Mirror Therapy Feedback for Selective Motor Control of the Upper Extremities in Spastic Hemiplegic Cerebral Palsy: A Randomized Controlled TrialAuthor(s): Amira. H. Mohammed*, Amel. E. Abdel Karim, Mohamed. H. Abouelenein and Samah. M. Sheha
Objective: To detect the outcome of mirror therapy on Selective Motor Control (SMC) of the upper extremities in spastic hemiplegic cerebral palsy.
Design: Randomized Controlled Trial
Setting: Different Pediatrics Rehabilitation Centers and outpatient Clinic of Misr University for science and technology.
Subjects: Forty-five children with unilateral paralysis from both genders participated in this study. They randomised equally into study or control group.
Intervention: The study group received physical therapy program combined with mirror visual feedback from non-affected upper limb. Control group received physical therapy program only. Both groups received the intervention for three successful months.
Measures: All children were assessed using Selective control of upper extremity scale (SCUES). All outcomes were measured at the initial randomization and then after three months of intervention.
Results: The pre-treatment mean value and SD for the total score of the SCUES in the control and study groups were 5.73 ± 1.03 and 5.46 ± 0.92 respectively. The post-treatment mean value and SD for the same variable in the control and study groups were 9.67 ± 1.29 and 11.60 ± 1.06 respectively. So, The Selective Control of Upper Extremity Scale (SCUES) scores revealed statistically significant differences both groups with favour to the study group.
Conclusion: Mirror therapy has a significant effect on SMC of the affected arm in spastic hemiplegic cerebral palsy.