Efficacy of Lower Extremity Mirror Therapy on Balance in Children With Hemiplegic Cerebral Palsy

Study Overview
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Brief Summary
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The study will be conducted to assess the efficacy of mirror therapy on balance in children with hemiplegic cerebral palsy.

Detailed Description
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Hemiplegic cerebral palsy in the most common type of cerebral palsy that has permanent motor disorders and associated with life-long disability. the aim of study to assess the efficacy of mirror therapy on balance in children with hemiplegic cerebral palsy. Seventy child with hemiplegic cerebral were enrolled in this study and were assessed for eligibility. Their aged ranged from eight to twelve years. The children were assigned randomly into two equal groups. Group (a) control group received traditional physical therapy program. And group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months. Biodex balance system was used to assess balance pre and post treatment. All children were assisted before and after three months of intervention.

Official Title
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EFFICACY OF LOWER EXTREMITY MIRROR THERAPY ON BALANCE IN CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY: A Randomized Controlled Trail

Conditions
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HEMIPLEGIC CEREBRAL PALSY

Intervention / Treatment
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* Other: MIRROR THERAPY


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children's aged ranged from eight to twelve years. Children participated in this study will from both sexes. Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale. Children with stable medical and psychological status. Children able to follow the verbal commands or instructions. Exclusion Criteria: children with visual or auditory problems. Children with history of epilepsy. Children with history of surgical interference in lower limbs less than one year. Medically unstable children especially with cardiovascular disorders. Mentally retarded children. un-cooperative children.

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The children were assigned randomly into two equal groups. Group (a) control group received traditional physical therapy program. And group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: the control group<br>Group (a) control group received traditional physical therapy program. | |
| Experimental: the study group<br>group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months. | Other: MIRROR THERAPY<br>* The children were instructed to sitting on chair and a mirror is placed in midsagittal plane of the child, with the normal limb in front of mirror and the affected limb is blocked so the patient see only the reflected movement of the sound limb (non affected).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Antro-posterior stability index | the ability of child to maintain his balance from forward to backward direction | Antro-posterior stability index will be assessed at day 0. | 
| Antro-posterior stability index | the ability of child to maintain his balance from forward to backward direction | Antro-posterior stability index will be assessed at day 90. | 
| Over All Stability Index | the ability of child to maintain his balance in all directions | Over All Stability Index will be assessed at day 0. | 
| Over All Stability Index | the ability of child to maintain his balance in all directions | Over All Stability Index will be assessed at day 90. | 
| Mediolateral Stability Index | the ability of child to maintain his balance from side to side directions | Mediolateral Stability Index will be assessed at day 0. | 
| Mediolateral Stability Index | the ability of child to maintain his balance from side to side directions | Mediolateral Stability Index will be assessed at day 90. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebral palsy, balance, mirror therapy