The Effect of Motor Learning-Based Mirror Therapy (mMT) on Hand Function in Children with Hemiplegic Cerebral Palsy (A double-blind clinical trial)

Document Type : علمی- پژوهشی

Authors

1 , PhD Candidate Department of Behavioral, Cognitive and Technology Sciences in Sports, Faculty of Sports and Health Sciences, Shahid Beheshti University, Tehran, Iran

2 Professor, Department of Behavioral, Cognitive and Technology Sciences in Sports, Faculty of Sports and Health Sciences, Shahid Beheshti University, Tehran, Iran.

3 Professor, Department of Behavioral, Cognitive and Technology Sciences in Sports, Faculty of Sports and Health Sciences, Shahid Beheshti University, Tehran, Iran

4 Professor, Department of Orthosis and Prosthetics, Musculoskeletal Disorders Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Purpose: The aim of this research was to investigate the impact of motor learning-based mirror therapy (mMT) on the hand function of children with hemiplegic cerebral palsy (HCP).

Methods: In this study, 26 children aged 7 to 12 years with HCP residing in Isfahan participated. Participants received interventions in the form of conventional mirror therapy (MT) and mMT over 7 weeks and 21 sessions. Data were collected using a demographic information questionnaire, the Modified Ashworth Scale, a goniometer, the Raven's Progressive Matrices test, clinical assessment of active and passive range of motion (ROM), and an accuracy throwing task. After ensuring the normal distribution of data, statistical tests including mixed-design ANOVA, Wilcoxon signed-rank test, independent samples t-test, and the Mann-Whitney U test were utilized.

Results: In the variables of accuracy, active and passive ROM of the shoulder, and passive ROM of the wrist, participants in the mMT group showed significant differences in the post-test compared to the pre-test (P≤0.05). Unlike the pre-test, in the post-test, the mean accuracy scores were different between the mMT and MT groups (P≤0.05). In other variables, no significant differences were observed between the pre-test and post-test in both groups (P>0.05).

Conclusion: The current study demonstrated that mMT is a more suitable method compared to MT for improving hand function in children with HCP

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Articles in Press, Accepted Manuscript
Available Online from 01 January 2024
  • Receive Date: 10 October 2023
  • Revise Date:
  • Accept Date: 01 January 2024