Effects of Mirror Therapy With Sensory Motor Training on Upper Limb Functions and Quality of Movement in Children With Hemiplegic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- The Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment)
研究概览
简要总结
The study compares two interventions in CP children: mirror therapy with sensory motor training versus mirror therapy with motor training. Mirror therapy works by manipulating the brain out of pain, ultimately improving movement in patients with one-sided paralysis. It can be used in combination with other therapies to assist patients with cerebral palsy in retraining the brains, restoring function, and enhancing the overall quality of life. The purpose of this study is to use a combination of Mirror therapy with sensory motor training and motor training and observe which one of these combinations has the most desirable effects in improving movement and quality of life in CP Children
详细描述
The neurodevelopmental disorder known as cerebral palsy (CP) is caused by damage to the developing brain and is characterized by abnormalities of muscle tone, mobility, and motor skills. A person with cerebral palsy can be classified according to how it affects movement, the area of the body that is affected, and how severe the effects are. Children with hemiplegic cerebral palsy have a variety of motor and sensory deficits in the upper limb, which makes it more difficult to perform everyday tasks including reaching, gripping, releasing, and manipulating things. The movement produced by constraints on the less-affected hand and extensive training on the more-affected hand aims to enhance upper limb function in hemiparetic youngsters. One such intervention to improve the motor function of these patients is the use of mirror therapy. Mirror therapy is one of the more recent approaches to helping the more severely afflicted upper extremities regain function after stroke. During mirror therapy, a mirror is held in the patient's midsagittal plane, reflecting the less-affected side as though it were the more-affected side. In this arrangement, the motions of the less affected extremity give the impression that the more affected extremity is moving normally. Mirror treatment is easy to use, reasonably priced, and non-intrusive. This makes it a promising and secure complement to hemiparesis therapy for children. Sensorimotor training involves proprioceptive and balance exercises that were developed to help individuals suffering from chronic musculoskeletal pain syndromes. Repetitive sensorimotor training may increase the responsiveness of nociceptive-evoked potentials. Motor training, on the other hand, focuses on skill acquisition through repetition. Through this study, the investigator wants to use a combination of techniques to improve upper limb function and quality of movement in patients with CP
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
participants and outcome assessors will be kept blind about the intervention which the patients will be receiving.
入排标准
- 年龄范围
- 6 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged between 6 and 12 years
- •Lack of use of the affected upper limb
- •Level I-III of the Manual Ability Classification System (MACS)
- •Level I-III in the Gross Motor Function Classification System (GMFCS)
排除标准
- •Disease not associated with congenital hemiplegia
- •Presence of contractures in the affected upper limb affecting the functional movement
- •Surgery in the six months previously to the treatment
- •Botulinum toxin in the two months previously to or during the intervention
- •Pharmacologically uncontrolled epilepsy
研究组 & 干预措施
Mirror therapy with sensory motor training.
- Visual perception activities
- Body awareness
- Tactile perception.
- Visual-motor coordination training
The child will be seated on a chair and a 30*30 cm mirror will set up on a table in front of them. The affected hand will be placed behind the mirror so that the image of a healthy hand can be seen clearly
干预措施: Experimental: Mirror therapy with sensory motor training. (Other)
Mirror Therapy with motor training.
supination-pronation, wrist flexion-extension, finger flexion-extension, abduction, adduction, opposition
干预措施: Experimental: Mirror Therapy with motor training (Other)
Motor Training
- Holding objects
- Stabilize objects
- manipulate objects
干预措施: Experimental: Motor Training (Other)
结局指标
主要结局
The Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment)
时间窗: Assessment will be done at 6th week by outcome measuring tool
It is an evaluation tool that objectively measures upper-extremity function in children with cerebral palsy. The total score is 122, which is the maximum, whereas the minimum score is 0. It is Reported as a percentage, with higher scores reflecting greater quality of upper-limb movement
Jebsen Taylor Hand dysfunction test
时间窗: 6 weeks
It measures the fine and gross motor function of the hands. The results are measured by timing the time taken to accomplish each task.
次要结局
未报告次要终点