PC MIROIR : Effects of Mirror Therapy in Children With Hemiplegic Cerebral Palsy

Study Overview
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Brief Summary
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This is a randomized and comparative prospective test, monocentric and controlled (mirror therapy versus bimanual rehabilitation exercises), in single-blind (investigator and occupational therapist  1  do not know the type of rehabilitation performed).

Official Title
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PC MIROIR : Effects of Mirror Therapy in Children With Hemiplegic Cerebral Palsy

Conditions
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Hemiplegic Cerebral Palsy

Intervention / Treatment
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* Procedure: mirror therapy
* Procedure: bimanual rehabilitation exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unilateral spastic cerebral palsy as defined by SCPE (Surveillance of Cerebral Palsy in Europe) Aged 7 to 17 years MACS (Manual Ability Classification System) 1 to 3 Extension of the wrist more than 10° Free, informed and written consent of the parents Free, informed and written consent of the child affiliated, via his/her parents, to the Social Security regime Exclusion Criteria: Other neuromuscular disorders known Cognitive impairment hampering the understanding of instructions Upper-limb pain (EVA score >3) Restriction of passive range of motion Visual impairment not allowing the visualization of the upper limb in the mirror Upper-limb Botulinum toxin injection in upper limb 6 months prior to inclusion

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: mirror therapy<br>5 sessions mirror therapy 15 minutes per week for 5 weeks | Procedure: mirror therapy<br>* During a session, the child performs a series of 10 single, bilateral and synchronous movements while viewing the reflected image<br>|
| Placebo Comparator: bimanual rehabilitation exercises<br>5 sessions control therapy 15 minutes per week for 5 weeks | Procedure: bimanual rehabilitation exercises<br>* During a session, the child performs a series of 10 single, bilateral and synchronous movements while watching his two hands<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measurement of the AHA (Assisting Hand Assessment) score |  | 5 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evolution of the AHA score | a variance analysis using 2 factors (time, group) is used (between the onset and 5 weeks later, between the onset and 10 weeks later) | baseline, 5 weeks, 10 weeks | 
| Measurement of the maximal grasp and pinch strength | with a Baseline dynamometer | baseline, 5 weeks, 10 weeks | 
| Qualitative and quantitative measurement of movement | by a kinematic analysis via an Optitrack system | baseline, 5 weeks, 10 weeks | 
| Measurement of the manual ability | by Abilhand-kids questionnaire | baseline, 5 weeks, 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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unilateral cerebral palsy, children, upper-limb, mirror therapy, bimanual coordination, kinematics analysis