Mirror Therapy With Sensory Motor Training in Children With CP

NCT06292416 | Completed DMC

• 1 other identifier: REC/0257Huma Saleem
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Cerebral Palsy

Keywords

Cerebral palsy; Hemiplegic; Mirror Therapy; Strength training

Outcome Measures

Primary Outcomes (2)

• The Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment)

  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

  Assessment will be done at 6th week by outcome measuring tool

• Jebsen Taylor Hand dysfunction test

  It measures the fine and gross motor function of the hands. The results are measured by timing the time taken to accomplish each task.

  6 weeks

Study Arms (3)

Mirror therapy with sensory motor training.

EXPERIMENTAL

1. Visual perception activities 2. Body awareness 3. Tactile perception. 4. 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

Other: Experimental: Mirror therapy with sensory motor training.

Mirror Therapy with motor training.

EXPERIMENTAL

supination-pronation, wrist flexion-extension, finger flexion-extension, abduction, adduction, opposition

Other: Experimental: Mirror Therapy with motor training

Motor Training

OTHER

1. Holding objects 2. Stabilize objects 3. manipulate objects

Other: Experimental: Motor Training

Interventions

Experimental: Mirror therapy with sensory motor training. OTHER

Block design, finding shapes in pictures, puzzles, matching geometric shapes and letters, numbers, and classification. Pointing to the body parts, life-size drawing, turning left and right side and awareness of the body parts through touch. feeling various textures, touching boards, and feeling shapes. Ocular-pursuit training, moving ball and pegboard activities During the sessions, subjects were asked to try and do the same movement with the paretic hand simultaneously The patients will be asked to repeat each movement 20 times per set for three sets, with a 2-minute break between sets. Session will last for 45 mins

Mirror therapy with sensory motor training.

Experimental: Mirror Therapy with motor training OTHER

the participant is asked to perform a forearm movement sting on the paretic side while the subjects look into the mirror, watching the image of their non-involved hand and thus seeing the reflection of the hand movement projected over the involved hand. During the sessions subjects were asked to try and do the same movement with the paretic hand simultaneously. movement was repeated 20 times per set for three sets, with a 2-minute break between sets

Mirror Therapy with motor training.

Experimental: Motor Training OTHER

1. Holding object with two hands, clapping, banging objects together. 2. Stabilize objects with one hand while the other is manipulating (holding paper while coloring, holding a container while putting objects in) 3. manipulate objects with both hands simultaneously (stringing beads, tying a knot), 4. ask child to padlock in which a key can be put into, markers with caps to put on, a box with a lid and objects to put inside the box 5. hold a cup with one hand while putting object in with other hand 6. Buttoning with both hands, tying a bow. doing craft project, fitting blocks together

Motor Training

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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)

You may not qualify if:

• 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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Eliya care Centre Faisalabad

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Huma Saleem, MS NMPT*

  Riphah International Univerisity

  PRINCIPAL INVESTIGATOR

• Ammara Abbas, tDPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: participants and outcome assessors will be kept blind about the intervention which the patients will be receiving.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Assignment

Study Record Dates

• First Submitted: December 26, 2023
• First Posted: March 5, 2024
• Study Start: December 30, 2023
• Primary Completion: May 14, 2024
• Study Completion: May 14, 2024
• Last Updated: April 8, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)