas P An Sist Sanit Navar. 2022; 45(2).

PMID: 35972309 PMC: 10130800. DOI: 10.23938/ASSN.1003.

References
1.
Wilcher D, Chernev I, Yan K . Combined mirror visual and auditory feedback therapy for upper limb phantom pain: a case report. J Med Case Rep. 2011; 5:41. PMC: 3039606. DOI: 10.1186/1752-1947-5-41. View

2.
Dehghan L, Dalvandi A, Rassafiani M, Hosseini S, Dalvand 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. DOI: 10.1111/1440-1630.12215. View

3.
Desrosiers J, Bravo G, Hebert R, Dutil E, 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. 1994; 75(7):751-5. View

4.
Gygax M, Schneider P, Newman C . Mirror therapy in children with hemiplegia: a pilot study. Dev Med Child Neurol. 2011; 53(5):473-6. DOI: 10.1111/j.1469-8749.2011.03924.x. View

5.
Hoare B, Imms C, Carey L, Wasiak J . Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review. Clin Rehabil. 2007; 21(8):675-85. DOI: 10.1177/0269215507080783. View