Efficacy of Lower Extremity Mirror Therapy on Balance in Children With Hemiplegic Cerebral Palsy

NCT04227262 | Unknown

• 1 other identifier: P.T.REC/012/002575
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The study will be conducted to assess the efficacy of mirror therapy on balance in children with hemiplegic cerebral palsy.

Conditions

HEMIPLEGIC CEREBRAL PALSY

Keywords

cerebral palsy; balance; mirror therapy

Outcome Measures

Primary Outcomes (6)

• Antro-posterior stability index

  the ability of child to maintain his balance from forward to backward direction

  Antro-posterior stability index will be assessed at day 0.

• Antro-posterior stability index

  the ability of child to maintain his balance from forward to backward direction

  Antro-posterior stability index will be assessed at day 90.

• Over All Stability Index

  the ability of child to maintain his balance in all directions

  Over All Stability Index will be assessed at day 0.

• Over All Stability Index

  the ability of child to maintain his balance in all directions

  Over All Stability Index will be assessed at day 90.

• Mediolateral Stability Index

  the ability of child to maintain his balance from side to side directions

  Mediolateral Stability Index will be assessed at day 0.

• Mediolateral Stability Index

  the ability of child to maintain his balance from side to side directions

  Mediolateral Stability Index will be assessed at day 90.

Study Arms (2)

the control group

NO INTERVENTION

Group (a) control group received traditional physical therapy program.

the study group

EXPERIMENTAL

group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months.

Other: MIRROR THERAPY

Interventions

MIRROR THERAPY OTHER

The children were instructed to sitting on chair and a mirror is placed in midsagittal plane of the child, with the normal limb in front of mirror and the affected limb is blocked so the patient see only the reflected movement of the sound limb (non affected).

the study group

Eligibility Criteria

• Age: 8 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children's aged ranged from eight to twelve years.
• Children participated in this study will from both sexes.
• Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
• Children with stable medical and psychological status.
• Children able to follow the verbal commands or instructions.

You may not qualify if:

• children with visual or auditory problems.
• Children with history of epilepsy.
• Children with history of surgical interference in lower limbs less than one year.
• Medically unstable children especially with cardiovascular disorders.
• Mentally retarded children.
• un-cooperative children.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

South Valley University, Faculty of Physical Therapy

Qina, Qena Governorate, 83523, Egypt

Location

Related Publications (12)

• Gstottner M, Neher A, Scholtz A, Millonig M, Lembert S, Raschner C. Balance ability and muscle response of the preferred and nonpreferred leg in soccer players. Motor Control. 2009 Apr;13(2):218-31. doi: 10.1123/mcj.13.2.218.

  PMID: 19454781 BACKGROUND

• Zeng W, Guo Y, Wu G, Liu X, Fang Q. Mirror therapy for motor function of the upper extremity in patients with stroke: A meta-analysis. J Rehabil Med. 2018 Jan 10;50(1):8-15. doi: 10.2340/16501977-2287.

  PMID: 29077129 BACKGROUND

• Garry MI, Loftus A, Summers JJ. Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability. Exp Brain Res. 2005 May;163(1):118-22. doi: 10.1007/s00221-005-2226-9. Epub 2005 Mar 8.

  PMID: 15754176 BACKGROUND

• McInnes K, Friesen C, Boe S. Specific Brain Lesions Impair Explicit Motor Imagery Ability: A Systematic Review of the Evidence. Arch Phys Med Rehabil. 2016 Mar;97(3):478-489.e1. doi: 10.1016/j.apmr.2015.07.012. Epub 2015 Aug 5.

  PMID: 26254950 BACKGROUND

• Kenis-Coskun O, Giray E, Eren B, Ozkok O, Karadag-Saygi E. Evaluation of postural stability in children with hemiplegic cerebral palsy. J Phys Ther Sci. 2016 May;28(5):1398-402. doi: 10.1589/jpts.28.1398. Epub 2016 May 31.

  PMID: 27313338 RESULT

• El-Shamy SM, Abd El Kafy EM. Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy. Disabil Rehabil. 2014;36(14):1176-83. doi: 10.3109/09638288.2013.833312. Epub 2013 Sep 13.

  PMID: 24032716 RESULT

• Altschuler EL, Hu J. Mirror therapy in a patient with a fractured wrist and no active wrist extension. Scand J Plast Reconstr Surg Hand Surg. 2008;42(2):110-1. doi: 10.1080/02844310701510355.

  PMID: 18335358 RESULT

• Funase K, Tabira T, Higashi T, Liang N, Kasai T. Increased corticospinal excitability during direct observation of self-movement and indirect observation with a mirror box. Neurosci Lett. 2007 May 29;419(2):108-12. doi: 10.1016/j.neulet.2007.04.025. Epub 2007 Apr 19.

  PMID: 17481817 RESULT

• Cattaneo L, Rizzolatti G. The mirror neuron system. Arch Neurol. 2009 May;66(5):557-60. doi: 10.1001/archneurol.2009.41.

  PMID: 19433654 RESULT

• Summers JJ, Kagerer FA, Garry MI, Hiraga CY, Loftus A, Cauraugh JH. Bilateral and unilateral movement training on upper limb function in chronic stroke patients: A TMS study. J Neurol Sci. 2007 Jan 15;252(1):76-82. doi: 10.1016/j.jns.2006.10.011. Epub 2006 Nov 28.

  PMID: 17134723 RESULT

• Sutbeyaz S, Yavuzer G, Sezer N, Koseoglu BF. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007 May;88(5):555-9. doi: 10.1016/j.apmr.2007.02.034.

  PMID: 17466722 RESULT

• Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol. 2004 Nov 9;4:26. doi: 10.1186/1471-2288-4-26.

  PMID: 15535880 RESULT

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Mirror Movement Therapy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Rehabilitation; Therapeutics

Study Officials

• Nehad A. Abo-zaid, PhD

  South Valley University, Faculty of Physical Therapy

  PRINCIPAL INVESTIGATOR

• Mohammed E. Ali, PhD student

  South Valley University, Faculty of Physical Therapy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group A (control group) and Group B (study group).
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer

Model Details: The children were assigned randomly into two equal groups. Group (a) control group received traditional physical therapy program. And group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months.

Study Record Dates

• First Submitted: January 4, 2020
• First Posted: January 13, 2020
• Study Start: December 1, 2019
• Primary Completion: March 1, 2020
• Study Completion: March 31, 2020
• Last Updated: January 13, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)