Mirror Therapy Versus CIMT on Hand Function in Cerebral Palsy

Study Overview
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Brief Summary
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The aim is to investigate the effect of mirror therapy on hand functions in children with hemiplegic cerebral palsy.

Detailed Description
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Hemiplegic cerebral palsy (HCP) is a form of paralysis that affects motor performance and muscle tone on one side of the body. Spastic hemiplegia CP is the second form of cerebral palsy in premature infants, affecting one side of the body's limbs. Hand and upper limb dysfunction cause problems in half of the children with cerebral palsy. Mirror therapy is a growingly recognized new treatment option for hemiplegic cerebral palsy. While upper extremity involvement in hemiplegic CP and the residual effects are more severe, there is limited evidence of the efficacy of mirror treatment in children with hemiplegic CP

Official Title
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Mirror Therapy Versus CIMT Improves Hand Strength and Function in Children With Unilateral Cerebral Palsy

Conditions
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Hemiplegic Cerebral Palsy, Mirror Hands

Intervention / Treatment
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* Other: Physical therapy exercises
* Other: Mirror therapy
* Other: Constraint Induced Movement Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Spasticity grade 1 or 1+ based on the modified Ashworth scale Able to understand and follow instructions Exclusion Criteria: Cognitive impairment Orthopedic dysfunction Impairment in visual acuity Children who are unable to pay attention during the treatment period

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 9 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: Study (2 groups) and control
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control<br>A traditional physical therapy program | Other: Physical therapy exercises<br>* Three times a week for 12 weeks.<br>|
| Experimental: Study 1<br>Mirror therapy plus traditional physical therapy program | Other: Physical therapy exercises<br>* Three times a week for 12 weeks.<br>Other: Mirror therapy<br>* Three times a week for 12 weeks.<br>|
| Experimental: Study 2<br>Constraint-induced movement therapy plus traditional | Other: Physical therapy exercises<br>* Three times a week for 12 weeks.<br>Other: Constraint Induced Movement Therapy<br>* Three times a week for 12 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand grip strength | Change of hand strength by using Hand Dynamometer | 12 weeks | 
| Hand function | Change of hand function skills by using Box and block test | 12 weeks | 
| Fine Motor skills | Change of fine motor skills score by using Peabody | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hand function, Grip strength, Mirror therapy