Mirror Therapy Versus Task Oriented Training on Hand Function in Children With Unilateral Cerebral Palsy

Beni-Suef University

Status: Not yet enrolling

Conditions: Unilateral Cerebral Palsy

Treatments: Other: Mirror Therapy; Other: Selected Physical and Occupational Therapy Program; Other: Task-Oriented Training

Study type: Interventional

Funder types: Other

Identifiers

NCT06082115

P.T.REC/012/004452

Details and patient eligibility

About

The purpose of the study is to compare the effect between mirror therapy and task-oriented training on hand function in children with unilateral cerebral palsy.

Full description

Dysfunction in the upper limbs and hand function is one of the most common symptoms in children with cerebral palsy (CP), particularly children with unilateral CP which intern has the potential to limit the involvement of these children in life activities and cause distress and suffering for both children and their parents. Different rehabilitation intervention procedures addressing upper extremity dysfunction are essential to promote better use of disabled arms and hands in daily activities and achieving functional independence at home, in school and in the community. However, there is little evidence directed toward which intervention procedure is more effective on hand function therefore, there is need to compare between the functional outcome of mirror therapy versus task-oriented training on hand function in children with unilateral cerebral palsy.

Enrollment: 60 estimated patients

Sex: All

Ages: 5 to 8 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Children ages will be ranged from 5 to 8 years old.
2. Wrist flexor spasticity ranged from grade 1 to 1+ according to Modified Aswarth scale.
3. Capacity to handle objects without continuous assistance (level I or II in accordance with the Manual Ability Classification System).
4. Ability to sit alone.
5. Sufficient cognition to follow simple verbal instructions.

Exclusion criteria

1. Fixed contracture or deformities in the upper limb.
2. Visual or auditory defects.
3. Botulinuim toxin injection in the last 6 months before the study.
4. Previous surgical intervention in the upper limb.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

Selected Physical and Occupational Therapy Program

Experimental group

Description:

Unilateral cerebral palsy children will receive selected physical and occupational therapy program for 1 hour. The duration of treatment will be 3 times/week for 12 weeks.

Treatment:

Other: Selected Physical and Occupational Therapy Program

Mirror Therapy

Experimental group

Description:

Unilateral cerebral palsy children will receive selected physical and occupational therapy program for 1 hour in addition to mirror therapy for 30 minutes. The duration of treatment will be 3 times/week for 12 weeks.

Treatment:

Other: Selected Physical and Occupational Therapy Program

Other: Mirror Therapy

Task Oriented Training

Experimental group

Description:

Unilateral cerebral palsy children will receive selected physical and occupational therapy program for 1 hour in addition to task oriented training for 30 minutes. The duration of treatment will be 3 times/week for 12 weeks.

Treatment:

Other: Selected Physical and Occupational Therapy Program

Other: Task-Oriented Training